People seeking asylum have particular needs that affect what kind of interventions will help, and how they should be offered.
The chapter first considers unmet physical health needs and the interconnectedness of physical and mental health. The role of medication for mental health difficulties is then reviewed, with detailed attention to the choice of medication, and to the practical and psychological context of prescribing.
The authors consider when formal psychological therapy may be helpful, looking at the factors common to all therapies, and at the specific options available. NET, EMDR, trauma focussed CBT and expressive, creative and body-based therapies are reviewed, together with a discussion of other forms of therapy.
Interventions for post-migration difficulties may be both the most acceptable and the most effective. The range of these interventions is considered, including the provision of medical evidence in an asylum claim. Risk management is reviewed, with attention to safety planning, minimising the harms of immigration detention, managing the threat of removal, and preventing destitution.