Familychild orientation

All treatment should be directed at the entire family of the identified refugee patient. The refugee crisis initiates a process in which surviving family members become the major social support system. The disruption and disintegration of stable communities and traditional social supports place the entire burden of survival upon family members. Sometimes in extreme situations, where a refugee is so depressed, psychotic, or socially withdrawn that the family can be of little help, the psychiatrist must reach out to the patient and establish a one-to-one therapeutic relationship until family members can be of assistance.

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