The mental-health crisis among migrants

Abbott, Alison

doi:10.1038/538158a

Cited by 79 publications

(57 citation statements)

References 9 publications

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“…Some scientific and nonscientific work has been published recently: most focuses on screening for infectious diseases such as tuberculosis, 39 diagnostics testing, and therapy of mental health conditions in asylum seekers. [40][41][42][43] Legal, 44,45 organizational, and public issues 30,[46][47][48][49][50][51] are also covered. Another series of articles concerns health care problems and conditions in refugee camps.…”

Section: Current Health Care Issues Of Asylum Seekers General Health mentioning

confidence: 99%

“…66 The first contact to antibiotics often occurs in a Syrian field hospital, where the choice of antibiotic drug mostly depends on its availability and not on the potential microorganism. 49,67 For further health care contacts along the route, the same principals of antibiotic therapy apply. Furthermore, the laboratories in these field hospitals do not have the ability to test antibiotic resistances, due to the lack of equipment and monetary resources.…”

Section: Infectious Diseasesmentioning

confidence: 99%

“…Furthermore, the laboratories in these field hospitals do not have the ability to test antibiotic resistances, due to the lack of equipment and monetary resources. 49 As a consequence, refugees carry resistant bacteria with them on their travel onward to Europe. To prevent the spread of multidrug-resistant bacteria in the refugee population, it is essential to have surveillance systems as well as infection screening and infection control measurements.…”

Section: Infectious Diseasesmentioning

confidence: 99%

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Understanding Refugees' Health

Mûller

Khamis²,

Srivastava

et al. 2018

Semin Neurol

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According to the United Nations Refugee Agency (UNHCR), 65.6 million people have been forcibly displaced worldwide. Several factors have a major influence on asylum seekers' health; so, their health profile is markedly different from that of the population in the country of asylum. The aim of this study is to review the major issues physicians need to be aware of when treating asylum seekers, with a special focus on the neurological problems of asylum seekers and refugees. The major impact factors on refugees' health are linked to experiences and exposure (1) in the country of origin, (2) in refugee camps and en route to Europe, and (3) in the process of immigration into the host country and living in European asylum centers. Refugees' health is also affected by psychological problems and by infectious diseases. Additionally, chronic diseases resulting in polymorbidity, cancer, and neurological diseases are easy to overlook and demand special attention. Neurological injuries/diseases may be traumatic (e.g., spinal cord injuries), posttraumatic (e.g., chronic pain syndromes), the result of cerebral infections, or the consequences of starvation (e.g., epilepsy, ataxia, and paraesthesia). The main challenges for physicians are lack of awareness of the asylum seekers' specific health care problems, language and intercultural communication problems, as well as access and integration of asylum seekers into the health care system. The health issues of asylum seekers are manifold and challenging to physicians. Awareness of these conditions is mandatory to ensure good clinical practice for this patient population, which has a huge burden in chronic, infectious, mental, and neurological diseases.

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Section: Current Health Care Issues Of Asylum Seekers General Health mentioning

confidence: 99%

Section: Infectious Diseasesmentioning

confidence: 99%

Section: Infectious Diseasesmentioning

confidence: 99%

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Understanding Refugees' Health

Mûller

Khamis²,

Srivastava

et al. 2018

Semin Neurol

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“…Indeed the recent European migration crisis, which has drawn attention worldwide, is forcing service providers to consider what is best practice in the mental health treatment of refugees [15]. Recognising the high levels of trauma within this population, clinicians are calling for increased resources to be devoted to determining factors involved in delivering treatment that is culturally engaged and cost effective [15]. This is based on the knowledge that socio-cultural factors unique to resettled refugee communities can influence the uptake and efficacy of clinical and population-based interventions [14].…”

Section: Introductionmentioning

confidence: 99%

Causes of and risk factors for posttraumatic stress disorder: the beliefs of Iraqi and Afghan refugees resettled in Australia

Slewa‐Younan

Guajardo

Yaser

et al. 2017

Int J Ment Health Syst

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BackgroundResettled refugees are a vulnerable group for mental health problems and in particular, trauma-related disorders. Evidence suggests that poor ‘mental health literacy’ (MHL) is a major factor in low or inappropriate treatment-seeking among individuals with mental health problems. This study sought to determine the beliefs regarding the causes of and risk factors for post-traumatic stress disorder (PTSD) amongst two resettled refugee groups in Australia.MethodsUtilising a culturally adapted MHL survey method, 225 Iraqis and 150 Afghans of refugee background were surveyed.ResultsApproximately 52% of the Iraqi participants selected ‘experiencing a traumatic event’ as the ‘most likely’ cause for the clinical vignette, whereas 31.3% of the Afghan sample selected ‘coming from a war torn country’ as their top cause. While both groups identified being ‘born in war torn country’ as the most likely risk, at 34.4 and 48% of the Iraqis and Afghans respectively, differences regarding other risk factors selected were noted.ConclusionsThe results of this study indicate the need for culturally sensitive health promotion and early intervention programs seeking to improve MHL relating to PTSD in resettled refugee populations. There is also a need for mental health services to recognise that variation in MHL may be a function of both the cultural origin of a refugee population and their resettlement experiences. Such recognition is needed in order to bridge the gap between Western, biomedical models for mental health care and the knowledge and beliefs of resettled refugee populations.Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-016-0109-z) contains supplementary material, which is available to authorized users.

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“…Most refugees have chosen to relocate to large cities in these countries because they have family and friends who live there, they find that public transportation and access to services are greater than in non‐urban settings, and they believe that they will be more likely to find employment (Katz, Noring, & Garrelts, ). However, the social stress and potential isolation of urban settings can increase the risk that refugees will develop psychological disorders (Abbott, ).…”

mentioning

confidence: 99%

Family Focused Care for Refugees and Displaced Populations: Global Opportunities for Family Therapists

Patterson

Abu-Hassan

Vakili

et al. 2017

J Marital Family Therapy

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Recent global crises have created a significant increase in the number of people leaving their countries. Distress experienced by these refugees often leads to posttraumatic stress disorder and depression and can also result in psychotic disorders, substance abuse, and interpersonal violence. The World Health Organization leads the organizing of refugee services as part of a larger initiative to provide mental health services to citizens in low- and middle-income countries. The World Health Organization has identified challenges in providing care, including a provider shortage, issues with how refugees access and receive care and a lack of uniformity in mental health services. By applying the values and systemic orientation of the profession, family therapists can address some of the challenges in treating mental health concerns of these at-risk populations.

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The mental-health crisis among migrants

Cited by 79 publications

References 9 publications

Understanding Refugees' Health

Understanding Refugees' Health

Causes of and risk factors for posttraumatic stress disorder: the beliefs of Iraqi and Afghan refugees resettled in Australia

Family Focused Care for Refugees and Displaced Populations: Global Opportunities for Family Therapists

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