This article describes expert witness work with refugee children carried out by the Child & Family Team at the Traumatic Stress Clinic affiliated to University College, London. These children are referred by solicitors acting for their parents in relation to claims for asylum. The children have usually survived multiple traumatic experiences and often have significant post-traumatic symptomatology. Many speak little English and have had little preparation for the assessment. This article briefly summarizes the law relating to human rights and refugees that is relevant to these children and the questions posed by their solicitors. It then describes the way in which the team approaches the assessment and the clinical and legal issues raised.
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References
1.
American Psychiatric Association. (1996). Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: American Psychiatric Press .
2.
Birleson, P. (1981). The validity of depressive disorder in childhood and the development of a self-rating scale: A research report . Journal of Child Psychology and Psychiatry, 22, 73-88 .
3.
Bremner, J., Southwick, S.M., & Charney, D.S. (1999). The neurobiology of posttraumatic stress disorder: An integration of animal and human research. In P.A. Saigh & J.D. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive text (pp. 103-143). Needham Heights, MA: Allyn & Bacon .
4.
Cicchetti, D., & Toth, S. (1995). A developmental perspective on child abuse and neglect . Journal of the American Academy of Child & Adolescent Psychiatry, 34, 541-565 .
5.
The Convention on the Rights of the Child. (1989). Retrieved June 13, 2003, from www.unicef.org/crc/
6.
Elbedour, S., ten Bensel, R., & Bastien, D.T. (1993). Ecological integrated model of children of war: Individual and social psychology . Child Abuse & Neglect, 17, 805-819 .
7.
Farbey J. (2001). Who is a refugee? A legal perspective . Context, 9-11 .
8.
Follette, V., Polusny, M., Bechtle, A., & Naugle, A. (1996). Cumulative trauma . Journal of Traumatic Stress, 9, 25-36 .
9.
Hathaway, J. (1991). The law of refugee status. Toronto, ON: Butterworths .
10.
Herlihy, J., Scragg, P., & Turner, S. (2002). Discrepancies in autobiographical memories: Implications for the assessment of asylum seekers - repeated interviews study . British Medical Journal, 324, 324-327 .
11.
Horowitz, M.J., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress . Psychosomatic Medicine, 4, 209-218 .
12.
Kendall-Tackett, K., Williams, L., & Finkelhor, D. (1993). Impact of sexual abuse on children . Psychological Bulletin, 113, 164-180 .
13.
Kilkelly, U. (1999). The child and the European Convention on Human Rights. London: Ashgate .
14.
Perry, B. (1999). Memories of fear. In J. Goodman & R. Attias (Eds.), Splintered reflections: Images of the body in trauma (pp. 9-18). New York: Basic Books .
15.
Pynoos, R. & Eth, S. (1986). Witness to violence: The child interview . Journal of the American Academy of Child & Adolescent Psychiatry, 25, 306-319 .
16.
Refugee Council. (2001). UK legislation: Seeking asylum in the UK. Retrieved June 13, 2003, from http://www.refugeecouncil.org.uk
17.
Saigh, P. (1989). The development and validation of the Children's Post Traumatic Stress Disorder Inventory . International Journal of Special Education, 4, 75-84 .
18.
Sheeringa, M.S., Zeanah, C.H., Drell, M.J., & Carrieu, J.A. (1995). Two approaches to the diagnosis of post-traumatic stress disorder in infancy and early childhood . Journal of the American Academy of Child and Adolescent Psychiatry, 34, 191-200 .
19.
Spence, S.A. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study . Journal of Abnormal Psychology, 106, 280-297 .
20.
Summerfield, D. (2001). The invention of post-traumatic stress disorder and the social usefulness of a psychiatric category . British Medical Journal, 322, 95-98 .
21.
Turner, R., & Lloyd, D. (1995). Lifetime traumas and mental health . Journal of Health and Social Behaviour, 36, 360-376 .
22.
UNHCR. (1979). Handbook on procedures and criteria for determining refugee status under the 1951 Convention and the 1967 Protocol relating to the status of refugees. Geneva: UNHCR .
23.
Westen, D., Lohr, N., Silk, K., Gold, L., & Kerber, K. (1990). Object relations and social cognition in borderlines, major depressives, and normals . Psychological Assessment, 2, 355-364 .
24.
Westen, D., Ludolph, P., Block, M., Wixom, J., & Wiss, E. (1990). Developmental history and object relations in psychiatrically disturbed adolescent girls . American Journal of Psychiatry, 147, 1061-1068 .
