This thesis seeks to account for diversity in the migratory decisions of Afghan migrants who have recently arrived in Turkey. It proposes that social theories on risk provide a framework that rectifies a theoretical gap in the migration literature with respect to intra-group heterogeneity in the decision-making processes of migrants. The thesis adopts Rosa’s (1998: 28) definition of risk as: ‘a situation or event where something of human value (including humans themselves) has been put at stake and where the outcome is uncertain.' I argue that variation in what migrants view as being ‘at stake’ and in how they evaluate the associated uncertainties— in other words, how migrants perceive risk— accounts for the diversity in the migration decisions of similarly situated migrants. Risk is therefore an analytical tool for understanding decision-making in its subjective and socio-cultural context. The thesis offers a typology as an analytical device for categorising the ways in which informants managed the risks associated with migration decisions. I identify three modes of managing risk, defined as resigned, restless and resilient, on the basis of migrants’ engagements with their social environment, their efforts at advocating for themselves and others, and their ability to gather and disseminate information. The thesis also explores subsidiary themes concerning migrants’ legal consciousness with regard to irregular immigration status, and the process of embodying the physical and emotional consequences of migration. Most of the ethnographic fieldwork for this project was conducted in the cities of Istanbul, Van, Kayseri and Sivas from February 2011 until December 2012.

The South African Refugees Act1 makes a distinction between an asylum seeker and a refugee. The Act defines an asylum seeker as “a person who is seeking recognition as a refugee in the Republic”. A refugee on the other hand, is a person “who has been granted asylum” in the Republic.2 The legal position in South Africa is that before a person is recognized as a refugee, he or she is protected by the Bill of Rights to a certain extent. In the case of Lawyers for Human Rights v Minister of Home Affairs the Constitutional court confirmed that the protection afforded by the Bill of Rights applies to everyone, including illegal foreigners and asylum seekers.3 This means that asylum seekers and refugees are entitled to most of the rights in the Constitution except those specifically reserved for citizens. Practically though, a refugee enjoys more rights than an asylum seeker. It is therefore in the interest of asylum seekers to have their status as refugees determined. The process of applying for refugee status can be a challenge for those seeking refuge in the Republic of South Africa. For applicants coming from non-English speaking countries, language barrier can also present its own challenges. In terms of the Refugees Act, the first application is to the Refugee Reception Officer at the refugee reception office. The application must be made in person.4 When an asylum seeker is deemed fit to qualify for asylum, he or she will be issued with a permit in terms of section 22 of the Refugees Act. The permit allows the asylum seeker to temporarily reside in South Africa until the finalisation of the asylum claim. This permit does not mean that the asylum seeker is already recognised as a refugee. The permit is an indication that the asylum seeker’s application as a refugee is not yet finalised. The application is considered finalised when it has gone through the hearing before the Status Determination Officer and any review or appeal following from that decision. It is the Refugee Status Determination Officer who will grant asylum or reject the application.5 For people applying for refugee status, the determination by the Status Determination Officer may in itself mark the beginning of the process to be repatriated back to the country they were running away from in the first place. An aggrieved applicant can also apply to have the adverse decision reviewed or even lodge an appeal in accordance with the provisions of the Refugees Act.6 For as long as the application is still pending, the government cannot deport any asylum seeker. An asylum seeker who enters the Republic of South Africa, either through a port of entry or illegally faces many challenges before he or she could reach a refugee reception office. Those who come in through a port of entry face being turned away by Immigration Officers due to lack of documentation. Often, asylum seekers find it hard to reach the refugee reception offices as there is no co-operation between the Immigration Officers, the South African Police Service and the functionaries in the refugee reception offices. To make things worse, the Immigration Amendment Act has reduced the days from fourteen to five, for asylum seekers without valid documentations to reach any refugee reception office. Since refugee reception offices are located only in five cities in the country, these have conditioned asylum seekers and refugees to stay and make their living in those cities as they are required to make frequent renewal of their permit. The closure of some of the refugee reception offices like the Johannesburg refugee reception office has caused a major concern to asylum seekers and refugees. This persistent closure of refugee reception offices may be seen as a further persecution in the eyes of asylum seekers and refugees. The inability of the different functionaries to differentiate between asylum seekers and economic migrants adds to the problem concerning the process of refugee status determination. Instead of seeking to identify people in need of protection from persecution or events seriously disturbing public order, the process is used as an immigration control and this causes more people to be turned away or returned to countries where their lives may be at risk. The communication between the asylum seeker and all the functionaries of the Department of Home Affairs is very important. The lack of professional interpretation functionaries to help asylum seekers who need interpretation contributes to the problems asylum seekers face. Often, asylum seekers have to provide their own interpreters if the Department is unable to do so. The purpose of the study is to investigate the status determination process from a South African perspective and to make recommendations which will try to resolve the problem(s) identified. / Public, Constitutional, and International / LL. M.

Recent policy changes have created a new era of refugee resettlement in Australia. As a result of the introduction of the onshore refugee program, a two-tier resettlement assistance system has developed. This system differentiates between refugees who have been issued protection visas offshore and onshore, and provides considerably less resettlement assistance to onshore-visaed refugees with Temporary Protection Visa (TPVs). The exclusion of TPV holders from resettlement assistance programs and the temporary nature of the visa has prompted this comparative study of the resettlement experiences of two groups of recently arrived refugees. This thesis considers the experiences of recently arrived refugees within the economic, social, cultural and political spheres of resettlement, in order to develop a deeper understanding of the inter-related nature of the resettlement process and the impact of visa category on the integration of refugees in contemporary Australia. Kuhlman’s (1991) model of refugee resettlement, and definition of integration form the basis of the theoretical framework of the thesis. A multiple method approach has been applied to the study and data from the second cohort of the Longitudinal Survey of Immigrants to Australia (LSIA) was analysed to present a macro level understanding of the resettlement experiences of recent arrivals in Australia. In Adelaide, interviews with key informants and service providers were undertaken in conjunction with a series of in-depth interviews with 10 Sudanese offshore-visaed Humanitarian entrants and 9 Iraqi onshore-visaed refugees, to provide detailed descriptions of the resettlement experience. While the resettlement process is found to be difficult for all refugees, the TPV policy acts to compound the problems and disadvantages refugees face in resettlement. Under these circumstances it is found that TPV holders experience social exclusion during their early resettlement in Australia. The importance of host-related factors on the resettlement experience are therefore found to be extremely relevant in contemporary Australian refugee resettlement. Policies regarding visa conditions, and refugees’ eligibility for resettlement assistance have a significant impact in all spheres of the resettlement process. These findings suggest that the influence of host society policies must be accorded more weight in theories of resettlement, given their ability to extensively influence the resettlement process. Further this thesis presents substantial evidence against the TPV policy and recommends that temporary protection in Australia be reviewed, in order to ensure the social inclusion and successful integration of future refugee arrivals. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1277761 / Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2007

Recent policy changes have created a new era of refugee resettlement in Australia. As a result of the introduction of the onshore refugee program, a two-tier resettlement assistance system has developed. This system differentiates between refugees who have been issued protection visas offshore and onshore, and provides considerably less resettlement assistance to onshore-visaed refugees with Temporary Protection Visa (TPVs). The exclusion of TPV holders from resettlement assistance programs and the temporary nature of the visa has prompted this comparative study of the resettlement experiences of two groups of recently arrived refugees. This thesis considers the experiences of recently arrived refugees within the economic, social, cultural and political spheres of resettlement, in order to develop a deeper understanding of the inter-related nature of the resettlement process and the impact of visa category on the integration of refugees in contemporary Australia. Kuhlman’s (1991) model of refugee resettlement, and definition of integration form the basis of the theoretical framework of the thesis. A multiple method approach has been applied to the study and data from the second cohort of the Longitudinal Survey of Immigrants to Australia (LSIA) was analysed to present a macro level understanding of the resettlement experiences of recent arrivals in Australia. In Adelaide, interviews with key informants and service providers were undertaken in conjunction with a series of in-depth interviews with 10 Sudanese offshore-visaed Humanitarian entrants and 9 Iraqi onshore-visaed refugees, to provide detailed descriptions of the resettlement experience. While the resettlement process is found to be difficult for all refugees, the TPV policy acts to compound the problems and disadvantages refugees face in resettlement. Under these circumstances it is found that TPV holders experience social exclusion during their early resettlement in Australia. The importance of host-related factors on the resettlement experience are therefore found to be extremely relevant in contemporary Australian refugee resettlement. Policies regarding visa conditions, and refugees’ eligibility for resettlement assistance have a significant impact in all spheres of the resettlement process. These findings suggest that the influence of host society policies must be accorded more weight in theories of resettlement, given their ability to extensively influence the resettlement process. Further this thesis presents substantial evidence against the TPV policy and recommends that temporary protection in Australia be reviewed, in order to ensure the social inclusion and successful integration of future refugee arrivals. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1277761 / Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2007

Most scholars claim that international human rights norms embodied in formal international declarations and treaties have an important impact on domestic political interests and governmental practices. This reasoning about the impact of global human rights is often applied to the post-apartheid South African immigration and refugee policies. While I acknowledge that the ratification of United Nations Conventions on refugees has altered the traditional sovereignty considerations of South Africa towards asylum seekers, I take issue with the claims that South African refugee and asylum policies are primarily motivated and based on humanitarian considerations. Instead, I argue that these policies are based on sovereign considerations and strategic foreign policy interests. As a result this sovereign interests of South Africa to study has sought to demonstrate that largely explain decisions on the part accept or reject refugees. Although norms diffusion, international advocacy networks, and prestige factors have made a big impact, in practice the refugee policy has continued to reflect South Africa's strategic interests and domestic considerations at all levels. However, I have not argued that South Africa should overlook its national and foreign interests and abide by international human rights norms regardless of the cost of doing so. I have only sought to demonstrate that refugee protection is more when powerful national interests find it conducive to manage the destabilizing refugee flows.

There is a growing acknowledgement of the importance of mental health and well-being among refugees and asylum-seekers as a result of high rates of mental distress. Most research, however, has focused on refugees and asylum-seekers who live in high-income countries, even though the vast majority (approximately 80 percent) reside in lower- and middle-income countries (LMICs). This three-paper dissertation brings attention to this research gap and examines issues surrounding the mental health of refugees and asylum-seekers living LMICs. Three different cross-sectional data sources were included in this dissertation from study participants recruited from Malaysia, Jordan, and Turkey in 2018. Additionally, three separate analyses were conducted, which include descriptive analyses and multivariable regressions. The first dissertation paper examines the scope and prevalence of mental health counseling utilization in Malaysia. Using Andersen’s Health Service Utilization as a conceptual framework, I examine how certain predisposing factors (socio-demographic characteristics), enabling factors (availability of resources), and need factors (mental health symptom severity) are associated with counseling utilization. The second dissertation paper examines suicidal behaviors among Syrian refugee women living in Jordan. Incorporating the Three-Step Theory (3ST) of suicidal behaviors, I examine how psychological pain, connectedness, and postmigration stressors are associated with suicidal behaviors. Lastly, my third dissertation paper examines the scope and prevalence of vicarious posttraumatic growth (VPTG) among service providers working with Syrian refugees in Istanbul, Turkey. Using a constructivist self- development theory, I examine how greater exposure to traumatic material, in addition to having a greater support system, and having greater years of professional experience is associated with higher levels of VPTG. Study results from Malaysia emphasize the need to understand individual and contextual determinants of mental health service use. I hypothesize that refugees and asylum seekers with certain predisposing factors (female, older age, married, higher education, lived longer in Malaysia, registered refugee), have greater enabling factors (easy access to healthcare, larger household income, do not need interpreter services, greater health literacy, and live with greater number of people in household), and have greater need factors (higher PTSD symptoms) will be more likely to attend counseling services. Almost three-quarters (71.89%) of participants surveyed had never attended mental health counseling services. The majority (71.89%) had never attended mental health counseling services, and among those who screened positive for PTSD, only a minority (16.49%) attended counseling services. My hypothesis was partially supported. Participants from Afghanistan and Myanmar were less likely to attend mental health counseling compared to Somalia and other countries (p<0.001). Not having easy access to health facility (OR:0.10, 95% CI:[0.03, 0.32]), needing interpreter services (OR:0.23, 95% CI:[0.07, 0.75]), and higher PC-PTSD scores (OR:0.69, 95% CI:[0.52, 0.91]) was associated with lower odds of counseling attendance. Other determinants of health service use such as gender, marital status, education level, years in Malaysia, registration status, household income, health literacy, and number of people in household did not show significant associations. Study results from Jordan highlight that greater research and public awareness regarding suicidal behaviors is needed among Syrian refugee women. I hypothesize that screening positive for PTSD, social isolation (have no friends or family members available to help), and greater number of postmigration stressors is associated with suicidal behaviors. Approximately one-tenth (9.86%) of participants reported suicidal behaviors (suicidal ideation and/or attempt) in the past 6-months. My hypothesis was partially supported. Screening positive for PTSD (aOR:4.02, 95% CI:[1.33, 12.15]) was associated with increased odds of suicidal behaviors, while having 1 friend or family member available to help when in need (OR:0.31, 95% CI:[0.13, 0.78]) decreased odds of suicidal behaviors. No associations between the number of postmigration stressors and suicidal behaviors were found. Lastly, results from Turkey emphasizes the importance of focusing on service providers wellbeing. I hypothesize that greater exposure to traumatic material, in addition to having a greater support system, and having greater years of professional experience is associated with higher levels of VPTG. Among service providers recruited 44.66% reported moderate-to-high levels of VPTG. My initial hypothesis was partially supported. Moderate/high/severe secondary traumatic stress (aOR:3.98, 95% CI:[1.26, 12.59]), greater social support (aOR:1.05, 95% CI:[1.00, 1.10]), and greater organizational support (OR:1.11, 95% CI:[1.02, 1.20]) was associated with moderate-to-high VPTG. Proportion of clients who disclose trauma, and years in profession did not show significant associations. Mental health utilization, suicidal behaviors, and the well-being of service providers are issues that have all been linked to the mental health and well-being of refugees and asylum-seekers. These topics have been minimally examined among forcibly displaced people living in LMICs. Clinicians and organizations must promote greater awareness of and screening for mental health conditions. Additionally, mental health and suicidal behaviors is often associated with stigma and discrimination, which means that providing basic psychoeducation surrounding mental health, its impact, as well as awareness of services available, and normalizing treatment at the individual and clinic level is essential for increasing engagement of mental health services. To further reduce global mental health disparities and provide equity in mental health care and treatment, future research and psychosocial interventions must prioritize and focus on the well-being of refugees and asylum-seekers living in LMICs.

Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; and specifically perceived tangible support was increased. A significant effect of gardening was also found for adjustment. Although a significant effect was not found for psychological and somatic symptoms, there is still evidence of effects on somatic complaints. Varying results from quantitative and qualitative data warrant further investigation into the nuanced work of clinical research and advocacy with refugee populations.

The purpose of this study was to analyse the support systems for refugees in Southern Africa with specific reference to the Republic of Botswana. Qualitative framework as described by Lofland and Lofland (1984), Schensus and Schensus (1992) was used to conduct the investigation. Interviews were conducted with thirty refugees who currently living in Botswana as a refugee or asylum seeker. Focus group discussion was also held with twenty-six refugee workers. Interview findings were derived using Glaser and Straus' (1976) and Van Maanen, (1979) constant comparative method of qualitative analysis and were grouped into four major categories. Among the most significant findings were that the subjects agreed that on paper and by design, there are structures for providing the different services to refugees but refugees are not provided with adequate services. The second finding is that the support systems for refugees in Botswana are more focused on the provision of material support with little attention given to the psychosocial needs of the refugees. The third finding is that the Botswana government withheld some of the Articles of the 1951 UN refugee Convention, which deal with the socio-economic rights of refugees in Botswana. The fourth finding is that refugee workers need specialised training to enable them to address a wide rage of psychosocial issues affecting refugees. Last major finding is that there is no established clear system of service delivery in the participating agencies. The researcher concluded that because of trauma and stress experienced by refugees and refugee workers, there is a need to improve on the psychosocial support provided to refugees and refugee workers in Botswana by improving the knowledge and skills of refugee workers and promoting refugee participation. The researcher recommends two urgent actions that should be taken. First, the refugee management in Botswana need to improve on its service quality control mechanism, including evaluating its legal and operational framework. Second, psychosocial components need to be integrated into every aspect of the refugee programmes. This will support recovery for the many traumatised refugees and refugee workers in Botswana. / Social work / DPHIL (SOCIAL WORK)

published_or_final_version / Social Work / Master / Master of Social Work

Having identified a gap in counselling psychology literature, this study aimed to investigate the lived experiences of Greek-Cypriot refugees of 1974 living in the UK as well as second generation Greek-Cypriot individuals who either have one or two refugee parents. The phenomenological lived experiences of the events of 1974 in Cyprus were explored in relation to Greek-Cypriot refugees with particular emphasis on their experiences of psychological support systems and what it meant to be a refugee living in the UK. The second part of the thesis explored the lived experiences of second generation Greek-Cypriots with one or both refugee parents. A consideration of the impact on identity and experience of upbringing in the UK was explored. Eight London based Greek-Cypriots were interviewed using semi-structured interviews. Two study groups were generated consisting of three refugees and five second generation. Data were analysed using Jonathan A. Smith’s (2008) method of Interpretative Phenomenological Analysis. The epistemological standpoint of a social constructivist approach was adopted. The findings from group A captured three superordinate themes: a) the other side of loss; b) memories are made of this and c) the internal self-soother with six subordinate themes generated. The findings from group B captured four superordinate themes: a) the present consequences of a past event; b) absorption vs. transmission; c) an identity grounded in the past and present and d) resilience with eight subordinate themes generated. The subordinate themes for both groups are discussed in relation to their specific superordinate theme. The phenomenological findings are discussed in relation to existing literature with implications and recommendations for counselling psychology. The limitations of the thesis are discussed along with recommendations for further research.