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Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

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Original Article
Clinical and sociodemographic characteristics of refugee children applying for Special Needs Report for Children (SNRC)
Abstract
Aims: This study aims to examine the clinical and sociodemographic characteristics of refugee children applying for the Special Needs Report for Children (SNRC) in Turkiye. The study seeks to comprehensively address the challenges encountered during these children’s health evaluations, particularly the impact of language barriers, and how these challenges affect diagnostic and treatment processes.
Methods: A retrospective evaluation was conducted on 251 refugee children who applied to the SNRC outpatient clinic at Ankara Etlik City Hospital between June 2023 and June 2024. Participants were analyzed in terms of age, gender, reasons for application, and the percentages they received in each section of the SNRC evaluation. Difficulties arising from language barriers during psychiatric assessments and the functionality of psychometric tests were also examined.
Results: The mean age of the 251 refugee children who applied for SNRC within one year was 88.92±56.65 months. The gender distribution revealed that 40.6% (n=102) were female and 59.3% (n=149) were male. The most common diagnosis was delayed developmental milestones (52.6%). Language barriers emerged as a fundamental issue during the assessment processes and were most frequently observed in the Afghan group (78.3%). In the application of psychometric tests, 30.3% of non-compliance was detected due to language barriers. The recommendation rate for follow-up in Child and Adolescent Psychiatry clinic was highest in the Afghan group (47.8%).
Conclusion: Language barriers represent a significant obstacle to refugee children’s access to healthcare services. Enhancing translation services and developing cultural adaptation programs are critically important in addressing this issue. This study provides an essential guide for understanding the needs of refugee children and improving healthcare services tailored to them.

Keywords : SNRC, child psychiatry, refugee, migrant, child, cognitive development

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1. Blackmore R, Gray KM, Boyle JA, et al. Systematic review and meta-analysis: the prevalence of mental illness in child and adolescent refugees and asylum seekers. J Am Acad Child Adolesc Psychiatry. 2020; 59(6):705-714. doi:10.1016/j.jaac.2019.11.011
2. Syed Q, Mobayed T. Who is responsible for the health care of refugees. Lancet. 2017;389(10081):1793. doi:10.1016/S0140-6736(17)31272-8
3. Anagnostopoulos DC, Heberbrand J, Eliez S, et al. European Society of Child and Adolescent Psychiatry: position statement on mental health of child and adolescent refugees. Eur Child Adolesc Psychiatry. 2016; 25(7):673-676. doi:10.1007/s00787-016-0885-1
4. Kar N. Psychological impact of disasters on children: review of assessment and interventions. World J Pediatr. 2009;5(1):5-11. doi:10.1007/s12519-009-0001-x
5. Schmitz F, Scherer EBS, Machado FR, et al. Methylphenidate induces lipid and protein damage in prefrontal cortex, but not in cerebellum, striatum and hippocampus of juvenile rats. Metab Brain Dis. 2012;27(4): 605-612. doi:10.1007/s11011-012-9310-5
6. Enstitüsü Dİ, Başkanlığı Öİ. Turkiye özürlüler araştırması. Ankara: DİE; 2002.
7. Kulaksızoğlu A. Farklı Gelişen Çocuklar. Epsilon Yayıncılık; 2003.
8. Dünya Sağlık Örgütü. Dünya Engellilik Raporu. Ankara: Anıl Group Matbaa; 2011;1(2):3.
9. Oades RD, Dauvermann MR, Schimmelmann BG, Schwarz MJ, Myint AM. Attention-deficit hyperactivity disorder (ADHD) and glial integrity: S100B, cytokines and kynurenine metabolism-effects of medication. Behav Brain Funct. 2010;6:1-14. doi:10.1186/1744-9081-6-29
10. Kayhan M, Öztürk Y. Bir üniversite hastanesine çocuklar için özel gereksinim raporuna başvuran olguların klinik ve sosyodemografik özellikleri. Osmangazi Tıp Dergisi. 2020;42(2):240-248.
11. Canlı D. Evaluation of systemic immune-inflammation index, systemic inflammatory response index and hematologic inflammatory parameters in generalized anxiety disorder: a controlled study. Anat Curr Med J. 2024;6(2):161-167. doi:10.5281/zenodo.10675597
12. Savaşır I, Şahin N. Wechsler Çocuklar için Zeka Ölçeği (WISC-R) Uygulama Kitapçığı. Türk Psikologlar Derneği; 1995.
13. Thorndike RL, Hagen EP, Sattler JM. The stanford-binet intelligence scale: guide for administering and scoring. Riverside Publishing Company; 1986.
14. Savaşır I, Sezgin N, Erol N. Ankara Gelişim Tarama Envanteri El Kitabı (3. baskı). Türk Psikologlar Derneği; 2005.
15. Güven S, Topbaş S. Erken dil gelişimi testi-üçüncü versiyonunun (test of early language development-) Türkçe’ye uyarlama, geçerlik ve güvenirlik ön çalışması. Int J Early Child Spec Educ. 2014;6:2.
16. Topbaş S, Özkan ET, Yavuz Alagöz H, et al. TPLS-özgül dil bozukluğu Türkiye projesi: anadili Türkçe olan tekdilli ve ikidilli okulöncesi ve ilköğretim çağı (2:0-9:0 yaş) çocuklarında özgül dil bozukluğunu ölçme ve değerlendirme çalışması. 2013.
17. Terzioğlu MA, Büber A, Tanrıverdi Ç, Şenol H. Çocuklar için özel gereksinim raporu başvurusu olan olguların özel gereksinim düzeyleri. Pamukkale Med J. 2022;15(1):77-85. doi:10.31362/patd.1033507
18. Güller B, Yaylacı F. Çocuklar için özel gereksinim raporuna geçiş sonrası bir yıllık sağlık kurulu verilerinin değerlendirilmesi. Klin Psikiyatr Derg. 2021;24(2):207-216. doi:10.5505/kpd.2021.03266
19. Gümüş Ü, Gavcar EG, Saatçıoğlu H, Kılıçaslan F. Şanlıurfa ilinde bir eğitim araştırma hastanesine çocuklar için özel gereksinim raporu (ÇÖZGER) amacıyla başvuran olguların sosyodemografik ve klinik özellikleri. Harran Üniv Tıp Fak Derg. 2024;21(2):298-305. doi:10.35440/hutfd.1422155
20. Cameron SJ, Morrell CN, Bao C, Swaim AF, Rodriguez A, Lowenstein CJ. A novel anti-inflammatory effect for high density lipoprotein. PLoS One. 2015;10(12):e0144372. doi:10.1371/journal.pone.0144372
21. Dumke L, Wilker S, Hecker T, Neuner F. Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: a scoping review of reviews mapping demand and supply-side factors onto a conceptual framework. Clin Psychol Rev. 2024:102491. doi:10.1016/j.cpr.2024.102491
22. Harris SM, Binder PE, Sandal GM. General practitioners’ experiences of clinical consultations with refugees suffering from mental health problems. Front Psychol. 2020;11:412. doi:10.3389/fpsyg.2020.00412
23. Fazel M, Reed RV, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet. 2012;379(9812):266-282. doi:10.1016/S0140-6736(11)60051-2
24. Jefee-Bahloul H, Barkil-Oteo A, Pless-Mulloli T, Fouad FM. Mental health in the Syrian crisis: beyond immediate relief. Lancet. 2015; 386(10003):1531. doi:10.1016/S0140-6736(15)00482-5
25. Çeri V, Beşer C, Fiş NP, Arman A. İstanbul’daki mülteci çocuklara bakım vermek üzere özelleşmiş bir çocuk psikiyatri ünitesinden bulgular. Klinik Psikiyatri. 2018;21(2):113-121.
26. Turhan S, Gürsoy S, Karakullukçu S. Türkiye’de göçmenlere sunulan sağlık hizmetleri için yürütülen iletişim çalışmaları. Turk J Public Health. 2021;19(3):286-294. doi:10.20518/tjph.872734
27. García LV, Patró E, Barbero JD, et al. Lymphocyte-derived and lipoprotein-derived inflammatory ratios as biomarkers in bipolar disorder type I: characteristics, predictive values, and influence of current psychopharmacological treatments. Psychoneuroendocrinology. 2025;171:107209. doi:10.1016/j.psyneuen.2024.107209
28. Fennig M, Denov M. Interpreters working in mental health settings with refugees: an interdisciplinary scoping review. Am J Orthopsychiatry. 2021;91(1):50-63. doi:10.1037/ort0000494
Article available in :
Volume 5, Issue 2, 2025
Page : 103-110
https://doi.org/10.51271/KMJ-0193
Article Information
Received : 30 Ara 2024
Accepted : 14 Nis 2025
Published : 20 Haz 2025
Corresponding Author :

Meryem Kaşak: Department of Child and Adolescent Psychiatry, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Kaşak M, Çelik YS, Öz T, et al. Clinical and sociodemographic characteristics of refugee children applying for Special Needs Report for Children (SNRC). Kastamonu Med J. 2025;5(2):103-110.

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