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NEWS RELEASE

 July 7 2003

UniSA uncovers mental health anguish for men with lives on hold

A program to establish a mental health and suicide prevention strategy for refugees from Afghanistan has revealed deep depression and distress among people given only temporary protection in Australia. 

The initiative, headed by UniSA Associate Professor in mental health nursing Dr Nicholas Procter, was established through the SA Department of Human Services Country and Social Justice Division to offer support to the 75-strong population of Afghan Hazara refugees who have been living and working in Murray Bridge for almost three years. 

Earlier this year, one of the group, Dr Habib, suicided after receiving notification that his temporary visa was being reviewed, sparking major concerns about the mental health of the refugee community in Murray Bridge. 

Dr Procter will be speaking at an Australian Refugee Association forum on Refugee and Asylum Seeker Issues at 14 King William Road, North Adelaide on July 8 2003 from 7 pm.  

He says the Murray Bridge program has revealed a depth of despair in the TPV-holder refugee community that is hard for the average South Australian to understand. 

“These people are living with a measure of dislocation from their world that is hard to get a grip on,” Dr Procter said. “Already traumatised by persecution in their homeland, they now live in a kind of ghastly Limbo where they have no relationship to their future and feel an increasing distance from their troubled past. The impermanence of their status in Australia adds to their nightmare – they feel they can not plan a week or month in advance – they can only imagine a dangerous future and this causes enormous stress.” 

Dr Procter has been working with the group to create a full picture of their mental health issues by listening to the nature of their fears, depression and anxiety. 

Part of his project has been to develop composites of the stories the refugees tell about how they are coping with life and Dr Procter says the stories paint a bleak mental health picture. 

An example story includes the following account: 

I feel that I am being pushed to the edge of the world. Whenever I go walking in Murray Bridge…I feel as if I am walking blindfolded on the moon…. It is like being dead and alive at the same time… The worst thing you can take from a human being is their hope…there is nothing darker than black.  

“They feel alone, afraid, ostracised, sad, and doomed – their psychological world is black,” he said. 

“Many of the men take medication to help them sleep as well as GP prescribed anti-depressants and more than a few of them have seriously contemplated suicide.” 

Dr Procter says the stories offer a powerful opportunity for mental health and general health workers to understand the depth of the problems TPV holders face and to become more informed and compassionate in their approach to culturally and linguistically diverse communities. 

“We hope the project will highlight the need for health workers to genuinely engage culturally and linguistically diverse communities (CALD) so as to be able to respond to their real needs in an informed and sensitive way.” 

He said goals of the current consultancy included: 

·     to encourage health care workers to learn directly from CALD communities about their specific mental health issues, and their unique culturally-based perspectives on mental health; 

·     to engage CALD communities, including consumers and carers, in learning about mental health by collaborating with health care providers in the planning, evaluation and delivery of mental health care services for their communities; 

·     to encourage CALD communities, including consumers and carers, to learn directly from each other about coping with mental health issues including early intervention strategies to prevent problems by providing practical help to members of their friendship network and family and themselves; 

·     to support CALD communities in developing their own network of community mental health educators;

·     to add to existing forms of mental health education, networking and information exchange and capacity building between mainstream mental health and regional health service providers and CALD communities. 

“This kind of support will empower CALD communities and go some way to helping individuals to cope with the anguish caused by their status as people with ‘temporary’ lives. At the end of the day though, affording them real and permanent protection in Australia would go much further in healing their hearts and minds.”

More information: Dr Nicholas Procter 0417 080630
Media contact: Michèle Nardelli (08) 8302 0966 or 041 8823673

 

 

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