Skip to main content

Physical Evaluation of Asylum Seekers

  • Chapter
  • First Online:
Asylum Medicine
  • 409 Accesses

Abstract

A forensic physical evaluation can identify signs and symptoms of torture or ill-treatment, which can be objectively documented as evidence on behalf of people who are seeking asylum. Physicians and other clinicians can therefore play an important role in the assessment of asylum seekers who express claims of torture or ill-treatment. In order to avoid re-traumatization of individuals who are seeking asylum, it is important to take an organized, trauma-informed approach to the interview and examination. Appropriate preparation, a comprehensive interview, and a pertinent exam are key elements of a medical forensic examination.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Substance Abuse and Mental Health Services Administration. Key Ingredients for Successful Trauma-Informed Care Implemented; 2016 [cited 2020 August 15]. Available from: https://www.samhsa.gov/sites/default/files/programs_campaigns/childrens_mental_health/atc-whitepaper-040616.pdf.

  2. Physicians for Human Rights. Examining asylum seekers: a clinician’s guide to physical and psychological evaluations of torture and ill-treatment. Cambridge, MA: Physicians for Human Rights; 2012.

    Google Scholar 

  3. Office of the United Nations High Commissioner for Human Rights. Istanbul protocol: Manual on the effective investigation and documentation of torture and other cruel, inhuman or degrading treatment or punishment, Professional Training Series No. 8/Rev. 1; 2004. [cited 2020 August 15]. Available from https://www.ohchr.org/Documents/Publications/training8Rev1en.pdf.

  4. Arnold F. Treatment and management of wounds and scars of torture. Wounds UK. 2009;5:60–71.

    Google Scholar 

  5. Forrest DM. Examination for the late physical aftereffects of torture. J Clin Forensic Med. 1996;6(1):4–13.

    Article  Google Scholar 

  6. Moreno A, Grodin MA. Torture and its neurological sequelae. Spinal Cord. 2002;40(5):213–23.

    Article  CAS  Google Scholar 

  7. Porr J, Laframboise M, Kazemi M. Traumatic hyoid bone fracture – a case report and review of the literature. J Can Chiropr Assoc. 2012;56(4):269–74.

    PubMed  PubMed Central  Google Scholar 

  8. Moisander PA, Edston E. Torture and its sequel–a comparison between victims from six countries. Forensic Sci Int. 2003;137(2–3):133–40.

    Article  Google Scholar 

  9. McKenzie KC, Buaer J, Reynolds P. Asylum seekers in a time or record forced global displacement: the role of physicians. J Gen Intern Med. 2018;34(1):137–43.

    Article  Google Scholar 

  10. Miller C, Popelka J, Griffin N. Confirming torture: the use of imaging in victims of Falanga. Forensic Magazine. 2014;

    Google Scholar 

  11. Danielsen L, Rasmussen OV. Dermatological findings after alleged torture. Torture. 2006;16(2):108–27.

    PubMed  Google Scholar 

  12. Perera P. Scars of torture: a Sri Lankan study. J Forensic Legal Med. 2007;14:138–45.

    Article  Google Scholar 

  13. Scruggs E, Guetterman TC, Meyer AC, VanArtsdalen J, Heisler M. An absolutely necessary piece: a qualitative study of legal perspectives on medical affidavits in the asylum process. J Forensic Legal Med. 2016;44:72–8.

    Article  Google Scholar 

  14. McKenzie KC, Thomas A. Assisting asylum seekers in a time of global forced displacement: five clinical cases. J Forensic Legal Med. 2017;49:37–41.

    Article  Google Scholar 

  15. Park R, Oomen J. Context, evidence and attitude: the case for photography in medical examinations of asylum seekers in the Netherlands. Soc Sci Med. 2019;71:228–35.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amy Zeidan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zeidan, A., Ferdowsian, H. (2022). Physical Evaluation of Asylum Seekers. In: McKenzie, K.C. (eds) Asylum Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-81580-6_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-81580-6_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81579-0

  • Online ISBN: 978-3-030-81580-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics