SWIS News and Notes 18 SWIS News and Notes is the newsletter of the Settlement Workers in Schools program, a partnership of the Settlement Sector, School Boards and Citizenship and Immigration Canada. This newsletter promotes communication between the steering/operations committees of the eight SWIS projects and shares information about newcomer students and their families New Program Affects Six Ontario Communities Meeting the Needs of Refugee Families (2) Under a new Government of Canada program that began in the fall of 2003, six communities in Southern Ontario are receiving newcomers who have endured considerable hardship as refugees and have lived for many years in refugee camps. SWIS News and Notes 15 described some of the unique needs of these families. This issue contains comments by health care professionals about the psychosocial needs of refugee children. The comments are from the excellent video War Is Not a Game, which was produced by the Canadian Centre for Victims of Torture (CCVT) and Frameline Productions. The video is available for $35 from CCVT 416 363 1066. The basic aspect of their experiences, (is that) there has been an incredible amount of violence. Within that, there is a broader range of different experience. We have children that have been detained with their parents, children that have witnessed torture or killing of loved ones or people in the community. The immigrant child when he leaves his country has been part of a plan, … the youngster has had the possibility to dispose of his/her belongings, to say goodbye, to think of what type of precious things that he may want to bring, like his toys for example or books – has had sometime to do a little bit of degrieving accompanied with excitement of coming to a new place and somebody put this very nicely – she talks about migration, of an experience of a trip of hope for the realization of wishes… For the refugee child, the situation is completely different. There is not a trip for the realization of wishes, but it is a trip of life preservation. Dr. Marlinda Freire MD. FRCP (c) Psychiatry It’s also significant that children who become refugees do not immediately enter Canada …the process of fleeing and flight is generally quite a long drawn out one… So they have either spent the intervening time from having left home to the arrival in their country of asylum in a refugee camp underground in a country without papers or fleeing one country to another country to another trying to find a safe haven. And the schooling, the education is disrupted and they are separated from their families. They don’t have homes. They certainly don’t have security or access to things Canadian born children have, for instance healthcare, education, the right to a home, the right to be a child. Joan Simalcbik Community Worker CCVT One of the things that is often seen in children is the sense that their future has been somehow shortened. When you say things like “when you grow up, what you would like to be”, (they say) – I don’t know. Now, lots of children will give you that answer, but “I don’t know” has many meanings and if one understands that…what they mean by I don’t know is, I don’t know that if I will be an adult. Dr. Gramille daCosta Child Psychiatrist …But it’s so important to remember these are normal responses by normal human beings to extremely abnormal situations – it’s the violence, it’s the dictatorship, it’s the war that is abnormal and the Previous SWIS News and Notes are posted at http://www.settlement.org/sys/atwork_library_detail.asp?doc_id=1003378 reaction that the human psyche has are normal ones. The lack of trust, paranoia …hyper-sensitivity, fear of authority, fear of uniform, feelings of depression, anxiety, nightmare, sleeplessness, many kinds of body dysfunctions, somatic pain, headache … This is self directed pain. Joan Simalcbik Community Worker CCVT Now for some people, the younger the child the more protected the children will be because you have more time to forget about these things. That is not my own understanding of the situation. Actually, I think that the younger the child… (the vulnerability) …is greater in the sense that the children do not have yet sufficient positive experience in their life …to find some kind of balance at some point. Dr. Marlinda Freire MD. FRCP (c) Psychiatry Child therapists focus on two main elements for healthy growth. One is the feeling that the person is valued…and the other one is a safe environment, or at least the delusion of safety, that no matter what happens my father and mother will protect me. … So imagine children who go through wars and go through the severe ongoing trauma day after day, week after week, year after year. They grow up with the atmosphere of violation and danger. Those children are vulnerable, developmentally speaking. Dr. Sameh Hassan Child Psychiatrist and Family Therapist I think that when we look at some of the solutions, how we can help people, our first thing is to sensitize ourselves, look at our own barriers, look at our own ways that we judge other people. The second thing that I think that really makes a big difference is using the parents as a resource and finding out things; recognizing that they may not be ready to talk about their refugee experience and that, that takes a very strong level of trust. Julie Dotsch Daycare Supervisor, Refugee Reception Centre I also thing that it is important to have some understanding of the culture. When I mention this, some people think I am asking them to become an expert and I don’t think that is the case. Actually I am talking about having a decent degree of knowledge about what the experience of these people may have been, because that would give us a better idea in terms of assessing / evaluating whatever is going on with the family and the children and also their cultural pattern, their ways of life, thinking, feeling, the way they manifest emotions… Dr. Marlinda Freire MD. FRCP (c) Psychiatry One to one treatment or management of these children is extremely difficult. It’s very time consuming. It is best I think left to professionals. But having said that, I will also say that most of these children are not going to be treated by professionals. There are a host of people, adults in the community who have many of the qualities of a good therapist. Who have empathy, who listen, who are able to help the children formulate their thoughts in to actual words that help the children make sense of what they are thinking who offer reassurance, predictability, they are always there, more or less, when the children need them. Adults like these make a tremendous difference to children. Dr. Gramille daCosta Child Psychiatrist I bring those children to the community …and show them how to play with the other children, ...teach them the normal life…You have to teach them from the beginning because they have totally forgotten. And we bring back… families who have other children, who have been in Canada for a long time … to share how they coped with the system here. Ragbe Farab Community Worker The other thing that’s really important is that we start from a positive perspective. Parents are capable. They are good parents, they are survivors. The one’s we are seeing are survivors. Now, how can we build on that survival strength to help them with the next stage. Julie Dotsch Daycare Supervisor, Refugee Reception Centre In working with the refugee population , the amount of strength and resilience that I see in them, I mean we just have to think in terms of them being survivors of terrorist situations, and they are here and they are making the effort to adapt and adjust and they are trying to reveal hope, trying to find meaning in their new life. And I think that that is measure of tremendous healthy resources that the refugees bring with them. Dr. Marlinda Freire MD. FRCP (c) Psychiatry Thank you to Mulugeta Abai and the Canadian Centre for Victims of Torture for permission to reproduce these quotes. For more information about the CCVT see www.ccvt.org Previous SWIS News and Notes are posted at http://www.settlement.org/sys/atwork_library_detail.asp?doc_id=1003378