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Editor's Notes

• #4: UNHCR .
• #5: According to UNHCR (united nations high commissioner for refugees) Refugees typically escape their countries to another country which is called “ country of first asylum” and they are kept in camps for many years, where they are brought to UN attention and they are approved for a third country resettlement
• #6: For fiscal year 2013, up to 70,000 refugees will be admitted to the US http://www.whitehouse.gov/the-press-office/2012/09/28/presidential-memorandum-annual-refugee-admissions-numbers http://jobs.utah.gov/refugee/information/stats.pdf
• #7: When a new refugee or immigrant resettle in a new country , there are 5 stages that they go through before being completely stabilized in that new country.
• #8: Honeymoon usually co-exist with the first stage
• #9: We can see that I takes a decade or sometimes more for a refugee or an immigrant to settle in the new country
• #10: (942 according to office of refugee resettlement)
• #12: I put their websites for more information about their work, or if anyone is interested in volunteering IRC and CCS do almost the exact same job, they receive the refugee family from the airport, find a place for them to live, help them with donated furniture, clothes..etc, help them with issuance of SSN, jobs, getting food stamps, medicaid and all adaptation stage needs. .
• #13: 2. Includes application for social security number 3. There are ESL classes that refugees can attend to learn/improve their English but the problem is that most of them have kids and work that they are unable to attend those classes regularly All refugees are examined and screened for communicable diseases e.g) TB, HBV within the first 30 days of their arrival All refugees receive Medicaid for 8 months if single , 2 years if family.
• #14: IRC and CCS serve the refugee for 8 months if single (including food stamp and medicaid), 2 years if family,
• #16: You can notice that unlike IRC and CCS, UHHR (also AAU) help immigrants and asylum seekers
• #17: It is estimated that over 25,000 refugees have been resettled in Utah . The majority of these refugees live in the Salt Lake City area. Refugees living in Utah come from over 40 countries. It is estimated that 5-35% of the world’s refugees are torture survivors, the most extreme form of trauma exposure. In some populations, such as the Iraqi and Somali, the estimates of torture survivors are 57% and 79% respectively. Utah is home to both of these populations. It’s likely that Utah has over 15,000 survivors living here. Many torture survivors suffer from depression, anxiety, and/or PTSD. Many have chronic pain. There are a number of medical studies that document that trauma survivors are at an increased risk of developing chronic disease as compared to a non-traumatized population. One example of this is that in the general population, there is a 5% prevalence of diabetes mellitus, while in Cambodian torture survivors the prevalence of diabetes is 20%
• #18: This program was developed to help Cambodian torture survivors 10 years ago, so I, with the help of a team from nutrition, exercise and UHHR modified it to meet the culturally different needs of Iraqi refugees.
• #19: The UHHR holds a bi-monthly social groups for men and women so what we did was to meet with each group and asked about their main concerns before modifying HPRT. After that, we created an 8 week curriculum which work on all those element during each session, in addition to administering 4 surveys before and after those sessions to check for the effectiveness of the wellness group.
• #20: Guided imagery exercise and mouthful exercise
• #21: Many participants shared stories about the difficulties they are facing due to language barrier especially in doctors appointments. Many of them had their clinics appointments cancelled (more than once) because the interpreter was not available and they didn’t know that they have the right to have a phone interpreter if the in-person interpreter was not present, so we developed this card to give to the participants in hope it will solve the problem.
• #22: Some challenges I believe we faced during the first group, I believe that attendance was the most important challenge, we started with 13 clients but some of them dropped out and some used to attend irregularly, their main cause was transportation (most of them live in the west while UHHR office is in downtown, and the family usually owns one car which the husband uses to go to work, and most ladies don’t know how to use public transportation). Due to cultural differences, most husbands don’t sit at home and care for the kids when the woman is busy. The other point was exercise , again because most women can’t find time for themselves while caring for kids and doing house stuff. Change is hard, and it is harder to try to change without an established in depth study of the social life of the group you are trying to implement this change to. I believe each refugee group needs to be studied to understand their perception about the new culture they are living in, about certain ideas such as exercise, diet, and the difference between their culture and the western culture and how can we work on that. Before trying to help them get the best of both cultures.
• #23: Even if you helped one refugee this means a lot due to how much they suffered before coming here
• #24: Shukran – thank you in Arabic