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The mental health of immigrant and refugee children and adolescents

I Harry Minas and Susan M Sawyer
Med J Aust 2002; 177 (8): . || doi: 10.5694/j.1326-5377.2002.tb04875.x
Published online: 21 October 2002

A case of public policy confusion

In recent years, there has been an increasing focus on the mental health of children and adolescents.1 This is part of the broader process of reform of Australian mental health services, which now emphasises mental health promotion, the development of preventive approaches, early detection of mental disorders and early treatment interventions.2 At the same time, there is now clearer recognition that, in a country as culturally and linguistically diverse as Australia, specific attention must be paid to the cultural dimensions of mental disorder and mental health service design and the specific needs of Indigenous people, immigrants and refugees.3 Major national mental health policy statements now recognise these issues, and funding for State-based transcultural mental health units and centres for the treatment and support of torture and trauma survivors is one aspect of implementing this policy.


  • 1 Centre for International Mental Health, School of Population Health, University of Melbourne, VIC.
  • 2 Centre for Adolescent Health, Royal Children's Hospital, Parkville, VIC.



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  • 2. Raphael B. Promoting the mental health and wellbeing of children and young people. Discussion paper: key principles and directions. Canberra: National Mental Health Working Group, Department of Health and Aged Care, 2000: 6.
  • 3. Minas IH, Lambert T, Boranga G, Kostov S. Mental health services for immigrants: transforming policy into practice. Canberra: Australian Government Publishing Service, 1996.
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  • 5. United Nations High Commissioner for Refugees. UNHCR: the UN refugee agency. Available at: <http://www.unhcr.ch>. Accessed 2 September 2002.
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  • 8. Zubrick SR, Silburn SR, Gurrin L, et al. Western Australian Child Health Survey: developing health and well-being in the nineties. Perth: Australian Bureau of Statistics and TVW Telethon Institute for Child Health Research, 1995.
  • 9. Silove D. The asylum debacle in Australia: a challenge for psychiatry. Aust N Z J Psychiatry 2002; 36: 290-296.
  • 10. Steel Z, Silove DM. The mental health implications of detaining asylum seekers. Med J Aust 2001; 175: 596-599. <eMJA full text>
  • 11. Mares S, Newman L, Dudley M, Gale F. Seeking refuge, losing hope: parents and children in immigration detention. Australas Psychiatry 2002; 10: 91-96.
  • 12. Professional Alliance for the Health of Asylum Seekers and their Children. Submission to the Human Rights and Equal Opportunity Commission. Inquiry into Children in Immigration Detention. May 2002. Available at: <http://www.racp.edu.au/hpu/policy/asylumseekers/alliance_inquiry.pdf>. Accessed 2 September 2002.
  • 13. Smith MM. Asylum seekers in Australia. Med J Aust 2001; 175: 587-589.
  • 14. Harris MF, Telfer BL. The health needs of asylum seekers living in the community. Med J Aust 2001; 175: 589-592. <eMJA full text>

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