PREP Content Development Project

Description

This project aims to develop content related to refuge health. We intend to populate the site with practical, credible and thought-provoking information and knowledge that physiotherapists should have to effectively work with people with refugee experience. Much of this content development has been guided by the Physiotherapy and Refugee Education Project (PREP) and will form part of the content for the PREP online course which will take place from 18 January 2021.

Anyone is welcome to join in this project. You will be joining people from all over the world in contributing evidence based articles to create an evidence based reference on refugee health and for physiotherapists who work with displaced individuals. In return for your efforts you will receive a certificate of completion to help you evidence your learning through your involvement with this project.

Project Team

Project Lead

Naomi O'Reilly

Contributors

Project participants will be listed here

• Adiyta Vats
• Anviti Nandgave
• Arthur Desachy
• Ayman Baroudi
• Claire O'Reilly
• Donald John Auson
• Giuseppe Daverio
• Haroon Symonds
• Jordan Awale
• Kehinde Fatola
• Marleen Moll
• Ochia Lilian Chidera
• Oyemi Sillo
• Pasala Maneewong
• Redisha Jakibanjar
• Shaimaa Eldib
• Thalia Zamora Gomez
• Vidaya Charya
• Zafer Altunbezel

The Center for Victims of Torture (CVT)

• Ilona Fricker
• Laura Gueron
• Kamal Khalifa
• Walaa Awwad
• Jepkemoi Kibet
• Gladwell Lugusa

Humanity & Inclusion (HI)

• Graziella Lippolis
• Eric Weerts
• Patrick Lefolcalvez

International Committee of the Red Cross - Lebanon (ICRC)

• Aicha Benyaich
• Hala Al Sultan
• Haya Rawi

Project Dates

March 2020 - July 2020

Introduction

As a participant in this project you will contribute to the creation (or update an existing) page within Physiopedia. You may choose to take part in this project as a personal contribution to your own professional development and/or you may wish to contribute evidence based information to develop this resource for our profession. Your contribution will be reviewed by the Physiopedia team and once complete recognised by the award of a certificate of completion.

If you would like to take part in this project please follow the instructions below. 

Instructions

1. Choose an article from the list below that you would like to develop. Be sure that the article doesn't already have a name next to it.
2. At this point you should email us to let her know that you would like to join the project and which page you would like to work on. Please feel free also to ask any questions that you have in relation to this project e.g. if you feel a new page needs adding to the list.
3. You will receive an email from Naomi to confirm you participation in the project and also to confirm the page that you will develop.
4. Once you have received this confirmation you are free to get on with working on your page. You should be complete your work in a word (or similar) document See example. If you are comfortable working in Physiopedia we are very happy for you to work directly in Physiopedia instead of producing a word document.
5. Once you have completed your article please email us to let us know.
6. Your article will be reviewed by the project team and you will be emailed a response of approval or of amendments to be made.
7. Once the article has been finally approved, it will be published and you will receive your certificate of participation to evidence your contribution.

Content Criteria

1. Word count - there is no specific word count for pages, some pages can be short (as in this example) and some will need to be longer (as in this example).
2. Formatting - please have a browse of the site and previous content development projects to get an idea of how we present the content.
3. Required content - the content of your article must include:

• Evidence (where appropriate and possible)
• References (see referencing guide)
• Images and videos
• A list of open online resources, such as guidelines and protocols, that we can link to

If you have any questions please do email us.

CPD/CE Certification

The authors of all articles that are published will be offered a completion certificate to evidence their contribution for their learning and professional development portfolio.

Articles

Please let us know if you think we should include anything else in this list!

Main articles to produce:

Article 1 - Understanding the Refugee Experience - could include but not exclusive to: (Naomi O'Reilly)

1. A brief history of refugees including definitions of terms 
2. Global Refugee Context – Geopolitics, where refugees are from and where they go, the changing political landscape (Aicha Benyaich) 
3. International Refugee Legislation - Legislative differences between countries and The Dublin Regulation  
4. Epidemiology of communicable and non-communicable disease among people with refugee experience 
5. Epidemiology of mental health problems among people with refugee experience

Article 2 - Refugee Rights - could include but not exclusive to:

1. Barriers to accessing healthcare in host countries including bias and stereotyping (Aicha Benyaich & Hala Al Sultan - Covered under Global Context) 
2. How society and the media contextualises and portrays people with refugee experience (Haroon Symonds) 
3. Interprofessional working to improve access to services and navigation of health service 
4. Human Rights (Kehinde Fatola)  
5. Duty to document human rights violations (past and present) 
6. Physiotherapist’s role in terms of working with people with refugee experience (Ochia Lilian Chidera) 
7. Salutogenetic approach to wellness 

Article 3 - Refugee Health - could include but not exclusive to:

1. Health-related factors and determinants of health (Aicha Benyaich & Hala Al Sultan - ICRC) 
2. Salutogenic Approach to Wellness (Thalia Zamora Gomez)  
3. Salutogenic Approach for People with Refugee Experience (Thalia Zamora Gomez) 
4. Impact of migration on health (Nimisha Gorasia & Ayman Baroudi)  
5. Trauma-informed Care (CVT- Ilona Fricker, Laura Gueron, Kamal Khalifa,Wala'a Awwad) 
6. Biopsychosocial Approach (Marlene Moll & CVT- Kamal Khalifa and Wala'a Awwad)  
7. ICF Model (Marleen Moll) 
8. Cultural differences in understanding of pain (pain in the heart, embodiment of pain, spiritual aspects of pain, djinn)  
9. Post-traumatic stress disorder (Anviti Nandgave & CVT - Wala’a Awwad, Kamal Khalifa, Ilona Fricker) 
10. Child Health Conditions and Migration (Graziella Lippolis - HI) 

Article 4 -Effective Communication for People with Refugee Experience - could include but not exclusive to: (Donald John Auson and Jordan Awale)

Article 5 - Physiotherapy for People with Refugee Experience - could include but not exclusive to:

• Physiotherapy Assessment of Pain within a Trauma-Informed Care Model (Redisha Jakibanjar & Zafer Altunbezel & CVT-Jepkemoi Kibet) 
• Evidence-based management of pain (Zafer Altunbezel & Eric Weerts - HI) 
• Physiotherapy for Survivors of Torture (Claire O'Reilly & Ilona Fricker - CVT) 
• Providing care for victims of sexual abuse (Eric Weerts - HI) 
• Cultural beliefs about pain and alternative therapies  
• Communication strategies for discussing difficult topics 
• Role of rehabilitation to promote inclusion and participation (promotion of social support networks; home based adaptation, access to assistive devices,..) (Eric Weerts - HI) 
• Rehabilitation as part of an inclusion approach to ensure persons with disability have access to humanitarian aid (role in getting services accessible; role of physiotherapy as part of interdisciplinary mobile team) (Graziella Lippolis - HI) 
• Interventions specific to low and middle income countries:
  • Role of Physiotherapists and Rehabilitation Assistants in Refugee Camps (Laura Gueron and Stanley Malonza - CVT)
  • Long Term Refugee Camps (i.e. Dadaab, Thailand):  long term treatment; capacity building of rehab workers; stable home, opportunities of schooling and livelihood activities (Patrick Lefolcalvez - HI)
  • Short Term Refugee Camps (i.e. Colombia): short period of treatment, basic services available, transition to host communities (Graziella Lippolis - HI)
  • Refugees Out of Camps (host communities): link to inclusion, high mobility (Eric Weerts - HI & CVT - Ilona Fricker and Laura Gueron) 

Article 6 - Cultural Competence in the Refugee Context - could include but not exclusive to: (Vidaya Charya, Oyemi Sillo, Laura Gueron and Ilona Fricker)

1. Providing Culturally Sensitive Care (Laura Gueron and Ilona Fricker - CVT) 
2. Health Literacy (Oyemi Sillo) 
3. Use of an Interpreter and Translator for People with Refugee Experience (Aditya Vats & Jordan Awale) 
4. Understanding of refugees’ expectations of the health care system 
5. Stages of the migration process and their influence on migrants’ health 
6. Carlos Sluzki’s Model of Migration 
7. Overcoming barriers to accessing care and providing guidance for navigating the healthcare system

Article 7 - Complex Scenarios Involving People with Refugee Experience - could include but not exclusive to:

1. Considerations for Working with Children with Refugee Experience (CVT - Wala’a Awwad and Kamal Khalifa) 
2. Facilitation of Inter-professional Working in Refugee Camp (Pasala Maneewong & Patrick Lefolcalwez - HI) 
3. Culturally Sensitive Palliative Care and Beliefs about Dying (Kehinde Fatola) 
4. Considerations for Working with LGBTQIA+ Refugees (CVT- Laura Gueron and Jeniffer Chepkemoi) 
5. Communication strategies for difficult conversations 
6. Identification of protection issues and level of vulnerability 
7. Ethical issues related to different beliefs about health and illness 

Article 8 should include: Mental Health and Refugees (Shaimaa Eldib has made a start but this page is still open for contributions)

1. Mental health and physiotherapy 
2. Building a therapeutic relationship and facilitation of communication 
3. Holistic approaches to address patient difficulties related to trauma and psychosocial issues. (CVT- Kamal Khalifa and Wala’a Awwad)  
4. Consequences of migration and living in exile 
5. Salutogenic Approach to Wellness (Thalia Zamora Gomez) 
6. Scope and boundaries of physiotherapy practice

Article 9 - Experience of the Physiotherapist Working with People with Refugee Experience - should include: (Giuseppe Daverio)

1. Self-care for health professionals (CVT- Kamal Khalifa and Wala’a Awwad)  
2. Inter-professional teamwork strategies 
3. Peer guidance 
4. Cultural self-awareness 
5. Addressing racism in the workplace 
6. Advocacy strategies 

Article 10 - Global Challenges Relating to the Refugee Experience - should include: (Arthur Desachy)

1. Climate Migrants
2. International differences - Comparative analysis of refugee populations from different countries and how this may change
3. Changing role of physiotherapy

Other Topics for Articles:

• Impact of migration on health
• Cultural differences in understanding pain and cultural beliefs about pain and alternative therapies
• Consequences of migration and living in exile
• Inter-professional team-work strategies
• Changing role of physiotherapists?