Service needs and service gaps among refugees with disabilities resettled in the United States
Service needs and service gaps among refugees with disabilities resettled in the United States
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DOI：
10.3109/09638288.2011.611211
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发表时间：
2012-01-01
影响因子：
2.2
通讯作者：
Heinemann, Allen W.
中科院分区：
文献类型：
--
作者：
Mirza, Mansha;Heinemann, Allen W.
目的：检查现有服务系统是否足以满足在美国重新安置的残疾难民的需求。研究方法：一个跨残疾组的8名柬埔寨和7名索马里难民被故意选择参加为期2年的定性研究在美国中西部地区。还招募了10名残疾人/难民服务提供者和难民重新安置问题主要专家参加。数据来源包括对残疾难民的深入访谈、重点小组、参与者观察和社会网络调查。还对参与者进行了观察，并与服务提供者和主要专家进行了半结构化访谈。数据进行了分析，使用基于扎根理论方法的编码程序。结果如下：残疾难民的参与者有几项与残疾有关的需求没有得到满足，而且由于残疾，获得重新安置资源的机会有限。这些调查结果与难民服务提供者对残疾人权利和资源的认识有限以及对残疾人的生物医学观点狭隘有关。此外，由于各机构内部资源有限、不同服务实体之间互不信任以及残疾人服务组织之间缺乏跨文化的细微差别，难民和残疾人服务系统之间存在脱节。这些研究结果有助于重要的见解，文献上的残疾差距。结论：在美国重新安置的残疾难民有许多未满足的需求，这与难民和残疾人服务系统之间脱节造成的服务提供差距有关。
Purpose: To examine the adequacy of existing service systems in addressing the needs of refugees with disabilities resettled in the USA. Methods: A cross-disability group of eight Cambodian and seven Somali refugees were purposively selected to participate in a 2-year qualitative study in the Midwestern USA. Ten disability/refugee service providers and key experts on refugee resettlement were also recruited to participate. Data sources included in-depth interviews, focus groups, participant observations and social network surveys with disabled refugees. Participant observations and semi-structured interviews were also conducted with service providers and key experts. Data were analyzed using coding procedures based on a grounded theory approach. Results: Disabled refugee participants experienced several unmet disability-related needs and limited access to resettlement resources on account of their disability. These findings were associated with refugee service providers having limited awareness of disability rights and resources and a narrow biomedical perspective of disability. Additionally there was a disconnection between refugee and disability service systems resulting from resource limitations within agencies, mistrust between the different service entities, and a lack of cross-cultural nuance among disability service organizations. These findings contribute important insights to the literature on disability disparities. Conclusions: Disabled refugees resettled in the USA have many unmet needs associated with gaps in-service delivery stemming from disconnections between refugee and disability service systems.