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What next? 

What next?
Chapter:
What next?
Author(s):

Dinesh Bhugra

DOI:
10.1093/med/9780198833741.003.0075
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date: 18 May 2021

Migration occurs for a number of reasons and there are various stages and types of migration. These experiences are heterogenous and require different approaches. This chapter includes recommendations for service planning, development, and delivery for migrants’ health care. It is important that all health professionals are suitably trained in cultural competence. Explanatory models held by the patients, their carers, and families must be acknowledged and not denigrated. Researchers need to be culturally sensitive, whereas policymakers have legal and ethical obligations to provide adequate resources to deliver accessible and culturally appropriate services. The specific nature of migration and experiences carry with them specific challenges in therapeutic engagement for a number of reasons, which must be understood. Cultural values, nuances, and differences must be recognized and acknowledged. Specific recommendations are made for service planners, clinicians, policymakers, and researchers. Suggestions are made for curriculum development in cultural competence.

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