Refugeed People: Policies and Access to Services Flashcards

1
Q

Vulnerability Factors for Refugee children:

A
  • Age and stage of development
  • Separation from caregivers
  • Access to education
  • Peer support
  • Sense of security and trust
  • Coping mechanisms
  • Access to basic needs (shelter, food, water, sanitation, education, healthcare)
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2
Q

Adversity in the migration process for refugee:

A

At the Pre-migration, Migration and Post-migration, each step are challenging and increase the vulnerability factors

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3
Q

Vulnerability Factors for Refugee women:

A
  • Gender-based violence
  • Sexual violence and trauma
  • Access to services
  • Language barriers
  • Cultural differences
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4
Q

Vulnerability Factors for Older Refugees:

A
  • Change in social status
  • Physical health
  • Social support/isolation
  • Language barriers
  • Loss of independence
  • Access to financial and/or social support
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5
Q

Vulnerability Factors for Refugees with Disabilities:

A
  • Pre-existing disability, or caused and/or aggraved during migration (eg. malnutrition, increased risk for disease in refugee camp)
  • Access to care
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6
Q

Asylum Program:

A

People making a refugee protection claim from within Canada to the Immigration and Refugee Board of Canada (IRB) to gain a refugee status

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7
Q

Refugee and Humanitarian Resettlement Program:

A

People seeking protection from outside Canada to private sponsored refugees (PSR) or Government-Assisted Refugees (GAR)

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8
Q

When the refugee claim is being considered and accepted, they can apply for permanent residence (PR). But when they are refused, other option need to taken:

A
  • Can be eligible to apply for a Pre-removal risk assessment (PRRA)
  • Can be eligible to appeal to the Refugee Appeal Division (RAD) at the immigration and Refugee Board of Canada (IRB)
  • Can apply for judicial review of the IRB decision with a lawyer
  • Can apply to stay on Humanitarian or Compassionate grounds (H and C)
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9
Q

Immigration detention is:

A

The Canada Border Services Agency (CBSA) who is responsible for arrests and detention. The Canada’s immigration laws allow for the detention of some non-citizens for immigration reasons, including identity and flight risk.

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10
Q

Health Issues for Detained Claimants (refugee claimant detention):

A
  • Access to Primary health care
  • Sleep/food/discomforts
  • Transport/restraints for hospital visits (exceptions for pregnant women, families and elderly)
  • No immigration medical exam in detention
  • Limited access to medications/specialists
  • Discontinuity of medical care
  • Anxiety and depression
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11
Q

Status of Refugee means:

A

Any person who, by reason of a well-founded fear of persecution because of their race, religion, nationality, membership in a particular social group or political opinion. AND is outside the country of his/her nationality or habitual residence

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12
Q

Privately Sponsored Refugees are

A

individual, groups of Canadian citizens or permanent residents, community groups or organizations who is responsible for all financial and settlement support during the newcomer’s first year in Canada. (refugees must be both eligible and admissible to come to Canada by a visa office AND pass a medical exam)

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13
Q

The Pre-Departure Health Coverage include:

A

Medical exam (fees covered), vaccinations, tx of disease outbreaks in refugee camps and medical support during travel to Canada.

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14
Q

Health Assessment of new refugees in Canada:

A
  • Referrals done as soon as possible and prioritized by need
  • often utilize interpreters
  • Can be done in the family’s home (rare)
  • Usually seen by a nurse and a social worker
  • General orientation to Qc health system
  • Referrals as needed to facilitate access to services
  • Vaccinations
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15
Q

Interim Federal Health Program (IFHP) is

A

Offers temporary health care coverage to resettled refugees and refugee claimants who aren’t eligible for provincial coverage (Basic coverage, similar to RAMQ, supplemental coverage with preauthorisation often required (vison care, emergency dental care, nursing visits, emergency ambulance, medical devices…)

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16
Q

Caring for a newly arrived Syrian refugee family recommendation:

A
  • Should NOT routinely sceen for trauma/ posttraumatic stress disorder (may increases the risk of inducing trauma and raising issues of stigma and consequent ripple effects on family and community)
  • Suggest thats practitionners be alert for associated signs and symptoms (somatic symptoms, sleep or metal health disorder)
  • Vaccinate ALL children and adults without a record of complete vaccination
  • Should not offer testing for latent tuberculosis (TB) because the incidence of active TB in the Middle East region remains low.
  • Should screen ALL children and adult for chronic hepatitis B virus and prior immunity, and vaccinate those who are susceptible
  • Should consider serologic testing for varicella in refugees 13 y. and older, and vaccinate those who are suceptible.
  • Should consider screening for hepatitis C virus infection (prevalence uncertain, but with war, may have increase)
  • Should consider serologic testing for the intestinal parasite Strongyloides stercoralis, but should not collect stool samples in asymptomatic patients
17
Q

Protective factors

A
  • Access to safe and adequate housing
  • Employment and income
  • Family cohesion
  • Keeping parents and children together during and after the integration process
18
Q

The Interim Federal Health Program (IFHP) is:

A
  • Providing limited, temporary coverage of health-care benefits to: pretected persons, including resettled refugees, refugee claimants and certain other groups who are not eligible for provincial or territorial health insurance
  • Does not cover the cost of health-care services or products that a person may claim (even in part) under a public or private health insurance plan. Does not coordinate benefits with other insurance plans/program
  • May be covered for cetain medical services in pre-departure to Canada
  • You must verify that a patient is eligible for IFHP coverage with Medavie Blus Cross BEFORE providing a service or product each time.