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24 QPASTT Inc. PO Box 6254 Fairfield qld 4103 Australia 1 A school counselling guide to working with students from refugee and displaced backgrounds Queensland Program of Assistance to Survivors of Torture & Trauma Inc. (QPASTT)

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Page 1: A school counselling guide to working with students from refugee … · Counselling refugee students with trauma 8 A recovery framework 10 Using interpreters 16 Support for counsellors

24

QPASTT Inc.

PO Box 6254

Fairfield qld 4103

Australia 1

A school counselling guide

to working with students

from refugee and

displaced backgrounds

Queensland Program of Assistance to

Survivors of Torture & Trauma Inc.

(QPASTT)

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2

© QPASTT 2001, Updated in 2007 Published by QPASTT, PO Box 6254, Fairfield, Qld 4103. Phone (07) 33916677 E-mail [email protected] This booklet was funded by Queensland Health, Mental Health Branch(2001). Updated and re-printed with funds from Education Queensland Written and designed by Marina van Kooten-Prasad

CONTENTS

Introduction 3

Refugee children & young people 3

Why a refugee student may need to see a counsellor

4

Identification of students with post-trauma symptoms

6

Risk assessment 7

Counselling refugee students with trauma 8

A recovery framework 10

Using interpreters 16

Support for counsellors 16

Conclusion 17

Further assistance & resources 18

References 20

This booklet is one of three resources in a series. The other resources are:

A school counselling guide to working with students from refugee

and displaced backgrounds (booklet)

Students from refugee and displaced backgrounds – a handbook for

schools (handbook)

23

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22

Links to where teachers can obtain information. Enrolment: http://ppr.det.qld.gov.au/education/management/Pages/Enrolment-in-State-Primary,-Secondary-and-Special-Schools.aspx English as an additional language or dialect (EAL/D) policy statement [EAL/D replaces ESL]: http://education.qld.gov.au/curriculum/framework/p-12/docs/policy-statement-eal-learners.pdf There is also the overarching P-12 curriculum, assessment and reporting framework page which includes the EAL/D policy and additional support-ing information for EAL/D learners: http://education.qld.gov.au/

curriculum/framework/p-12/index.html

In-service training for teachers – Queensland College of Teachers for further information: http://www.qct.edu.au/ DETE intranet site ‘Guidelines for Using Interpreters in Schools’, it out-lines the process for engaging an interpreter. http://education.qld.gov.au/studentservices/inclusive/cultural/esl/interpreter-guidelines.html Translating and Interpreting Service (TIS) National. http://www.immi.gov.au/living-in-australia/help-with-english/help_with_translating/index.htm

3

INTRODUCTION

This booklet is a reference guide for school guidance officers and school counsellors to assist their counselling role with students from refugee and displaced backgrounds. It is one of three re-sources developed to assist school staff to work with refugee children and young people. There are two booklets and one compre-hensive handbook in the series:

A school counselling guide to working with students from ref-ugee and displaced backgrounds (booklet)

A teacher’s guide to working with students from refugee and displaced backgrounds (booklet)

Students from refugee and displaced backgrounds – a hand-book for schools (this comprehensive handbook expands on many issues in this booklet)

REFUGEE CHILDREN & YOUNG PEOPLE

Of the 12,000 people who arrive in Australia annually under the Ref-ugee and Special Humanitarian Program, it is estimated that approximately 40 percent are children and young people. These children have often experienced severe hardship and trauma, with experiences of physical and/or sexual abuse, abandonment, treach-erous flights to safety, forced service as child soldiers, the witnessing of atrocities and even torture. These experiences occurred during the child’s natural process of cognitive, emotional, social and physical development. In some in-stances, there may be a long term impact on these developmental processes, increasing the child’s vulnerability to ongoing mental, physical and social problems. Trauma reactions are displayed in a variety of ways (VFST, 1996):

anxiety

helplessness and loss of control

guilt & shame

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4

loss of relationships with parents, family & community

shattered assumptions about human existence Maladaptive behaviours sometimes displayed by refugee children have been commonly misinterpreted as misbehaviour and even misdiag-nosed as ‘borderline personality disorder’ or ‘antisocial personali-ty’ (Barnard & Mantell, 1998). It is important that such behaviours are understood and taken into consideration in any assessment or treat-ment interventions.

WHY A REFUGEE STUDENT MAY NEED TO

SEE A COUNSELLOR For many students from refugee backgrounds, seeking help outside the family about emotional matters and/or traumatic past experiences may be unfamiliar. Students may be reluctant to initiate contact with a counsellor because this is a threatening and unfamiliar experience, or they may be unaware of the role of school guidance officers and the type of assistance available. Most refugee students would benefit from being made aware of the availability of a school guidance officer, their role and how contact can be made. In fact, it is suggested that with this group of vulnerable stu-dents, the school guidance officer initiate contact on a regular basis so that a positive relationship is built between the student and guidance officer. The school health nurse or chaplain may also be appropriate support people within the school environment. Any referral should however consider gender and religious sensitivities. It is particularly important that contact be made with students during transition times, for example when they are transferred to a new school. Contact should be made as soon as possible after a student starts.

21

Acknowledgement This booklet is based on Preventing double trouble – a counsellor’s guide to working with children from refugee and displaced back-grounds, published by the Australian National Committee on Refugee Women (ANCORW), 1999. QPASTT extends special thanks to ANCORW and Catherine Breen, University of New South Wales, for their kind permission to use their work.

REFERENCES

Barnard, J. & Mantell, J. An early intervention model for addressing war trau-ma in young refugee children, Perth, AseTTS, 1998. Mitchell, P. Valuing young lives, Evaluation of the National Youth Suicide Prevention Strategy, Australian Institute of Family Studies, Melbourne, 2000 Multicultural Affairs Queensland, Queensland Government Language Ser-vices Policy, Department of the Premier and Cabinet, Queensland Govern-ment, Brisbane, 1999. Plummer, S. Trauma and children: fostering healing and supporting recov-ery, University of Canberra, Canberra, 1997. Transact, Refugee children: a resource and guide, Canberra, 1997. VFST Inc. A guide to working with young people who are refugees, Mel-bourne, 1996.

NOTES

Links to where teachers can obtain information. (overleaf)

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20

Townsville Migrant Resource Centre Thuringowa Ltd 467 Flinders St Townsville Qld 4810 Ph: (07) 4772 4800 Fax: (07) 4772 1840

Email: [email protected] Web:www.townsville-mrc.org MRC operates as an information and referral service specializing in serving newly arrived migrants. The agency offers support, information and advice on a wide range of issues including employment, health, cultural activities, legal, education and children’s activities. Migrant Settlement Services Cairns Suite 21, 1st Floor Virginia House, 68 Abbott St Cairns Qld 4870 Ph: (07) 4041 7699 Fax (07) 4041 7655 Email [email protected] Written resources: A guide to working with young people who are refugees, produced by VFST, 1996, ph (03) 9388 0022. Contains practical strategies for individual

work incorporating family & cultural issues. Settling in – A group program for newly arrived refugee and

migrant students by Pickering, E & Phoumirath, S , produced by Old Guilford Multicultural Resource Centre 1992 and available from STARTTS, ph (02) 9794 1900. Contains a six-session program for school guidance officers and teachers to settle in new students into the classroom and school environment. The Rainbow Program — A School based program to support refugee children and their families. Download a copy from www.foundationhouse.org.au or ph (03) 9388 0022 An early intervention model for addressing war trauma in young refu-gee children, by Barnard J & Mantell, J, 1998, available from AseTTS, ph (08) 9325 6272. Contains a ten-session program including work sheets.

5

Refugee students may need assistance from guidance officers for the following issues (Transact, 1997):

Separation, loss, grief and trauma resulting from past experi-ences or during resettlement in Australia

Difficult relationships with parents and other family members who may also have experienced torture, trauma and resettle-ment problems

Post-traumatic stress symptoms such as sleep disturbances, physical health problems, behavioural issues or anxiety that affect the student’s ability to cope with everyday issues

Family relationships and roles adversely affected by trauma and resettlement

Compounding difficulties of single parent families and loss of support from extended family members

Difficulties with communication between the school and fami-lies due to language and cultural barriers

Support during transition times such as school transfer

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6

IDENTIFICATION OF STUDENTS WITH

POST- TRAUMA SYMPTOMS It is important that students experiencing distress as a direct or in-direct result of their refugee background, be identified as early as possible so that assistance can be offered. It should be noted that a lack of obvious negative responses does not automatically mean that there has been no negative impact on the student’s mental health. The effects of trauma are often delayed until the initial re-settlement period has been completed, and can even manifest a number of years later, so it is important to be aware of the persis-tence and severity of symptoms. The following list describes some of the ways children and young people may respond to their trauma:

Repeatedly thinking about experiences of violence

Feeling afraid

Feeling sad

Physical symptoms including lack of energy, lack of appetite, heart palpitations, headaches and stomach aches

Difficulty in sleeping

Lack of concentration and interest

Getting angry easily

Restlessness

Not trusting others School-aged students may:

Express moodiness as they deal with feelings of inadequacy and attempt to establish control

Express aggression/ bossiness in order to establish control

Exhibit perfectionist behaviours

Exhibit social withdrawal/apathy

Show ongoing signs of fear and anxiety

Re-enact the trauma

Develop psychosomatic complaints such as headaches and stomach aches if they are not free to express their feelings

(adapted from Plummer, 1997).

19

Refugee and Immigration and Community Legal Service (RAILS) Level 1/170 Boundary St, West End Qld 4101 Ph: (07) 3846 3189 Fax: (07) 3844 3073 Web: www.rails.org.au RAILS specialises in immigration and refugee law, as well as dealing with general law matters. Multicultural Development Association Inc. (MDA) 28 Dibely St, Woolloongabba 4103 Ph: (07) 3337 5400 Fax: (07) 3337 5444 Email mailbox.mdabne.org.au Can provide settlement support, information, advice and referral on settlement related issues. MDA can provide contacts for similar settlement services in regional Queensland. Multilink 38 Blackwood Rd, Woodridge 4114 Ph: (07) 3808 4463 Fax: (07) 3808 6337 Email:[email protected] Services include settlement support, interpreting and language support, bi-cluturtural langauge support workers, a Multiclultural playgroup, homework club, individual couselling, family mediation and recreational support for the southisde of Brisbane. Unaccompanied Humanitarian Minors- Mercy Family Services

125 Queens Road Nudgee Qld 4014

PO Box 182 Banyo Qld 4014

P 07 3267 9000 F 07 3267 0569E [email protected] Volunteer Refugee Tutoring in the Community (VoRTCS) Email: [email protected] Web: www.refugeetutoring.org.au Provides free in-home tutoring English language support. ACCESS Inc. 4/2 Carmody St, Woodridge 4114 Mail: PO Box 10 Logan Central Qld 4114 Ph: (07) 3808 9299; Fax (07) 3208 9319

Email: [email protected]

Can provide settlement support, information, advice and referral on settlement related issue in the Logan and Beenleigh area. Offer English and computing classes.

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18

FURTHER ASSISTANCE AND RESOURCES

There are several agencies that can assist in working with refugee stu-dents. There are also a number of excellent written resources that may be helpful. Student Services Branch Education Queensland Ph: (07) 3237 0815 Can provide advice about enrollment in schools, ESL services, access to TIS services and in-service training for teachers. Queensland Program of Assistance to Survivors of Torture and Trauma (QPASTT) 28 Dibley St, Woolloongabba Ph: (07) 33916677 Fax: (07) 3391 6388 Email [email protected] Website address www.qpastt.org.au/ Can provide counselling/advocacy, referral, in-service training for teachers, group programs in schools, access for young people to community activities and a homework club for high school students. Refugee Claimants Support Centre (RCSC) 12 Bonython St Windsor Qld 4030 Ph: (07) 3357 9013 Fax: (07) 3357 9019 Email [email protected] Web: www.refugees.rg.au Services are provided to refugee claimants only. These are people whose refugee status have not yet been determined by authorities. RCSC pro-vides a drop in centre, English language classes, emotional support, infor-mation and referral, no-interest loans for employment purposes, limited emergency relief, computer skills, and assistance with accommodation, food, employment and health (including dental health).

Transcultural Clinical Consultation Service 519 Kessels Rd, Macgregor Postal: PO Box 6623, Upper Mt. Gravatt, 4122 Ph: (07) 3167 8333 Fax: (07) 3167 8322 Email: [email protected]

Web: www.health.qld.gov.au/pahospital/qtmhc/

Works in partnership with mental health services, can provide cultur-al information, mental health information, referral, advice and clinical consultation if needed. TCCS is a state-wide service

7

RISK ASSESSMENT

If students do display any of the signs and symptoms of post-traumatic stress, it may be useful to assess their risk of developing mental health problems. The following questions can assist in such a risk assessment (adapted from Transact, 1997):

How does the student relate with other students?

Does the student’s experiences of life prior to living in Australia find expression through play, art or acting?

Does the student have difficulty in remembering daily activities, routines or tasks?

Does the student appear to experience mood swings?

Is the student able to concentrate on a set task?

Does the student appear frightened or fidgety?

Are there any recurrent themes in the student’s drawings?

What are the student’s strengths? (e.g. coping mechanisms, abilities or interests).

If the risk assessment determines that the student is at high risk, a pro-active course of action may need to be planned. If needed, con-sultation with, or referral to, another agency may also be considered (please refer to page 18 for a list of relevant organisations).

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8

COUNSELLING REFUGEE STUDENTS WITH

TRAUMA Any counselling work involving young people, but particularly young people from culturally diverse backgrounds, must not only consider therapeutic issues, but also issues relating to service access and engagement. Therapeutic issues Whether the counselling intervention is short-term or long-term, there are many things school guidance officers can do to assist refugee students experiencing post-traumatic distress. Counsellors already have the principles and tools required for work-ing with refugee students. There are no special techniques or tools that are especially ‘effective’ with refugee students. However, an understanding of the framework in which counsellors work with refugee students will be helpful. The three core issues to consider within such a framework are: 1. Fundamental cross-cultural practice 2. A recovery framework (see pp. 10-11 for one such framework) 3. An awareness of own counselling style and position on relevant

issues e.g. racism It will also be important to be aware of and consider the family con-text of the student. Some refugee students may have lost their fam-ilies, be separated indefinitely from family or living in a different fami-ly context, such as a nuclear family. Students who are living in a family environment are often affected by trauma and resettlement issues experienced by their parents and there may be strained family relationships. This should always be determined so that appropriate supports can be put into place for the young person. Such students may receive very little, if any, emotional support at

17

helplessness, guilt, anger, idealisation, dread and horror, personal vulnerability and avoidance reactions (VFST, 1988). Vicarious trau-matisation is an occupational hazard for workers who are in regular, empathic contact with traumatised people. It is important that coun-sellors seek support and assistance for themselves as early as possible. The resource guide at the rear of this booklet may be of assistance.

CONCLUSION

School guidance officers, and indeed schools, can be an integral part of the resettlement and recovery process of refugee students. The regular contact and emotional support that school guidance officers can provide refugee students can greatly contribute to their recovery and prevent the development of long-term problems.

Guidelines for the use of an on-site interpreter: 1. Introduce everyone and establish roles. 2. Arrange seating to facilitate communication between yourself

and the client. 3. Establish ground rules speaking through the interpreter to the

client 4. Maintain eye contact with the client if culturally appropriate

(rather than engaging with the interpreter). 5. Speak directly to the client, on first person terms. 6. Speak slowly and clearly but naturally. Avoid jargon. 7. If you feel that the client and interpreter are speaking together

and excluding you to the extent that you are not establishing communication with the client, you should stop the interview. Restate the ground rules and start again.

8. Summarise your discussion periodically throughout the interview to ensure the same understanding of what is being said.

9. With consecutive interpreting, use short sentences.

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16

USING INTERPRETERS

The Queensland Government Languages Services Policy (MAQ, 1999) states that whenever possible, professional interpreters should be used by Queensland Government agency employees to communicate with persons unable to satisfactorily communicate in English. The Translating and Interpreter Service (TIS) provides both over-the-phone interpreters at short notice and on-site interpreters that are booked a couple of days in advance. It is important to establish lan-guage, ethnic and gender preferences for interpreters and to request these from TIS. The TIS telephone number is 131 450. Telephone interpreters can be accessed 24 hours per day. On-site interpreters should be pre-booked by fax on 1300 654 151 with reasonable notice. Request forms are available from TIS. TIS will request a client service number for all interpreting jobs. To facilitate the use of TIS, Education Queensland has a centralised client service number that can be used by school staff. Education Queensland pays for the cost of professional interpreters if the Education Queensland Code is used. To obtain the client service number, please telephone the School and Commonwealth Resourc-ing Unit on (07) 3237 0778.

SUPPORT FOR COUNSELLORS

The counsellor’s role can be demanding and difficult at the best of times. Working with traumatised students, although rewarding, can add additional challenges to a counsellor’s workload. Counsellors can also be affected emotionally by the trauma experienced by their students. Sometimes counsellors may experience emotional responses that mirror the kind of feelings their students experience. This is called ‘vicarious traumatisation’. Such emotional responses can include

9

home. The school guidance officer may be the only supportive adult available to the student. The framework on pages 10-11 is useful for understanding four essential recovery goals for refugee young people and how the counsellor can assist this process (VFST, 1996:34).

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10

Trauma reaction component 2: Loss of relationships to parents, family,

community, religion & culture; grief; depression

Recovery goal = to restore attachment and connections to oth-er people who can offer emotional support and care, and over-come grief and loss Strategies:

Foster a trusting continuing connection with an available, caring adult

Group participation to reduce social isolation

Promote belonging by overcoming settlement problems

Link to supportive groups & agencies

Provide opportunities for social/political action which may be valued & restore a sense of purpose

A RECOVERY FRAMEWORK (VFST, 1996)

Trauma reaction component 1: Anxiety, feelings of helplessness,

perceived loss of control

Recovery goal = to restore safety and enhance control and reduce the disabling effects of fear and anxiety Strategies:

Provide basic needs such as health, welfare, education, accommodation

Identify causes of anxiety and accommodate the effects of anxiety

Maximise choices

Provide information about the trauma reaction

Introduce relaxation exercises

15

Ref

ugee

stu

dent

s m

ay h

ave

a ra

nge

of p

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ical

n

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at a

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nm

et, c

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ng th

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th, b

ehav

iour

and

sch

ool p

erfo

rman

ce is

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. Y

oung

peo

ple

with

com

plex

pro

blem

s in

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ticul

ar,

have

ofte

n ha

d ne

gativ

e ex

perie

nce

s in

volv

ing

a m

erry

-go-

roun

d of

ref

erra

ls b

etw

een

agen

cies

and

of

ten

fall

thro

ug

h t

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serv

ice

gap

s.

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ay n

ot b

e po

ssib

le to

pro

vide

a r

ange

of s

ervi

ces

as a

sc

hool

gui

danc

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ficer

, but

it is

pos

sibl

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dire

ctly

and

act

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y fo

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othe

r se

rvic

es th

at d

o pr

ovid

e th

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rvic

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red.

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ocac

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for

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tmen

ts

even

whe

n th

e th

erap

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rel

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p ap

pear

s to

be

prog

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l. O

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ose

with

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at fi

nd it

diff

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gage

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gh w

ith a

ppoi

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ents

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uden

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at d

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m

ay m

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llow

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how

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tude

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.

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14

EN

GA

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ME

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You

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eopl

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unic

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and

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s fr

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w

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they

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are

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tyle

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d m

ay f

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coun

sello

r.

Ove

rall,

com

mun

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deve

lope

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mul

tiple

leve

ls:

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t em

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nal w

ellb

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, re

silie

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and

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; eng

agem

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in th

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mun

icat

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to fo

ster

par

tner

ship

s in

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mun

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bove

all

conv

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mes

sage

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per

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essm

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oth

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side

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Info

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h as

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ldin

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ust.

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nsel

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ha

ve li

ttle

kn

owle

dge

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ltura

l con

text

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stud

ents

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pac

ity

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nsel

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c pr

actic

e!

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ty a

nd

com

pass

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ppre

ciat

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uden

ts.

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ogni

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mpt

oms

of d

isem

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erm

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15

rega

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17.

11

Trauma reaction component 3: Shattering of assumptions about

humanity: trust, dignity & meaning destroyed

Recovery goal = to restore meaning and purpose to life Strategies:

Group programs to promote communication, reduce isolation & enhance self esteem

Integrate past, present & future through art, story telling & dra-ma

Create opportunities to facilitate a view of the future

Explore concepts of self, other and the community

Validate the trauma & difficulties experienced

Validate cultural differences in values

Human rights education & political background to violence

Trauma reaction component 4: Guilt and shame

Recovery goal = to restore dignity and value which includes reducing excessive shame and guilt Strategies:

Facilitate expression of guilt & shame

Reflect that it is normal for them to wish that they could have done more to prevent others from being harmed

Allow the telling and re-telling of events & stories

Assist with developing ways to reduce guilt

Community acknowledgement of human rights violations and the need for redress

Page 12: A school counselling guide to working with students from refugee … · Counselling refugee students with trauma 8 A recovery framework 10 Using interpreters 16 Support for counsellors

12

Service access and engagement Facilitating service access and engaging young people in an on-going therapeutic relationship can be challenging for busy school guidance officers. It can be particularly challenging with students with complex problems, such as refugee students. There are however, a range of ‘youth friendly’ practices that can assist counsellors to increase the access and levels of engage-ment of refugee students. The foundation on which most of these strategies are based is flexibility on the part of the counsellor. The tables on pages 13-15 provide an overview of the core issues related to access and engagement and some practical strategies to address these (adapted from Mitchell, 2000).

13

AC

CE

SS

ISS

UE

S

ST

RA

TE

GIE

S

Ref

ugee

stu

dent

s ar

e of

ten

un

fam

iliar

wit

h a

fo

rmal

ser

vice

sys

tem

suc

h as

tha

t fou

nd in

A

ustr

alia

. S

eeki

ng h

elp

outs

ide

the

fam

ily is

of

ten

also

unf

amili

ar.

Initi

ate

cont

act w

ith r

efug

ee s

tude

nts

on a

n on

goin

g ba

sis,

par

ticul

arly

du

ring

tran

sitio

n tim

es (

see

p.4)

. E

xpla

in th

e ro

le o

f the

sch

ool g

uid-

ance

offi

cer

and

how

ass

ista

nce

can

be p

rovi

ded.

The

cou

nsel

lor

may

nee

d to

be

high

ly v

isib

le b

y vi

sitin

g d

iffer

ent a

reas

of

the

scho

ol g

roun

d w

here

ref

ugee

stu

dent

s ha

ng o

ut.

Thi

s al

so fa

cili-

tate

s th

e de

velo

pmen

t of a

mor

e tr

ustin

g re

latio

nshi

p be

twee

n th

e co

unse

llor

and

refu

gee

stud

ents

.

You

ng p

eopl

e, e

spec

ially

thos

e w

ith c

om

ple

x p

rob

lem

s te

nd to

drif

t int

o an

d aw

ay fr

om

serv

ices

and

ret

urn

at a

late

r st

age

for

furt

her

as

sist

ance

.

Rec

ogni

se a

nd e

xpec

t th

is.

Do

not c

lose

cas

es w

hen

stud

ents

fail

to s

how

. R

etur

ning

stu

dent

s sh

ould

be

trea

ted

as o

ngoi

ng c

lient

s, if

pos

sibl

e, n

ot n

ew

clie

nts

who

ar

e ex

pect

ed to

join

the

wai

ting-

list.

You

ng p

eopl

e w

ith th

e gr

eate

st p

robl

ems

tend

to

be th

ose

who

find

it th

e m

ost

dif

ficu

lt t

o a

tten

d

sch

edu

led

ap

po

intm

ents

. Y

oung

peo

ple

with

m

enta

l hea

lth p

robl

ems

who

are

hom

eles

s, w

ho

are

mis

usin

g su

bsta

nces

, w

ho a

re in

volv

ed in

the

juve

nile

just

ice

syst

em, w

ho h

ave

exp

erie

nced

ab

use

or n

egle

ct o

r th

ose

from

cha

otic

fam

ily

envi

ronm

ents

ofte

n fin

d it

the

mos

t diff

icul

t to

keep

str

uctu

red

appo

intm

ent s

ched

ules

.

Rec

ogni

se th

at fa

ilure

to k

eep

appo

intm

ents

is n

ot a

n ex

pres

sion

of n

ot

requ

iring

ass

ista

nce.

Inte

rven

tions

nee

d to

be

offe

red

in lo

catio

ns c

onve

nien

t to

youn

g

peop

le in

a r

ange

of d

iffer

ent s

ettin

gs.

Fur

ther

con

tact

may

nee

d to

be

initi

ated

by

the

coun

sello

r.