© 2019

An Uncertain Safety

Integrative Health Care for the 21st Century Refugees

  • Thomas Wenzel
  • Boris Drožđek

Table of contents

  1. Front Matter
    Pages i-xxix
  2. General Aspects and the Interdisciplinary Mental Health Care Emergency Response

  3. Psychological and Psychosocial Health in Host Countries

    1. Front Matter
      Pages 185-185
    2. Branka Agic, Lisa Andermann, Kwame McKenzie, Andrew Tuck
      Pages 187-211
    3. Joost Jan den Otter, Thomas Wenzel, Bernadette McGrath, Andres Leal Osorio, Boris Drožđek
      Pages 283-299
    4. Maria Kletečka-Pulker, Sabine Parrag, Boris Drožđek, Thomas Wenzel
      Pages 345-361
    5. Rosa Izquierdo, Nino Makhashvili, Boris Drožđek, Thomas Wenzel
      Pages 363-384
  4. Physical Health: From Refugee Camps to the Health Care System in Host Countries

About this book


This book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes, in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches.

Issues covered include an overview of current health challenges in the new refugee crises, medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention.

The book was developed in collaboration with the World Psychiatric Association. 


Refugees Public Health War Disaster Forced Migration Ethical Challenges Suicide Prevention Burn-out Prevention

Editors and affiliations

  • Thomas Wenzel
    • 1
  • Boris Drožđek
    • 2
  1. 1.World Psychiatric Association Scientific Section, Psychological Aspects of Persecution and TortureGenevaSwitzerland
  2. 2.PsyQ/Parnassia GroupRosmalen/EindhovenThe Netherlands

About the editors

Thomas Wenzel, MD, is a Psychiatrist and Psychotherapist, and Professor of Psychiatry at the Medical University of Vienna, Austria, working with refugees, and victims of torture and other violent crimes since 1986. He is co-founder of the Hemayat and Wellcome treatment centers  for torture survivors, in Vienna, of the transcultural out-patient department at his University, co-founder and past chair of the World Psychiatric Association scientific section on Psychological Aspects of Persecution and Torture, past medical director of the IRCT (International Rehabilitation Council for Torture Victims), served as Secretary General of the International Academy of Law and Mental Health, and is presently chair of the working groups on refugees and pluricultural therapies of the European Association for Psychotherapy and the World Council for Psychotherapy. International research, publications and teaching, especially in the UN Istanbul-protocol and transcultural medicine, and scientific coordination of several EU projects related to stress, trauma and resilience.   

Boris Drožđek, MD, PhD is a psychiatrist and psychotherapist with over 25 years of experience in treating victims of war and political violence. He is currently associated with PsyQ/Parnassia group, Netherlands. In addition, he works in his private practice De Hemisfeer and is the international director of the Summer School of Psychotrauma in Dubrovnik, Croatia. Dr. Drožđek publishes in the fields of psychotraumatology and transcultural psychiatry, and teaches and gives training and workshops on a regular basis worldwide. Together with John P. Wilson he has edited the books Broken Spirits: The Treatment of Traumatized Asylum Seekers and Refugees, War and Torture Victims (Brunner-Routledge, New York, 2004) and Voices of Trauma: Treating Survivors across Cultures (Springer, New York, 2007). He is the former board member of NtVP (The Dutch Psychotrauma Society), IRCT (International Rehabilitation Council for Torture Victims) Executive Committee member, and currently a board member of the ISHHR (International Society for Health and Human Rights).

Bibliographic information

  • Book Title An Uncertain Safety
  • Book Subtitle Integrative Health Care for the 21st Century Refugees
  • Editors Thomas Wenzel
    Boris Drožđek
  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-72913-8
  • Softcover ISBN 978-3-030-10286-9
  • eBook ISBN 978-3-319-72914-5
  • Edition Number 1
  • Number of Pages XXIX, 442
  • Number of Illustrations 6 b/w illustrations, 7 illustrations in colour
  • Topics Psychiatry
    Health Psychology
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


“Wenzel (Medical Univ. of Austria) and Drozdek (Summer School of Psychotrauma, Croatia) have edited a collection to assess the global phenomenon of refugees from a health and well-being perspective. They tackle the psychological, legal, and social experiences of the refugees and the host country through a multidisciplinary framework. … Summing Up: Recommended. Advanced undergraduates through faculty and professionals.” (H. Holt, Choice, Vol. 56 (9), May, 2019)