Asylum seeker health

Edition : 

The AMA has updated its Position Statement on the Health Care of Asylum Seekers and Refugees.

When releasing the Position Statement last month, AMA President Dr Steve Hambleton said that the AMA’s position is that detention centres are harmful to the physical and mental health of asylum seekers – especially children.

“We have been raising concerns about the health of asylum seekers for over a decade,” Dr Hambleton said.

“The Position Statement has been updated to reflect current circumstances.

“Despite improvements in the provision of health care to immigration detainees, the policy of mandatory detention and the remote location of most detainees mean that the health status of detainees continues to decline.

“The AMA is clearly focused on the health aspects of the asylum seeker debate, which also touch on human rights, ethics, and the right thing to do.

“These are damaged people desperately seeking a new life in this country.  They are often fleeing diabolical situations in their home country.  They are well acquainted with fear and danger and desperation.  Some of them have been through torture, some have physical health problems, and many will have experienced mental health pressures.

“The risk of mental health issues becomes higher the longer they are in detention centres.

“Children are particularly vulnerable and the detention environment places enormous stress on them.

“Children often witness behavioural and psychological distress in adults, including their parents.  They see violence and self-harm and they experience separation from family members.

“Unaccompanied children should never be placed in detention centres,” Dr Hambleton said.

The AMA Position Statement on the Health Care of Asylum Seekers and Refugees (2011) is on the AMA website at http://ama.com.au/asylum-seekers

Dr Hambleton has more to say on this issue in the President’s Message in this issue of Australian Medicine.

JF

Latest Comments
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thank you for your focus on this troubling issue

Dr Hambleton is stating some facts which no body can deny. As doctors, we have the obligation to aknowledge these facts. Please keep up the good work, AMA.
The views expressed by Dr Hambleton do not necessarily reflect the views of its members. Please stick to purely health issues and medical politics only (such as doctor substitution, medical remuneration, quackery (aka complementary medicine) and issues associated with AHPRA) and stay out of general political debates for which you do no have a mandate from the members. Halcyon.
Lebistourie A very vexed issue No one can doubt the stresses involved, and that children need to be managed with great compassion. Some other cultures however have a markedly different attitude to children who may be used as shields or pawns. Sorting this out is a matter of politics as much as humanity, and we must not be held hostage as a society because of our humanity. Health care should be provided as a right, but the political issues of where are not an issue for this association, only its individual members
I am pleased that the AMA is stating the acknowledged health consequences of the current detention system. MB (Q531921)
Thank you Dr Hambleton The issue of health impacts of mandatory detention on human beings should be one that troubles our AMA members as much or more than issues such as smoking and obesity do .If the public is to take the AMA seriously we should be vocal on these issues as well as the purely issues which Dr Halycon refers to. . Many if not most of the boat arrivals are detained for longer than criminals sentenced for serious violent crimes. . Around 90% of the boat arrivals are eventually accepted as genuine refugees and become part of our community, as doctors we should be ensuring that they arrive on our shores as healthy as possible. Traumatizing them further by locking them up far from family and friends and the meaningful activities that keep the rest of us sane jeopardises not only the health of the individual but means that the community will be picking up the pieces for the long term.Mandatory detention of the proportionally small number of boat arrivals is an unnecessary and inhumane practice and we should speaking against it.
One thing which the AMA needs to do is to make it quite clear that it is not making a comment on which party has the best policy or what the policy should be, but quite rightly making appropriate comments about medical standards that need to be applied to all human beings whether in detention or not. These are the Geneva conventions. The actions of US military medical staff at Quantanamo Bay highlight the need for medical staff to be vigilant on standards. I do not agree that these people are oppressed rather many are the middle class who can afford to pay many thousands of dollars to the people smugglers to get here. Many arrive with quite good nutritional states. Australian conditions are no doubt better than where they come from. Australia has a quite generous immigration scheme for people from all these countries, we have a sovereign right to control who comes to Australia. They did not get selected and are jumping the queue. If we do not control our borders we may be overrun by immigrants. Just ask the USA about Mexicans. I agree children are more vunerable but they come along as part of the family which is commmiting an illegal act. The solutions are complex and difficult and highly likely to be imperfect. These people are illegal immigrants and should have the same rights as prisoners in Australian gaols. As a practitioner in Fairfield ( NSW ) for many years, the Villawood Detention Centre was nearby and the immigrants had good access to medical care at my and other practises in the area as well as Fairfield Hospital. In fact we had regular slots each day for the immigrants so they had less waiting time than our regular patients. All services were covered by Medicare. I can not speak in relation to the medical support provided in the off shore facilities. Anonymous.

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