Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review
•Refugees and asylum seekers in Europe experience high mental health needs.•This population exhibits low contact coverage of specialist MHPSS services.•This population presents more frequently with physical health complaints.•Barriers to access include: language, stigma, low awareness, and variant h...
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| Vydané v: | Health policy (Amsterdam) Ročník 123; číslo 9; s. 851 - 863 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Ireland
Elsevier B.V
01.09.2019
Elsevier Science Ltd |
| Predmet: | |
| ISSN: | 0168-8510, 1872-6054, 1872-6054 |
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| Abstract | •Refugees and asylum seekers in Europe experience high mental health needs.•This population exhibits low contact coverage of specialist MHPSS services.•This population presents more frequently with physical health complaints.•Barriers to access include: language, stigma, low awareness, and variant help-seeking behaviours.
Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries.
Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas’ framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist.
Twenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers.
Refugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU. |
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| AbstractList | •Refugees and asylum seekers in Europe experience high mental health needs.•This population exhibits low contact coverage of specialist MHPSS services.•This population presents more frequently with physical health complaints.•Barriers to access include: language, stigma, low awareness, and variant help-seeking behaviours.
Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries.
Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas’ framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist.
Twenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers.
Refugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU. Highlights•Refugees and asylum seekers in Europe experience high mental health needs. •This population exhibits low contact coverage of specialist MHPSS services. •This population presents more frequently with physical health complaints. •Barriers to access include: language, stigma, low awareness, and variant help-seeking behaviours. Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries.BACKGROUNDRefugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries.Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas' framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist.METHODSFour peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas' framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist.Twenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers.RESULTSTwenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers.Refugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU.CONCLUSIONSRefugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU. Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries. Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas' framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist. Twenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers. Refugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU. Background Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries. Methods Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas' framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist. Results Twenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers. Conclusions Refugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU. |
| Author | Woodward, Aniek Satinsky, Emily Fuhr, Daniela C. Sondorp, Egbert Roberts, Bayard |
| Author_xml | – sequence: 1 givenname: Emily orcidid: 0000-0003-0666-6009 surname: Satinsky fullname: Satinsky, Emily email: ens48@cornell.edu organization: London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, Department of Health Services Research and Policy, 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, United Kingdom – sequence: 2 givenname: Daniela C. surname: Fuhr fullname: Fuhr, Daniela C. organization: London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, Department of Health Services Research and Policy, 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, United Kingdom – sequence: 3 givenname: Aniek surname: Woodward fullname: Woodward, Aniek organization: KIT Health, KIT Royal Tropical Institute, Amsterdam, the Netherlands – sequence: 4 givenname: Egbert surname: Sondorp fullname: Sondorp, Egbert organization: KIT Health, KIT Royal Tropical Institute, Amsterdam, the Netherlands – sequence: 5 givenname: Bayard surname: Roberts fullname: Roberts, Bayard organization: London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, Department of Health Services Research and Policy, 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, United Kingdom |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30850148$$D View this record in MEDLINE/PubMed |
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| Snippet | •Refugees and asylum seekers in Europe experience high mental health needs.•This population exhibits low contact coverage of specialist MHPSS services.•This... Highlights•Refugees and asylum seekers in Europe experience high mental health needs. •This population exhibits low contact coverage of specialist MHPSS... Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS)... Background Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support... |
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| SubjectTerms | Access Asylum seekers Attitudes Barriers Health needs Health services utilization Help seeking behavior Illnesses Internal Medicine Language attitudes Literary criticism Mental disorders Mental health Mental health care Mental health services MHPSS Political asylum Psychosocial factors Psychosocial intervention Psychosocial support Referrals Refugees Service utilisation Single market Skills Stigma Systematic review |
| Title | Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review |
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