Pharos: knowledge and advisory centre on migrants, refugees and health
Home
 
Information and advisory services
 
Information and documentation
 
English publications
 
Free downloads
 
Genital mutilation of girls (FGM)
 
Care Full - Medico-legal reports
 
Health care illegal migrants
 
School programmes

About Pharos
Pharos is a Dutch knowledge centre that is specialised in the field of health care for refugees, asylum seekers, undocumented migrants and other migrants.
Pharos’ mission is to assists professionals and organisations that want to improve the provision of (health) care and services to refugees and migrants. To that end, Pharos develops practically applicable knowledge and methodologies, which we pass on by offering information, training and advice.
As a Knowledge Centre on Refugees, Migrants and Health, Pharos strives to: 
- improve the health of refugees and newcomers (or to reduce health disadvantages) 
- make the health care system more accessible to refugees and newcomers.
In this context we follow the World Health Organisation’s definition of health: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.
Pharos employs a demand-driven, multidisciplinary approach. We combine scientific knowledge with practical knowledge and with many years of experience working with and for refugees and other migrants.
Information and advisory services

Pharos offers Information & advisory (I&A) services to assist care providers, teachers and other professionals who work for and with refugees, asylum seekers, undocumented migrants and other migrants.

You can contact our information and advisory services regarding:
1. Female Genital Mutilation (Focal point FGM)
2. Health care for undocumented migrants (Lampion)
3. Health care for refugees and migrants youth
4. General Information and advice

Our Information & Advice helpdesk can be reached by phone from Monday to Friday, 9 a.m.- 1 p.m.:
T +31 30 234 98 00;    
or email: adviespunt@pharos.nl  
Information- and documentation centre

Collection
The collection of the information- and documentation centre consists of about 6000 books, reports, reference works and brochures, 6000 (mainly scientific or peer reviewed) articles, and various subscriptions to specialized journals. A collection of relevant audiovisual materials is also avalaible (for viewing purposes only). The emphasis lies on material written in the Dutch and English languages.
The library is mainly focussed towards the psychological and psychosocial health issues of refugees, asylum seekers and newly arrived migrants, with particular attention for the following subjects : 
  • medical and psychosocial consequences of organized violence
  • consequences of exile and displacement
  • posttraumatic stress disorder
  • crosscultural care provision & transcultural assistance
  • healthcare & medical assistance for illegal and undocumented persons
  • (unaccompanied) refugee children and refugee & migrant youth
  • (prevention of) female genital mutilation / female genital cutting
  • sexual health of refugees and asylum seekers, refugees and newly arrived migrants
  • intercultural communication
  • preventive methodology
  • refugee women
  • acculturation & integration issues

Services and Products

Library services
Although only residents of the Netherlands and Belgium are permitted to make use of the lending facilities, the services of Infodoc are available to the public in general. Visitation of the library however is possible by appointment only. During the opening hours the professional staff will assist visitors and provide specialist advice on use of the collections. Services include the possibility of viewing material from the extensive video collection, copying from literature and periodicals, consultation of reference works and the catalogue.

Catalogue
The catalogue can be searched on this website.

New acquisitions
Online lists of new acquisitions are divided by document type. These listings are updated every two months.

Topic listings
Lists of documentation on specific topics can be compiled by one of the information specialists.

Regulations

Residents of the Netherlands and Belgium are permitted to borrow materials upon submission of valid proof of identity and a printed document stating their current address (e.g. a giro statement). Per person a maximum of five publications can be lend for a period of one month. The lending period can be renewd by telephone or email, providing that no one else has requested the publication. A fine is imposed for late return of materials.
Infodoc is open to visitors by appointment only on Monday, Wednesday and Thursday mornings from 9:00 a.m. to 12:30 p.m.
Appointments can be made on weekdays from Monday through Thursday in the morning by telephone (+31 30 234 9807) or email (infodoc@pharos.nl).  

English publications

FGM Prevention teaching toolkit
Intercultural Communication & Ideology - Evelien van Asperen
Care Full. Medico-legal reports and the Istanbul Protocol in asylum procedures - Edited by René Bruin, Marcelle Reneman, Evert Bloemen
Training counsellors in areas of armed conflict within a community approach - Guus van der Veer
Speaking of war. War Rape and Domestic Violence in the Former Yugoslavia. Trainers about their Work for Care - Admira 
Working Through the War. Trajectories of Non-Governmental and Governmental Organizations Engaged in Psycho-social Assistance to Victims of War and Family Violence in the ex-Yugoslav States - Dubravka Zarkov
Welcome To School. Tutor method for newcomers in secondary education.
Health hazards of organised violence in children II, coping and protective factors
Care and rehabilitation of victims of rape, torture and other severe traumas of war in the republics of ex-yugoslavia
Health hazards of organized violence in children
Work For Care; Sexual and Domestic Violence During and After War, A Trainers’ Manual (produced by Admira)

Prevention teaching toolkit
Schools can play an important role in the prevention of girls’ circumcision. Pharos and the Rutgers Nisso Group composed the FGM Prevention teaching toolkit for education. It allows teachers to discuss girls’ circumcision with their students.
The toolkit contains teaching materials about facts and figures of girls' circumcision and its consequences. It can be used for teaching both pupils from ethnic backgrounds where female genital mutilation (fgm) is practiced (future mothers and fathers) and their classmates who are not familiar with fgm. The toolkit is suitable for different ages and educational levels. 
Pharos really would like to hear about your experiences with the toolkit. International cooperation is possible. As encourage organizations to adapt the toolkit to local circumstances. We are open to learn form others, so please sent us your new versions.
Download the FGM Prevention teaching toolkit.
For further information please contact: 
Pharos
Ms Marja Exterkate
E-mail: m.exterkate@pharos.nl,
Telephone: +31 (0)30 234 98 00 

Rutgers Nisso Groep
Ms Milleke de Neef
E-mail: m.deneef@rng.nl
Telephone: + 31 (0)30 231 34 31   X

Intercultural Communication & Ideology
By Evelien van Asperen (PhD), 2005

What is the cause of the frequently ineffective communication strategies in intercultural situations? This question has been dealt with in different studies already, for example, from the perspective of cultural factors, social categorisation and cultural identity. This study deals with the question of communication strategies from the meta-level of connotations and assumptions of the basic concepts culture, communication and power. These concepts come together in intercultural communication, which forms a recurring theme in the book. By studying many cases, it becomes clear that assumptions about intercultural communication are under the influence of universalistic and cultural relativistic interpretation.

Cultural philosophers have described critical opinions to these ideologies since the seventies, but in spite of this, the assumptions around intercultural communication remain uncritical.
Van Asperen comes to the conclusion that the intercultural ideology evidently leads to absurdities and contradictions. This creates friction, particularly in the normative field. Cultural freedom of values, the right to one's own culture, cultural loyalty, ethnocentrism, tolerance and intolerance apparently originate from the same source, the ideological culture concept.
In the end the writer works out the divisive effect of the intercultural ideology and she formulates an alternative, in which human rights play a central role.  Summary
------------
Evelien van Asperen (PhD) (1957) (www.diavers.nl) is a researcher, consultant and trainer at Pharos, a centre of expertise on refugees, migrants and health. This book was first published as her thesis at the University of Tilburg in the Netherlands. She is continuing her research and consultancies in the field of culturalism and conflict. 
The Diavers Method
Order online          X

Care Full. Medico-legal reports and the Istanbul Protocol in asylum procedures 
Edited by René Bruin, Marcelle Reneman, Evert Bloemen, 2006

Torture and ill-treatment are widespread. Mutilation, rape, domestic abuse or forced prostitution are an ongoing reality for many inhabitants of this world. It’s a reality victims do not easily talk about. Not at home, not abroad. Sometimes mental impediments keep them from telling their story. It takes a great deal of confidence to relate about horrific events. To ignore this makes one complicit in the conspiracy of silence.
To document torture and ill-treatment in all circumstances should be part of the responsibility of states. Conventions, like the Convention against Torture, however, only urge states to investigate allegations of torture committed on their own territory, with a view to criminal prosecution. In the context of asylum no examination is required.
In 2001, the United Nations adopted a manual on the effective investigation and documentation of torture and ill-treatment: the Istanbul Protocol. This Protocol can serve as a valuable guidance for examining alleged victims of torture and ill-treatment in asylum procedures. As such, it can not only contribute to the eradication of these crimes, but it can also assist in providing effective protection to those in need.
This publication serves to promote the knowledge of the Istanbul Protocol and its wider use in asylum cases.
Order online      X

Training counsellors in areas of armed conflict within a community approach
By Guus van der Veer, 2003

In the previous years Guus van der Veer has acquired vast experience in training local care workers in (post)war and unsafe areas, including in Sri Lanka, Sierra Leone, Guatemala, Bosnia and Cambodia. Van der Veer has gathered all these experiences in this book, in which he explains how people can be trained in (post)war and unsafe areas in order to help their fellow countrymen and companions in distress. Van der Veer expresses the conception that relatively simple skills are required for the assistance to victims of armed conflicts; skills and competences which stand close to basic social skills that many people acquire spontaneously. A short intensive training of some weeks should be sufficient to help out motivated people to the extent that they are able to function as grass roots care workers. The author in this sense demystifies the professional healthcare: in his book, care has been brought back to its basic proportions, as a helping activity that does not necessarily require an academic degree or years of specialist education.
Van der Veer discusses the basic principles of the trainings, the set-up of a training programme and the basic knowledge which is useful for infor-mal carers. Moreover, he discusses difficult situations which can occur at trainings and issues such as the challenges and growth of a person as a result of the training. In two appendices the author elaborates on the mental care for victims of armed conflicts and discusses the basic knowledge concerning the impact of such conflicts.
Training counsellors in areas of armed conflict within a community approach is a manual that can be used much more widely than only by healthcare professionals who work in unsafe areas. Coaches and trainers who give 'ordinary' trainings can also learn a lot from the practical information, that also applies to mental healthcare workers in their daily work with refugees and asylum seekers.
Order online       X

Speaking of war. War Rape and Domestic Violence in the Former Yugoslavia.
Trainers about their Work for Care
By Admira, 2005

In Speaking of War experiences of trainers that were sent out by Admira to support care workers in the countries of the Former Yugoslavia are brought together. Since 1994 Admira has offered trainings and organi-sational advice to care organizations in these regions. It all started as a programme to support the care for women victims of war violence, but after the war the emphasis shifted to the issue of family violence.
Through interviews and personal contributions the trainers share their experiences that vary widely and cover a broad field and often take place on the edge of personal perception and professional involvement. Here, we touch the subjects of offering comfort and support, restoring bonds, turning powerlessness into a constructive force, of the fear and shame of care workers to discuss rape. On the other hand there are the problems that the care workers come to face because of their daily encounters with the violence experiences of their clients, the care for the care workers, the inevitable next step in this work which is to work with perpetrators and with veterans, the painful confrontation with a participant whose immediate family was murdered in Srebrenica.
The experiences of the trainers are intense and show that this type of training involves more than just giving, it involves a great deal of receiving: new insights and questions, shared experiences. Therefore, this collection offers a scope of useful leads and experiences for the training of care workers in other (post) war regions.
Order online       X

Working Through the War. Trajectories of Non-Governmental and Governmental Organizations Engaged in Psycho-social Assistance to Victims of War and Family Violence in the ex-Yugoslav States 
By Dubravka Zarkov, Admira, 2005

In Working through the War experiences of organisations in the countries of the Former Yugoslavia that were trained by Admira are brought together. Workers from these organizations reflect on their work with refugees and women war victims during the war, and their work on (sexual) violence against women and family violence after the war. They also look back on their cooperation with Admira during the war and post war period. They do so in relation to the objectives of Admira in cooperating with them: firstly, to strengthen women’s health organizations. Secondly, to assist main-stream (non-)governmental health organisations to recognize the value of gender-focused work. And finally, to support cooperation and networking between various governmental and non-governmental organisations in order to make the support for survivors of war and family violence better integrated and more effective.
The workers who are interviewed in this book share their experiences and talk about their organizational and personal histories and struggles. Some of them are the founders of an NGO, some joined at a later stage, others are workers in a governmental body. They all come from different professional and personal backgrounds. They have set up SOS help lines and shelters for women and children; they have started self help groups and psycho social assistance; they work on prevention and healing; they offer counselling and therapy; they work with survivors and perpetrators of violence and lobby for effective legislation and recognition of women’s rights.
By presenting their stories we hope that other organizations, local or international, working in war-torn and post-war societies on the issues of war and family violence, will feel inspired and will be able to learn from their mistakes and successes.  Order online        X

Welcome To School. Tutor method for newcomers in secondary education.

Content CD
Primary Documents
Teachers' Manual: The World United
Students' Workbook
The Word United Song - Lyrics

Secondary Documents
Welcome To School - Teachers' Manual

Students' Workbook & Teachers' Resources
Unit 1: Introduction
Unit 2: My country
Unit 3: Me and the people around me
Unit 4: Important things
Unit 5: Towards the future 
Unit 6: Resources

Request
Pharos likes to have feedback from users of the Pharos school programs. So if you download it please inform the developer of the program Bram Tuk about your impression and experiences with the program. (b.tuk@pharos.nl)      X

Health hazards of organised violence in children II, coping and protective factors
Engelstalig verslag van de Europese consultatie in oktober 1998.
2000, isbn 90 75955 21 9, 240 blz., bestelnr. 9P2000.06, € 12,50       Order online        X

Care and rehabilitation of victims of rape, torture and other severe traumas of war in the republics of ex-yugoslavia
Engelstalig verslag van de Europese consultatie, georganiseerd door UNHCR en Pharos, in juni 1993.
1993, isbn 90 801566 2 0, 83 blz., bestelnr. 93.003, € 4,50        Order online       X

Health hazards of organized violence in children
Engelstalig verslag van de Europese consultatie in Londen in februari 1993.
1993, isbn 90 801566 1 2, 158 blz., bestelnr. 93.002, € 4,50        Order online      X

Work For Care; Sexual and Domestic Violence During and After War, A Trainers’ Manual 
(produced by Admira)

Content and Introduction (all downloads in pdf-format)
Modules
1. War, Trauma and Recovery
2. Individual Counselling of Sexually Abused Women
3. Empowering and Healing Battered Women
4. Crisis Intervention and Group Work with Survivors
5. Gender Issues and Gender Informed Mental Health Care
6. Gender and Violence: Working with Perpetrators
7. Shelters for Women Survivors of War and (Sexual) Violence
8. Leading Self-Help (Support) Groups
9. Community Based Psychosocial Support Projects for Refugees and Displaced Persons
10. Empowerment and Building a Supportive Environment
11. Communication Skills
12. Organizational Issues for (Women) NGO’s
13. Prevention of Professional Burn-out with Care Workers: Self-Care and Organizational Care
14.The Body Remembers: Dealing with Feelings
15. Programme Evaluation          X

Focal point genital mutilation of girls
Focal point genital mutilation of girls: what does it mean? It means that Pharos is the designated contact for all questions about genital mutilation of girls in the Netherlands. The Dutch government designated Pharos as the national knowledge centre to allow everyone to take advantage of the experience it has had for years. Policy paper on FGM: The position taken by the Dutch government and the assignment to Pharos
We can increase the expertise of professions that may have to deal with genital mutilation of girls. We also have the task of giving targeted information and making it the subject of discussion in communities where female genital mutilation occurs. For this reason, we have collaborated with the Federation of Somali Associations in the Netherlands (FSAN) for years. Being the Dutch Focal point for genital mutilation of girls, Pharos has developed a large number of activities, from information to intervision:
Collaboration with the target group
Basic training on the prevention of genital mutilation of girls
• Follow-up course on prevention of genital mutilation of girls
Course on professional intercultural communication competencies
In-depth course on professional intercultural communication and conflict management 
Training of key figures
www.meisjesbesnijdenis.nl 
Knowledge meetings
'No Game'
Teaching material for schools
Educational film
Sounding-board group
Intervision
Information and documentation centre
Various brochures
Interpreters
Review of the existing literature on this subject

Collaboration with the target group
To prevent genital mutilation of girls, it is a prerequisite to cooperate with the target group, as the change must take place within this group. But cooperation with the target group does not occur automatically. The Pharos brochure 'Cooperation with the target group' describes how this can be done. Pharos can help develop and implement a phased plan.

Basic training on the prevention of genital mutilation of girls
What must you know and be capable of as a professional to play a role in dealing with the topic of genital mutilation of girls? The method of working that is offered in this training corresponds with the method of 'motivating talk'. The interactive training aims at preparing participants fully for the talks with parents/guardians of children from risk areas. The training is organised in collaboration with FSAN.

Follow-up course on prevention of genital mutilation of girls
This course is distinguished by its greater depth and is suitable for people who take a prominent position in organising preventive activities. It appeared that people who took the basic course still had a need for this course considering the problems and dilemmas they encountered when handling this varied subject. The training is organised in collaboration with FSAN.

Course on professional intercultural communication competencies 
Communication between people from different cultures can be difficult, and this is often blamed on lack of knowledge. But is this the real cause? How to bring up a complicated subject? How to avoid a knotty subject or how to steer the subject in the right direction? This course offers you a professional attitude to solve complex problems effectively, as it will also make you aware of your own perception of the world. 

In-depth course on professional intercultural communication and conflict management
 
The topic of intercultural communication is more live than ever. How to deal with conflicts and dilemmas? In what way must you have respect for another culture and can you fulfil your role as a professional at the same time? The in-depth course is an advanced course and meant for trainers, teachers and other professionals involved in communication, integration and conflict management.

Training of key figures
Key figures feature in their own community as intermediaries between help organisations and the target group. They work on changes on the inside. But at the same time they are often sandwiched between their own culture and the new one. Key figures will get an intensive training that is organised by Pharos and FSAN in mutual cooperation. These two organisations also ensure the exchange of knowledge and experience.

www.meisjesbesnijdenis.nl
The Dutch website www.meisjesbesnijdenis.nl provides all information to get a quick idea of this subject. The website contains news, reports of conferences and an exhaustive reading list for those who want to go deeply into this subject. Much of the reading matter mentioned in this folder can be downloaded from the website www.meisjesbesnijdenis.nl or from the Pharos website. 

Knowledge meetings
Pharos constantly extends its knowledge and wants to pass it on to others. That is why it organised the ‘Focal point meetings’. The experienced experts from other countries are the speakers at this meeting and will share new facts and ideas with Dutch care providers. 

'No Game'
'No Game' is a group of ten young people from various cultural backgrounds. This Youth Board works via Pharos and gives other young people information about genital mutilation of girls. They also visit schools, with an interactive stage play in classrooms. More information at: www.no-game.nl 

Teaching material for schools
Schools may play an important part in the prevention of genital mutilation of girls. Pharos, in collaboration with Rutgers Nisso Group, compiled a study packet for educational institutions. Teachers may open discussions about genital mutilation of girls in class.

Educational film
‘I am not circumcised, thanks to my parents.’ These are the words of a 16-year-old Somali girl in the educational film Ma Gudni. The DVD is first and foremost meant for Somali target groups, but can also be used for opening discussions about the genital mutilation of girls.

Sounding-board group
Pharos is one of the founders of the 'Platform for dealing with female genital mutilation'. This Platform set up a sounding-board group to involve other organisations and persons in the discussion about genital mutilation of girls. Pharos organises a meeting twice a year to talk together about most recent developments. The reports of these meetings are given at www.meisjesbesnijdenis.nl. If you are interested in these sounding-board groups, please enter your name at c.berg@pharos.nl.

Intervision
The profession can learn much by talking to one another about their mutual experiences. Pharos organised intervision groups to discuss problems in a structured manner to ensure that care providers can do their work even more professionally. 

Information and documentation centre
Pharos has an extensive collection of books, reference works, reports, brochures, articles, magazines and DVDs. They all deal with the psychosocial and health problems that refugees may suffer. Any person can use this wealth of information, whether they are professionals or just interested. 

Various brochures
Pharos has brochures with handy information and targeted instructions for (health)care providers and information officials. They include illustrations of the female anatomy and a map of Africa with major statistics per country about genital mutilation of girls.

Interpreters
Language can be a bridge but also a barrier. When and why do you, as the care provider, use an interpreter to talk to your patients/clients? This practical folder is called ‘Wanneer laten tolken’ (‘When to call in an interpreter’) and helps you with advice, guidelines and telephone numbers.

Review of the existing literature on this subject
Books, articles, novels … much is published on this subject. To find your way easily, please go to pharos.nl, where a list is given on the theme of genital mutilation of girls (mostly Dutch literature).

For further information:
T +31 30 234 9800   F +31 30 236 45 60 
focalpointmeisjesbesnijdenis@pharos.nl
www.meisjesbesnijdenis.nl 

Care Full

(A joint initiative by Pharos, Amnesty International and the Dutch Council for Refugees)
Newsletter June 2009
Newsletter June 2008
In Holland – as in most other countries in the EU – medical and psychological knowledge is of little influence within the asylum procedures. Bodily signs, psychological symptoms, as well as certain behavior that could have a link with traumatic experiences, is not asked for or examined at all during the 48 hours in which asylumseekers have to prove the legality of their claim.
At the end of the previous century the Istanbul Protocol ((Manual on the effective investigation and documentation of torture and other cruel inhuman or degrading treatment or punishment) has been developed by medical doctors and human rights organisations. In 2004, it became a directive by the United Nations. By means of the Istanbul Protocol it is possible to examine and document the medical and mental impact of torment and other inhuman treatment. Download The Istanbul protocol

Medical and psychological research in the field of traumatization and memory show that neurophysiological phenomena during and after the traumatic experience interact with the capacity to retrieve memories of the event. Because of that, a considerable part of the asylum seekers have serious problems giving a fulll and coherent account of what happened (the asylum story). The quality of the asylum application can be improved by providing for a medical examination within the asylum procedure. This examination can determine possible medical and mental problems within the context of the asylum application. This leads to a qualitative better decision on the asylum application. Medical examination ensures moreover that the asylum procedure is in line with directives such as the Istanbul Protocol. Finally the asylum seeker himself will consider such a medical examination as a recognition of his or her suffering and pain - which in most of the cases has to do with the context of the asylum application.

An asylum procedure that pays none or too little attention to medical aspects will be confronted with these medical aspects in a later stage. Our conviction is it that because of the reluctance to look better into the medical situation when refugees arrive in the country (‘the frontdoor’), it gives raise to a lot of appeals or special medical procedures later on (‘the backdoor’). Properly adressing medical issues in the asylum procedure creates a win-win situation: both the asylumseeker (including his health) and the quality of the juridical system will profit.

Activities
The publication Care Full. Medico-legal reports and the Istanbul Protocol in asylum procedures (Bruin, Reneman, Bloemen 2006). In this publication the above theme is looked into from a medical and a judicial perspective. In the article on the Psychological and psychiatric aspects of recounting traumatic events by asylum seekers, Evert Bloemen, Erick Vloeberghs and Celine Smits deal with the effect of traumatization on the memory system as well as with the socio-cultural impediments to talk openly about what happened. Download the article
In October 2006 the Care Full Initiative organised an expertmeeting in the Netherlands. Organisations from 12 EU Member States participated in this meeting. Consensus was found on the fact that the issues raised are relevant for most of the EU. It was also decided upon that future actions need to be undertaken to incorporate the Istanbul Protocol within the asulum procedure.
In April 2007 the Care Full Principles and Recommendations document was written. From that time on the Care full Initiative has been pro-active in finding more subscribing partners. At the moment (1 September) we have 31 subscribing EU-organisations. The Care Full Principles and Recommendations document
The Care Full Initiative has brought the theme before the representatives of the European Committee.The Carefull Initiative will also be dealt with during the UNHCR annual NGO Consultations on the 27th of September in Geneva as well as in other forums and gremia. 
For more information please contact Mr. Erick Vloeberghs (e.vloeberghs@pharos.nl
Final recommentations of European Conference “Torture Victims: Which Recognition(s) in Europe?” October 28th & 29th 2008
► The Care Full Initiative was invited for the public hearing on the future of the Common European Asylum System. The hearing took place in Brussels, in the premises of the European Economic and Social Committee on 7 november 2007.
Flyer
Contributions on the Green Paper

Article in FMR
Forced Migration Review is a magazine published three times a year by the Refugee Studies Centre of the Department of International Development at the University of Oxford. The feature section on Burma includes 29 articles exploring the extent of the displacement crisis, factors affecting displaced people and the search for solutions. The issue also includes 19 articles on other aspects of forced migration. One of the artcles (see pages 60 - 62) has been written by Erick Vloeberghs and Evert Bloemen of Pharos. The article is about the Care Full initiative and focuses on the use of medico-legal reports and the Istanbul Protocol during refugee status determination. Read article 
En Français
Download complete issue 

Dutch medical professional organisations speaking out about the frictions in care to migrants
The provision of medical advice and treatment to undocumented migrants and rejected asylum seekers leads to areas of friction in care. Medical doctors are faced with problems of continuity and of transfer of care in asylum seekers’ centres as well as in cases of (threatened) expulsion. They are involved in problems related to the quality of care in detention centres for immigrants. And when care is given to illegal immigrants there is a lack of clarity regarding the extent of care defined as ‘medically necessary care’ to be provided by doctors.

Doctors have been warning their professional organisations about these points of friction in medical treatment. The national organisation of general practitioners (LHV), and of mental health professionals (GGZ Nederland) together with the PH-inspectors have taken the initiative to invite other medical professional organisations in participating in the Commission Medical Care for Aliens, in the Netherlands known as the Commissie Klazinga – named after dr Niek Klazinga, professor of Public Health. The commission has formulated their professional stance regarding the provision of medical care and medical advise in the reception of asylum seekers, at the stage of refugee status determination or to undocumented migrants in The Netherlands. The commission also elaborated the concept ‘medically necessary care’ further and presents practical recommendations.

More information? Contact Evert Bloemen (MD), secretary of the Commissie Klazinga, at e.bloemen@pharos.nl

  English summary 'Arts en Vreemdeling'

 
Lampion - Health care illegal migrants

Health care workers and volunteers are confronted with many health related problems of undocumented migrants. A number of organisations in this field, including Pharos, joint forces in 2004 and set up ‘Lampion’, a national information and advisory service (website and helpdesk) for the care of undocumented migrants. Pharos administers this service.
Health care for undocumented migrants: the situation in the Netherlands

Health care workers, volunteers and undocumented migrants themselves consult the Lampion helpdesk. Lampion provides information and advice and refers to relevant partner organisations if necessary.
Frequently asked questions (FAQ) regarding financial issues, juridical matters, housing and basic medical rights can be found on the website www.lampion.info 
For more complex questions you can turn to the Lampion helpdesk by e-mail or by phone: adviespunt@pharos.nl,
+31 30 234 9800.
Most questions concern financial issues in the health care for undocumented migrants related to access to: 
hospital care 
care for pregnancy and delivery 
mental health care in general 
psychosocial care for children

The high number of questions that reached Lampion, confirms the lack of information on health care issues of undocumented migrants. This implies that Lampion fulfils a need; it is a source of information for health care workers, volunteers and undocumented migrants.
Lampion also has an important role in asking attention for and notifying the authorities and other relevant parties on bottlenecks and trends in the access of health care for undocumented migrants. Lampion is a formal co-operation between several national organisations. Members of the platform are the National Mental Health Organisation (GGZ Nederland) and the National Primary Healthcare Organisation (GGD Nederland), the General Practitioners Association (LHV), the SOA/AIDS organisation, the Dutch Council for Refugees, the Health Inspector General and Koppelingsfonds. A few other national organisations are also part of the platform and cooperate on demand.

Lessons learned
The experiences of Lampion show the importance of: 
• providing information on the rights of undocumented migrants to hospitals, general practitioners, midwifes, social workers, schools, outpatient & ambulatory clinics; 
providing information to undocumented migrants on their rights to health care; 
providing information on the rights of health care for specific, vulnerable groups of undocumented migrants, e.g. pregnant women and children;
monitoring bottlenecks and trends in the health care for undocumented migrants; 
informing and advising (health care) policy makers and authorities; 
disseminating and sharing information amongst health care professionals and organisations.

Pharos: long-term plan undocumented migrants and health

Contact details
mrs.  Marjan Mensinga: m.mensinga@pharos.nl  
mr. Erick Vloeberghs: e.vloeberghs@pharos.nl  
T: +31 (0)30 234 89 00
www.lampion.info  

 
Pharos school prevention programmes for refugee and asylum seeking children

Due to psychological and social problems with a many refugee and asylum seeking children, schools expressed their need for special supporting programmes. Therefore, Pharos developed several school programmes for these children, in cooperation with psychotherapists, art therapists, counsellors and other professionals. Moreover, Pharos developed trainings for tea-chers to improve their competence in supporting children. A premise in these programmes is that schools potentially offer an environment in which supportive factors can be strengthen-ed. Over a period of several years, these programmes were adjusted on the basis of evaluations and described in manu-als. Pharos also published an English manual: ‘The Pharos School Prevention programmes; good practice in mental health and social care provisions for asylum seekers and refugees. (De Ruuk, 2002).
This manual is not a manual for use in schools; it provides general information on the school programmes and its background (68 pages).  Download manual 

Pharos developed the following school programmes:
Refugee youth in secondary education
Refugee children in primary education
Dutch educational package on Female Genital Mutilation

Results / effects of the school programmes 

Final report Supporting refugee and asylum seeking children at school (2007)

The World United: the most recent Scottish version
Pharos school programmes are also successful abroad. The programmes have been translated and adpated in several European countries. In some these programmes turned to be rather successful. The Scottish Leith Walk Primary School, using the Pharos programme "The World United", won the National Runners-Up Prize for citizenship programmes. Since 2009 the program is digitally available in the Edinburgh area for the 200 primary schools. You can download the Scottish version of the programme here.

Print!
Sluit venster!