Answer this one please with resource: What was the cause of role loss many adult

Question

Answer this one please with resource:

What was the cause of role loss many adult Hmong faced when they came to the U.S.? How does this loss affect their adjustment to America and how do the families adapt? Do you think this scenario is true of most immigrant and/or refugee populations? What are the American health system challenges to being culturally-informed and culturally-responsive to the needs of immigrant and/or refugee populations, particularly related to treating common conditions like post-traumatic stress disorder (PTSD)?

What was the cause of role loss many adult Hmong faced when they came to the U.S.? How does this loss affect their adjustment to America and how do the families adapt? Do you think this scenario is true of most immigrant and/or refugee populations? What are the American health system challenges to being culturally-informed and culturally-responsive to the needs of immigrant and/or refugee populations, particularly related to treating common conditions like post-traumatic stress disorder (PTSD)?

Explanation / Answer

“Role loss” occurs when people lose the roles in their families or society that gives them their identity. In this story, there was a role-playing exercise that was conducted by Evelyn Lee. They found out that their roles have changed dramatically since they had entered into the United States because now they were no longer self-sufficient, but rather dependent on the government. Hmong fathers were no longer able to provide for their families in the mountains of Laos because they no longer had farms and were unable to find jobs due to language and other barriers. Mothers were no longer educating their children because they were sent to school rather than themselves teaching their young. Even birthing was unique and changed their roles because they were used to burying their placentas and giving birth in their homes in complete silence. Now they gave birth in Americanized hospitals and were not granted the same cultural rights. They no longer felt as if they had control which was something this cultural group once felt proudly about. No American’s respected their cultural beliefs or values and because of this they lost their self-worth. Recognizing and appropriately treating mental health problems among new immigrants and refugees in primary care poses a challenge because of differences in language and culture and because of specific stressors associated with migration and resettlement. Culture can profoundly influence every aspect of illness and adaptation, including interpretations of and reactions to symptoms; explanations of illness; patterns of coping, of seeking help and response; adherence to treatment; styles of emotional expression and communication; and relationships between patients, their families and health care providers. Most patients in primary care with mental health problems present with physical complaints, which can lead to under-recognition and treatment of common mental disorders like PTSD. Medical screening evaluation is a challenge for american health systems and addressing mental health problems in refugees is difficult. Educating the clinicians about various cultural beliefs is important to familiarize themselves with different cultures and provide effective treatment. Another challenge is refugees may not volunteer or admit symptoms at initial screening, but symptoms may emerge several months or years after resettlement. Therefore, follow-up primary care referral for on-going health care is imperative. Ideally, primary care clinicians should be familiar with refugee care, including diagnosis and treatmentof commonly encountered mental health conditions like PTSD. (Common mental health problems in immigrants and refugees: general approach in primary care Laurence J. Kirmayer, MD et.al)

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