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Letters   |    
Disengagement in a Torture Treatment Program
Andrew Rasmussen, Ph.D.; Eva Keatley, B.S.; Claudia Paz, B.A.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201300223
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Dr. Rasmussen is with the Department of Psychology, Fordham University, Bronx, New York. Ms. Keatley is a graduate student in the Department of Psychology, University of Windsor, Windsor, Ontario, Canada. Ms. Paz is a graduate student in the Wagner School of Public Service, New York University, New York City.

Copyright © 2013 by the American Psychiatric Association

Extract

To the Editor: Treatment programs for torture survivors often provide care without specifying discharge timelines—natural conditions in which to test service engagement. Although needs persist in this group (1), variance in pre- and postmigration stressors (2) suggests that needs are not uniformly chronic. We used survival analysis of data gathered from April 2008 to October 2013 at a New York program to predict disengagement, hypothesizing that posttraumatic stress disorder (PTSD) and associated characteristics would predict later disengagement and that practices accommodating immigrants would predict earlier disengagement.

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References

Quiroga  J;  Jaranson  JM:  Politically-motivated torture and its survivors: a desk study review of the literature.  Torture 15 (2–3):1–111, 2005
 
Chu  T;  Keller  AS;  Rasmussen  A:  Effects of post-migration factors on PTSD outcomes among immigrant survivors of political violence.  Journal of Immigrant and Minority Health 15:890–897, 2012
[CrossRef]
 
Mollica  RF;  Caspi-Yavin  Y;  Bollini  P  et al:  The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees.  Journal of Nervous and Mental Disease 180:111–116, 1992
[CrossRef] | [PubMed]
 
Wilson  E;  Chen  AH;  Grumbach  K  et al:  Effects of limited English proficiency and physician language on health care comprehension.  Journal of General Internal Medicine 20:800–806, 2005
[CrossRef] | [PubMed]
 
Yeung  A;  Yu  S-C;  Fung  F  et al:  Recognizing and engaging depressed Chinese Americans in treatment in a primary care setting.  International Journal of Geriatric Psychiatry 21:819–823, 2006
[CrossRef] | [PubMed]
 
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