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Culturally Responsive Practice in Refugee Health

  • Sandra Schiller(author)
  • Angelika Roschka(author)
  • Kathrin Weiss (author)
Chapter of: Interprofessional Approach to Refugee Health: A Practical Guide for Interdisciplinary Health and Social Care Teams(pp. 229–260)
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Title Culturally Responsive Practice in Refugee Health
ContributorSandra Schiller(author)
Angelika Roschka(author)
Kathrin Weiss (author)
DOIhttps://doi.org/10.11647/obp.0479.10
Landing pagehttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.10
Licensehttps://creativecommons.org/licenses/by/4.0/
CopyrightSandra Schiller; Angelika Roschka; Kathrin Weiss;
PublisherOpen Book Publishers
Published on2025-09-09
Long abstract

The health of persons with refugee experience is a multifaceted issue, strongly influenced by culture, diversity, and the principles of health equity. This chapter explores these dimensions by introducing key concepts and providing examples of practical applications in the context of refugee health. The first section introduces the constructivist understanding of culture and shifts the focus from merely understanding cultural nuances to appreciating diversity as a critical component of health equity in a diverse society. To illustrate the practical relevance of this approach, in the following section Angelika Roschka describes the role of occupational therapists in facilitating social inclusion Another important issue is the influence of the cultural backgrounds of both patients and health practitioners on their perceptions and interpretations of illness and pain, which is discussed in the third section of this chapter. Last but not least, the final section integrates international case stories of individuals with refugee experience and case studies on interprofessional practice. This section emphasizes the collaborative efforts required in culturally-responsive interprofessional practice to effectively address the health needs of persons with refugee experience. Overall, the chapter aims to outline prerequisites for culturally responsive practice as an essential contribution to a more inclusive and equitable healthcare environment for all.

Page rangepp. 229–260
Print length32 pages
LanguageEnglish (Original)
Locations
Landing PageFull text URLPlatform
PDFhttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.10Landing pagehttps://books.openbookpublishers.com/10.11647/obp.0479.10.pdfFull text URL
HTMLhttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.10Landing pagehttps://books.openbookpublishers.com/10.11647/obp.0479/ch10.xhtmlFull text URLPublisher Website
Contributors

Sandra Schiller

(author)
Lecturer and Honorary Professor specialising in Health Humanities at the Faculty of Social Work and Health at University of Applied Sciences and Arts University of Applied Sciences and Arts Hildesheim/Holzminden/Göttingen
https://orcid.org/0000-0001-5970-6831

Sandra Schiller is a lecturer and honorary professor specialising in Health Humanities at the Faculty of Social Work and Health, HAWK University of Applied Sciences and Arts Hildesheim/Holzminden/Göttingen (Germany). She completed her studies in Medieval and Modern History, English Literature and Linguistics. Her doctoral research explored the influence of political and cultural discourses on the formation of national identity in the context of the United Kingdom. Since 2008, she has led various (interprofessional) projects supporting health promotion, well-being and health literacy among persons with refugee experience in Hildesheim. She was a founding member of the Occupational Therapy Europe Interest Group on Displaced Persons and currently leads the German Occupational Therapy Association’s Working Group on Community Development, responsible for developing occupational therapy services for persons with refugee experience outside the traditional healthcare sector.

Angelika Roschka

(author)
Lecturer in the Occupational Therapy programme at Ernst Abbe University of Applied Sciences Jena
https://orcid.org/0009-0001-6127-9688

Angelika Roschka, M.Sc., an occupational therapist, lecturer in the Occupational Therapy programme at Ernst-Abbe-Hochschule Jena, University of Applied Sciences, and with her company step2diversity she is a trainer and coach for anti bias, democracy and transculture. Angelika has years of experience working with refugees in a small town in Germany. Prior to this, she worked as a community occupational therapist in Kathmandu, Nepal, and then in Cairo, Egypt, conducting and supervising the training of teachers in therapeutic assessment and intervention of children with special needs.

Kathrin Weiss

(author)

Kathrin Weiss, born in 1964, has been an occupational therapist since 1989 and lives in Bremen in northern Germany. Master's degree at the HAWK in Hildesheim on the subject of prevention. She has been teaching for 20 years with a focus on interprofessionalism and professional reasoning.

References
  1. Grandpierre, Viviane, et al. 2018. ‘Barriers and Facilitators to Cultural Competence in Rehabilitation Services: A Scoping Review’, BMC Health Service Research, 18, https://doi.org/10.1186/s12913-017-2811-1
  2. Abubakar, Ibrahim, et al. 2022. ‘Confronting the Consequences of Racism, Xenophobia, and Discrimination on Health and Health-care Systems’, Lancet, 400.10368: 2137–2146, https://doi.org/10.1016/S0140-6736(22)01989-4
  3. Minnican, Carla and Gjyn O’Toole. 2020. ‘Exploring the Incidence of Culturally Responsive Communication in Australian Healthcare: The First Rapid Review on this Concept‘, BMC Health Services Research, 20, https://doi.org/10.1186/s12913-019-4859-6
  4. BAfF e.V., and Leonie Teigler (eds.). 2022. Mächtige Narrative—was wir uns nicht erzählen: Über den Zusammenhang von Gewalt, Stress und Trauma im Kontext Flucht [Powerful narratives—what we don’t tell ourselves: On the connection between violence, stress and trauma in the context of flight] (Berlin: BAfF e. V.).
  5. Ball, Jessica, and Marlene Lewis. 2011. ‘“An Altogether Different Approach”: Roles of Speech-Language Pathologists in Supporting Indigenous Children’s Language Development’, Canadian Journal of Speech-Language Pathology and Audiology, 35.2: 144–158.
  6. Barker, Chris, and Emma A. Jane. 2016. Cultural Studies: Theory and Practice, 5th edn (London: Sage).
  7. Battle, Dolores E. 2000. ‘Becoming a Culturally Competent Clinician’, Special Interest Division 1: Language, Learning and Education, 7.3: 20–23, https://doi.org/10.1044/lle7.3.20
  8. Boutain, Doris M. 2005. ‘Social Justice as a Framework for Professional Nursing’, Journal of Nursing Education, 44.9, 404–408, https://doi.org/10.3928/01484834-20050901-04
  9. Cahn, Peter S. 2020. ‘How Interprofessional Collaborative Practice Can Help Dismantle Systemic Racism’, Journal of Interprofessional Care, 34.4: 431–434, https://doi.org/10.1080/13561820.2020.1790224
  10. Callister, Lynn C. 2003. ‘Cultural Influences on Pain Perceptions and Behaviors’, Home Health Care Management & Practice, 15.3: 207–211, https://doi.org/10.1177/1084822302250687
  11. Campesino, Maureen. 2008. ‘Beyond Transculturalism: Critiques of Cultural Education in Nursing’, Journal of Nursing Education, 47.7: 298–304, https://doi.org/10.3928/01484834-20080701-02
  12. Campinha-Bacote, Josepha. 1999. ‘A Model and Instrument for Addressing Cultural Competence in Health Care’, Journal of Nursing Education, 38.5: 203–7, https://doi.org/10.3928/0148-4834-19990501-06
  13. Collins, Patricia H., and Sirma Bilge. 2020. Intersectionality. 2nd edn (Cambridge: Polity Press).
  14. Crenshaw, Kimberle. 1989. ‘Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics‘, University of Chicago Legal Forum, Vol. 1989, Article 8, https://chicagounbound.uchicago.edu/uclf/vol1989/iss1/8
  15. Garwood, Candice L., et al. 2022. ‘A Multimodal Interprofessional Education Program Including Case-based Problem solving Focused on Pain Management Increases Student‘s Knowledge and Interprofessional Skills’, Journal of Interprofessional Care, 36.6: 864–872, https://doi.org/10.1080/13561820.2022.2038102
  16. Gordon, Susan P. 2005. ‘Making Meaning of Whiteness: A Pedagogical Approach for Multicultural Education’, Journal of Physical Therapy Education 19.1: 21–27.
  17. Gordon, Debra B., Judy Watt-Watson, and Beth B. Hogans. 2018. ‘Interprofessional Pain Education–with, from, and about Competent, Collaborative Practice Teams to Transform Pain Care’, PAIN Reports, 3.3: 663, https://doi.org/10.1097/PR9.0000000000000663
  18. Gray, Marion, and Kathryn McPherson. 2005. ‘Cultural Safety and Professional Practice in Occupational Therapy: A New Zealand Perspective’, Australian Occupational Therapy Journal, 52.1: 34–42, https://doi.org/10.1111/j.1440-1630.2004.00433.x
  19. Grossberg, Lawrence. 1997. Bringing It All Back Home: Essays on Cultural Studies (Durham, NC: Duke University Press), https://doi.org/10.1215/9780822396178
  20. Hädicke, Maximiliane, and Claudia Wiesemann. 2021. ‘Was kann das Konzept der Diskriminierung für die Medizinethik leisten?: Eine Analyse‘ [What Can the Concept of Discrimination Do for Medical Ethics?: An Analysis], Ethik in der Medizin 33: 369–386, https://doi.org/10.1007/s00481-021-00631-4
  21. Helms, Jeb et al. 2023. ‘Interprofessional Active Learning for Chronic Pain: Transforming Student Learning from Recall to Application‘, Journal of Medical Education and Curricular Development, 10, https://doi.org/10.1177/23821205231221950
  22. Kluge, Ulrike, et al. 2020. ‘Rassismus und psychische Gesundheit‘ [Racism and Mental Health], Nervenarzt, 91: 1017–1024, https://doi.org/10.1007/s00115-020-00990-1
  23. Lerch, Leonore. 2019. ‘Psychotherapie im Kontext von Differenz (Macht)Ungleichheit und globaler Verantwortung‘ [Psychotherapy in the Context of Difference (Power) Inequality and Global Responsibility], Psychotherapie Forum, 23: 51–58, https://doi.org/10.1007/s00729-019-0117-y
  24. McGregor, Cass, and Jackie Walume. 2021. ‘We Need to Develop Our Approach to Socially Constructed Concepts Including Socioeconomic Factors, Power, Ethnicity and Racism in Pain Care and Research‘, Pain and Rehabilitation – The Journal of Physiotherapy Pain Association, 51: 1–4, https://www.ingentaconnect.com/content/ppa/pr/2021/00002021/00000051/art00001
  25. Mecheril, Paul. 2008. ‘“Diversity“: Differenzordnungen und Modi ihrer Verknüpfung‘ [Orders of Difference and Modes of Linking them], Heimatkunde, https://heimatkunde.boell.de/de/2008/07/01/diversity-differenzordnungen-und-modi-ihrer-verknuepfung
  26. Minnican, Carla, and Gjyn O’Toole. 2020. ‘Exploring the Incidence of Culturally Responsive Communication in Australian Healthcare: The First Rapid Review on this Concept’, BMC Health Services Research, 20: 1–14, https://doi.org/10.1186/s12913-019-4859-6
  27. Miyagawa, Lea Ann. 2020. ‘Practicing Cultural Humility when Serving Immigrant and Refugee Communities‘, Ethnomed, https://ethnomed.org/resource/practicing-cultural-humility-when-serving-immigrant-and-refugee-communities/
  28. Morris, David B. 1993. The Culture of Pain (Berkeley: University of California Press).
  29. Mortensen, Annette. 2010. ‘Cultural Safety: Does the Theory Work in Practice for Culturally and Linguistically Diverse Groups?’, Nursing Praxis in New Zealand, 26.3: 6–16.
  30. Narayan, Mary C. 2010. ‘Culture’s Effects on Pain Assessment and Management: Cultural Patterns Influence Nurses’ and Their Patients’ Responses to Pain’, American Journal of Nursing 110.4: 38–47, https://doi.org/10.1097/01.NAJ.0000370157.33223.6d
  31. Pillay, Thivian K., Hendrik A. van Zyl, and David R. Blackbeard. 2015. ‘The Influence of Culture on Chronic Pain: A Collective Review of Local and International Literature’, Journal of Psychiatry, 18.2, https://doi.org/10.4172/2378-5756..1000234
  32. Pincus, Fred L., and Bryan R. Ellis. 2021. Understanding Diversity: An Introduction, 3rd edn (Boulder, Co.: Lynne Rienner Publ.).
  33. Peltier, Sharla. 2011. ‘Providing Culturally Sensitive and Linguistically Appropriate Services: An Insider Construct’, Canadian Journal of Speech-Language Pathology and Audiology, 35.2: 126–134.
  34. Restall, Gayle J., and Mary Y. Egan. 2021. ‘Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice’, Canadian Journal of Occupational Therapy, 88.3: 220–230, https://doi.org/10.1177/00084174211022889
  35. Rohleder, Paul. 2014 ‘Othering’ in Encyclopedia of Critical Psychology, ed. by Thomas Teo (New York, NY: Springer, 2014), pp. 1306–1308.
  36. Sharma, Saurab, Pathak Anupa, and Mark P. Jensen. 2016. ‘Words That Describe Chronic Musculoskeletal Pain: Implications for Assessing Pain Quality across Cultures’, Journal of Pain Research, 9: 1057–1066, https://doi.org/10.2147/JPR.S119212
  37. Scherr, Albert. 2008. ‘Diskriminierung: eine eigenständige Kategorie für die soziologische Analyse der (Re-)Produktion sozialer Ungleichheiten in der Einwanderungsgesellschaft? [Discrimination: an independent category for the sociological analysis of the (re)production of social inequalities in the immigration society?]’, in Die Natur der Gesellschaft: Verhandlungen des 33. Kongresses der Deutschen Gesellschaft für Soziologie in Kassel 2006 [The Nature of Society: Proceedings of the 33rd Congress of the German Sociological Association in Kassel 2006], ed. by Karl-Siegbert Rehberg (Frankfurt am Main: Campus Verl.), pp. 2007–2017, https://nbn-resolving.org/urn:nbn:de:0168-ssoar-152236
  38. Talero, Pamela, Stephen B. Kern, and Debra A. Tupé. 2015. ‘Culturally Responsive Care in Occupational Therapy: An Entry-level Educational Model Embedded in Service-learning‘, Scandinavian Journal of Occupational Therapy, 22.2: 95–102, https://doi.org/10.3109/11038128.2014.997287
  39. Tervalon, Melanie, and Jann Murray-García. 1998. ‘Cultural Humility versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education’, Journal of Health Care for the Poor and Underserved, 9.2: 117–125, https://doi.org/10.1353/hpu.2010.0233
  40. Williams, David R., et al. 2019. ‘Understanding How Discrimination Can Affect Health‘, Health Services Research, 54.S2: 1374–1388, https://doi.org/10.1111/1475-6773.13222
  41. Williams, Raymond. 1983. Keywords: A Vocabulary of Culture and Society, rev. ed. (London: Fontana Paperbacks).
  42. Winker, Gabriele, and Nina Degele. 2010. Intersektionalität: Zur Analyse sozialer Ungleichheiten [Intersectionality: On the Analysis of Social Inequalities]. 2nd, unaltered edn (Bielefeld: transcript, 2010).
  43. Wittgenstein, Ludwig. 2003. Philosophische Untersuchungen [Philosophical Investigations]. 11th edn (Frankfurt am Main: Suhrkamp).
  44. Yeboah, Amma. 2017. ‘Rassismus und psychische Gesundheit in Deutschland [Racism and Mental Health in Germany]‘, in Rassismuskritik und Widerstandsformen [Critique of Racism and Forms of Resistance], ed. by Fereidooni, Karim, and Meral El (Wiesbaden: Springer VS), pp. 143–161, https://doi.org/10.1007/978-3-658-14721-1_9

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