Providing medical care for undocumented migrants in Denmark: what are the challenges for health professionals?

Jensen, Natasja Koitzsch; Nørredam, Marie; Dræbel, Tania Aase; Bogić, Marija; Priebe, Stefan; Krasnik, Allan

doi:10.1186/1472-6963-11-154

Cited by 59 publications

(47 citation statements)

References 15 publications

(21 reference statements)

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“…Good coordination of mental, physical and social care is essential to provide good care for refugees with complex health and social problems, many of whom may not access mental health services directly (McColl & Johnson, 2006;Jensen et al 2011;Dauvrin et al 2012). Yet, the fragmentation of health and social care services is a commonly reported concern in highincome countries (Giacco et al 2015).…”

Section: Overcoming Barriers To Carementioning

confidence: 99%

Mental health care for adult refugees in high-income countries

Giacco

Priebe

2017

Epidemiol Psychiatr Sci

106

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Approximately one-third of people who have obtained refugee status live in high-income countries. Over recent years, the number of refugees has been increasing, and there are questions on how many of them need mental health care and which type of interventions are beneficial. Meta-analyses showed highly variable rates of mental disorders in adult refugees. This variability is likely to reflect both real differences between groups and contexts, and methodological inconsistencies across studies. Overall prevalence rates after resettlement are similar to those in host populations. Only post-traumatic stress disorder (PTSD) is more prevalent in refugees. In long-term resettled refugees, rates of anxiety and depressive disorders are higher and linked to poor social integration. Research on mental health care for refugees in high-income countries has been extensive, but often of limited methodological quality and with very context-specific findings. The existing evidence suggests several general principles of good practice: promoting social integration, overcoming barriers to care, facilitating engagement with treatment and, when required, providing specific psychological treatments to deal with traumatic memories. With respect to the treatment of defined disorders, only for the treatment of PTSD there has been substantial refugee-specific research. For other diagnostic categories, the same treatment guidelines apply as to other groups. More systematic research is required to explore how precisely the general principles can be specified and implemented for different groups of refugees and in different societal contexts in host countries, and which specific interventions are beneficial and cost-effective. Such interventions may utilise new communication technologies. Of particular importance are long-term studies to identify when mental health interventions are appropriate and to assess outcomes over several years. Such research would benefit from sufficient funding, wide international collaboration and continuous learning over time and across different refugee groups.

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Section: Overcoming Barriers To Carementioning

confidence: 99%

Mental health care for adult refugees in high-income countries

Giacco

Priebe

2017

Epidemiol Psychiatr Sci

106

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“…With the perceptions of healthcare professionals in mind, Priebe et al (2011) conducted a study to assess the difficulties experienced by professionals when providing care to migrants, and what they consider constitutes good practice to overcome these problems. Following structured interviews, eight types of problems and seven components of good practice were identified representing all statements in the interviews.…”

Section: Moving Forwardmentioning

confidence: 99%

European refugee crisis: psychological trauma of refugees and care givers

Papadopoulos

Shea

2018

IJMHSC

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Purpose In recent years, the number of refugees and migrants entering Europe has increased dramatically. Such trauma may affect not only refugees themselves, but also care givers and rescue workers. The purpose of this paper is to discuss the intensity and psychological impact of the refugee crisis, with a view to suggesting ways of moving forward. Design/methodology/approach Based on recent literature, this paper briefly looks at the importance of attention to health and social issues, before discussing the psychological trauma of refugees and potential emotional trauma of those involved in rescue operations. Findings The provision of psychological support which is both compassionate and culturally competent should be viewed as essential. Furthermore, the development of resources and tools to assist with the current refugee crisis could enable care givers, rescue workers, and healthcare professionals to provide psychological support to migrants and refugees. Such resources could also encourage, and support, frontline responders in caring for their own personal psychological well-being. Originality/value The content of this paper could help to encourage further research in this field, including research into the emotional trauma of rescue workers. Furthermore, it is intended that this paper could contribute to an on-line knowledge base when considering the development of tools and resources to assist with the current refugee crisis.

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“…The use of non-verbal cues offers another viable strategy for nurses. [5,16] The low levels of literacy of backstretch workers presents an added hurdle for nurses as they develop and disseminate health education materials, client instructions, and secure signed consents for screening and procedures. An additional problem arises for non-English speaking clients who experience low literacy levels, and need translation of health information.…”

Section: Nutritional Statusmentioning

confidence: 99%

“…Conversely, it was reported that practitioners articulated a concern for the added levels of stress migrant workers experienced during a client encounter as a consequence of not understanding the medical issue, and how the communication barrier prevented the practitioner from reassuring the client using a common language. [16] Several strategies to alleviate communication barriers include arranging for an interpreter, making use of a bilingual employee, and looking to the client's network of family, friends, or other contacts to interpret and convey health information. The use of non-verbal cues offers another viable strategy for nurses.…”

Section: Nutritional Statusmentioning

confidence: 99%

“…[10] Language barriers are problematic for both the clinician and migrant client. [16] Conducted research in the delivery of medical care to undocumented migrants in Denmark, identifying the language barrier as an expressed concern of physicians treating migrants in the emergency room setting. Physicians commented that working with this group of individuals made their work more complex because they were not able to readily communicate the health issue or concern, making diagnosis and treatment more difficult.…”

Section: Nutritional Statusmentioning

confidence: 99%

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Mitigation of transcultural clinical barriers in a health and wellness program: A transcultural caring approach for vulnerable migrant backstretch workers

Bailey

2015

Clinical Nursing Studies

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This paper explores the mitigation of transcultural clinical barriers in a clinical setting where migrant backstretch workers receive health and wellness services from university faculty, staff, and nursing students at a nurse-led clinic located behind the stable area of a local thoroughbred racetrack. Caring for this vulnerable population is critical as these underserved individuals encounter many obstacles in the access of quality health care as a result of their marginalized status. Placing a heightened emphasis on providing culturally congruent care within the clinical setting and adopting a framework of transcultural caring principles using Ray's Transcultural Caring Dynamics in Nursing and Health-Care Model serve as a sound strategy to reduce cultural barriers and enhance the health of these workers who have inadequate or no healthcare coverage. This article examines the unique culture of migrant populations with a specific emphasis on migrant backstretch populations, and the health disparities that occur within this marginalized population. This article also addresses the importance of delivering clinical nursing services within the context of transcultural caring, applying the theoretical framework of Ray's Transcultural Caring Dynamics in Nursing and Health-Care to a nurse-led health and wellness program for migrant backstretch workers. It suggests clinical implications for nursing using a transcultural framework to improve the health status of this invisible population.

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Providing medical care for undocumented migrants in Denmark: what are the challenges for health professionals?

Cited by 59 publications

References 15 publications

Mental health care for adult refugees in high-income countries

Mental health care for adult refugees in high-income countries

European refugee crisis: psychological trauma of refugees and care givers

Mitigation of transcultural clinical barriers in a health and wellness program: A transcultural caring approach for vulnerable migrant backstretch workers

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