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Abstract
Young unaccompanied asylum seekers have been portrayed as vulnerable, resilient or both. Those granted residency in Europe are offered support by health and social care systems, but once they leave the care system to make independent lives, what part can these services play? Our review of research with migrants who have been in care in Sweden and the United Kingdom found evidence of unmet need, but little research describing their own views of services. The limited published evidence, supplemented by interviews with care leavers in a UK inner city, suggests that in defining health needs, young people emphasise housing, education, employment and friendship over clinical or preventative services. Some felt well supported while others described feeling vulnerable, anxious, angry or sad. These experiences, if linked with the insensitivity of even one professional, could lower young people’s expectations of healthcare to the extent that they avoided contact with service providers. In supporting young migrants’ resilience to meet everyday challenges, friendly support from peers, carers and professionals was important. They needed determined advocacy at key moments. The different challenges for the Swedish and UK health and welfare systems along with the resilience/vulnerability trajectory are described.
References
|
Aftonbladet (2016) De flyr ansvaret om att bestämma ålder. Aftonbladet. Available at: http://www.aftonbladet.se/nyheter/article23432288.ab (accessed 17 December 2016). Google Scholar | |
|
Apap, J (2016) Vulnerability of unaccompanied and separated child migrants. European Parliamentary Research Service PE 595.853: 1–12. Google Scholar | |
|
Backlund, Å (2013) Barnets Bästa? En Studie Om Asylsökande Barn I Socialtjänstens Barnavård. Stockholm: UNICEF Sweden. Available at: http://www.fou-nordvast.se/wp-content/uploads/2013/04/Unicefrapport_barnets_b%C3%A4sta.pdf Google Scholar | |
|
Backlund, Å, Eriksson, R, Von Greiff, K, et al. (2012) Ensam Och Flyktingbarn: Barnet Och Socialtjänsten Om Den Första Tiden I Sverige. Tumba: FoU Södertörn. Google Scholar | |
|
Barnombudsmannen (2016) Barn På Flykt. Barns Och Ungas Roster Om Mottagandet Av Ensamkommande. Stockholm: Barnombudsmannen. Available at: https://www.barnombudsmannen.se/globalassets/dokument-for-nedladdning/publikationer/barn-pa-flykt—barns-och-ungas-roster-om-mottagandet-av-ensamkommande.pdf (accessed 22 September 2016). Google Scholar | |
|
Bjorkenstam, C, Bjorkenstam, E, Ljung, R, et al. (2013) Suicidal behavior among delinquent former child welfare clients. European Child & Adolescent Psychiatry 22(6): 349–355. Google Scholar | Crossref | Medline | |
|
Bottrell, D (2009) Understanding ‘marginal’ perspectives: Towards a social theory of resilience. Qualitative Social Work 8(3): 321–339. Google Scholar | SAGE Journals | |
|
Borevi, K (2012) Sweden: The Flagship of Multiculturalism. In: Brochmann, G, Hagelund, A (eds.), Immigration policy and the Scandinavian welfare state 1945–2010, Basingstoke: Palgrave Macmillan, pp. 25–96. Google Scholar | Crossref | |
|
Chase, E (2016) The health and wellbeing outcomes of former ‘unaccompanied minors’: Shifting contours of vulnerability and precarity. In: Thomas, F (ed.) Handbook of Migration and Health. Northampton, MA; Cheltenham: Edward Elgar Publishing, pp. 195–210. Google Scholar | Crossref | |
|
Chase, E, Knight, A, Statham, J (2008) The Emotional Well-being of Young People Seeking Asylum in the UK. London: BAAF. Google Scholar | |
|
Children’s Society (2014) Education Committee’s Inquiry into Care for Young People 16+ Written Evidence. London: The Children’s Society. Google Scholar | |
|
Cuthill, F (2017) Repositioning of ‘self’: Social recognition as a path to resilience for destitute asylum seekers in the United Kingdom. Social Theory & Health. Available at: http://link.springer.com/10.1057/s41285-016-0025-y (accessed 13 February 2017). Google Scholar | |
|
FORTE (2015) Barn och Unga i Samhällets Vård. Forskning om den sociala dygnsvården. Forskning i korthet, Forskning rådet för hälsa, arbetsliv och välfärd. Available from: www.forte.se/fk-vardbarn Google Scholar | |
|
Green, G, Davison, C, Bradby, H, et al. (2014) Pathways to care: How superdiversity shapes the need for navigational assistance. Sociology of Health & Illness 36(8): 1205–1219. Google Scholar | Crossref | Medline | |
|
Grzymala-Kazlowska, A (2015) Social anchoring: Immigrant identity, security and integration reconnected? Sociology 50: 1123–1139. Google Scholar | SAGE Journals | |
|
Hjern, A, Brendler-Lindqvist, M, Norredam, M (2012) Age assessment of young asylum seekers. Acta Paediatrica 101(1): 4–7. Google Scholar | Crossref | Medline | ISI | |
|
Humphris, R, Bradby, H (2017) Health Status of Refugees and Asylum Seekers in Europe. Oxford Research Encyclopedia of Global Public Health. Available at: http://publichealth.oxfordre.com/view/10.1093/acrefore/9780190632366.001.0001/acrefore-9780190632366-e-8 (accessed 18 October 2017). Google Scholar | |
|
Jonzon, R, Lindkvist, P, Johansson, E (2015) A state of limbo–in transition between two contexts: Health assessments upon arrival in Sweden as perceived by former Eritrean asylum seekers. Scandinavian Journal of Public Health 43(5): 548–558. Google Scholar | SAGE Journals | ISI | |
|
Keselman, O (2013) När ensamkommande barn ska berätta. 1. uppl. In: Bak, M, Von Brömssen, K (eds) Barndom & Migration. Umeå: Boréa, pp. 105–137. Google Scholar | |
|
Kling, S, Vinnerljung, B, Hjern, A (2016) Somatic assessments of 120 Swedish children taken into care reveal large unmet health and dental care needs. Acta Paediatrica 105(4): 416–420. Google Scholar | Crossref | Medline | |
|
LaValle, I, Payne, L, Gibb, J, et al. (2012) Listening to Children’s Views on Health Provision. A Rapid Review of the Evidence. London: National Children’s Bureau. Google Scholar | |
|
Layard, R, Clark, AE, Cornaglia, F, et al. (2014) What predicts a successful life? A life-course model of well-being. The Economic Journal 124(580). Available at: http://onlinelibrary.wiley.com/doi/10.1111/ecoj.12170/full (accessed 18 January 2017). Google Scholar | |
|
Liabo, K, Ingold, A, Roberts, H (submitted) Research with ‘vulnerable’ groups: Balancing protection and participation. Google Scholar | |
|
Liabo, K, McKenna, C, Ingold, A, et al. (2017) Leaving foster or residential care: A participatory study of care leavers’ experiences of health and social care transitions: Experiences of health and social care transitions. Child: Care, Health and Development 43(2): 182–191. Available at:http://onlinelibrary.wiley.com/doi/10.1111/cch.12426/abstract (accessed 4 January 2017). Google Scholar | |
|
Malmberg, F (2016) Åldersbedömning Tidigare I Asylprocessen (Ds 2016:37) (Dnr Ju2016/06572/l7). Remissvar. Stockholm: Barnombudsmannen. Available at: http://www.regeringen.se/4adf32/contentassets/4397c95637c64e46b92f9c1b429aef1e/14_barnombudsmannen.pdf Google Scholar | |
|
Marie, M, Hannigan, B, Jones, A (2018) Social ecology of resilience and Sumud of Palestinians. Health 22(1): 20–35. Google Scholar | SAGE Journals | ISI | |
|
Munro, E, Lushy, C and The National Care Advisory Service (2012) Evaluation of the Staying Put: 18+ Family Placement Programme Final Report. London: Department for Education. Google Scholar | |
|
NCB (2006) Supporting Young Parents Who are Looked after or Leaving Care. London: National Children’s Bureau. Google Scholar | |
|
Ringsby Jansson, B, Olsson, S (2006) Outside the system: Life patterns of young adults with intellectual disabilities. Scandinavian Journal of Disability Research 8(1): 22–37. Google Scholar | Crossref | |
|
Roberts, H, Bradby, H, Ingold, A, et al. (2017) Moving on: Multiple transitions of unaccompanied child migrants leaving care in England and Sweden. International Journal of Social Science Studies 5(9): 25–34. Available at: https://doi.org/10.11114/ijsss.v5i9.2523 Google Scholar | |
|
Socialstyrelsen (2013) Ensamkommande Barns Och Ungas Behov. En Kartläggning. Stockholm: Socialstyrelsen. Google Scholar | |
|
Stein, M (2012) Young People Leaving Care: Supporting Pathways to Adulthood. London: Jessica Kingsley Publishers. Google Scholar | |
|
Ungar, M (2006) Resilience across cultures. British Journal of Social Work 38(2): 218–235. Google Scholar | Crossref | ISI | |
|
Ungar, M (ed.) (2012) The Social Ecology of Resilience. New York: Springer. Available at: http://link.springer.com/10.1007/978-1-4614-0586-3 (accessed 6 July 2017). Google Scholar | |
|
United Nations Children’s Fund (2016) Uprooted: The growing crisis for refugee and migrant children. Available at: https://www.unicef.org/videoaudio/PDFs/Uprooted.pdf (accessed 19 January 2017). Google Scholar | |
|
Vinnerljung, B, Hjern, A (2014) Consumption of psychotropic drugs among adults who were in societal care during their childhood–A Swedish national cohort study. Nordic Journal of Psychiatry 68(8): 611–619. Google Scholar | Crossref | Medline | |
|
Vinnerljung, B, Berlin, M, Hjern, A (2010) Skolbetyg, utbildning och risker för ogynnsam utveckling hos barn [School performance, educational attainment and risks for unfavorable development in children]. Socialstyrelsen Social Rapport, March. Stockholm: Socialstyrelsen. Google Scholar | |
|
Vinnerljung, B, Brännström, L, Hjern, A (2015) Disability pension among adult former child welfare clients: A Swedish national cohort study. Children and Youth Services Review 56: 169–176. Google Scholar | Crossref | ISI | |
|
Vinnerljung, B, Hjern, A, Lindblad, F (2006) Suicide attempts and severe psychiatric morbidity among former child welfare clients – A national cohort study. Journal of Child Psychology and Psychiatry 47(7): 723–733. Google Scholar | Crossref | Medline | ISI | |
|
Wade, J, Sirriyeeh, A, Kohli, R, et al. (2012) Preparation and transition planning for unaccompanied asylum-seeking and refugee young people: A review of evidence in England. Children and Youth Services Review 13: 2424–2430. Google Scholar | |
|
Zetter, R (2007) More labels, fewer refugees: Remaking the refugee label in an era of globalization. Journal of Refugee Studies 20(2): 172–192. Google Scholar | Crossref | ISI |
