Why do people leave home and seek asylum? Conflict, war, and persecution, living in fragile states, being trafficked, and climate change may all play a part.Global statistics of forced displacement are reviewed.
Types of journeys and attendant experiences are considered, and reasons for how and why people may come to the United Kingdom.
We then review developments in international refugee policy and law, and problems with the current approach, including the role of socioeconomic status, the difficulties in how initiatives are funded, and the lack of long-term perspectives.There are barriers to resettlement in wealthier third countries.Restrictive and punitive asylum policies have a high human cost.There are limits to international cooperation.
This all matters to health professionals because understanding someone’s context explains much about individual behaviour.It enables relevant enquiries to be made, and appropriate help offered. Some possible misapprehensions are considered.