International Journal of Health Policy and Management

International Journal of Health Policy and Management

Multiculturalism and Compassion: Responding to Mental Health Needs Among Refugees and Asylum Seekers; Comment on “A Crisis of Humanitarianism: Refugees at the Gates of Europe”

Document Type : Commentary

Authors
Emily Satinsky 1
Theodoros A. Filippou 2
Antonis A. Kousoulis 3
1 Center for Global Health, Massachusetts General Hospital, Boston, MA, USA
2 Medical School, University of Athens, Athens, Greece
3 Mental Health Foundation, London, UK
10.15171/ijhpm.2019.77
Abstract
As Fotaki (2019) argues, the current political climate in Europe is threatening principles of humanitarianism, particularly among refugees and asylum seekers. This commentary builds on that argument, with a spotlight on mental health and culturally relevant service design. By addressing some of the barriers faced by refugees and asylum seekers in accessing mental healthcare, we can address inequalities and develop compassionate societies.
Keywords
Global Mental Health
Health Services
Cultural Diversity
Refugee Crisis
Europe
Subjects
  1. Fotaki M. A Crisis of Humanitarianism: Refugees at the Gates of Europe. Int J Health Policy Manag. 2019;8(6):321-324. doi:10.15171/ijhpm.2019.22
  2. Berry M, Garcia-Blanco I, Moore K. Press coverage of the refugee and migrant crisis in the EU: A content analysis of five European countries: Report prepared for the United Nations High Commission for Refugees. Cardiff School of Journalism, Media and Cultural Studies; 2015.
  3. Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. United Nations Human Rights Council; 2017.
  4. Porsdam Mann S, Bradley VJ, Sahakian BJ. Human Rights-Based Approaches to Mental Health: A Review of Programs. Health Hum Rights. 2016;18(1):263-276.
  5. Silove D, Ventevogel P, Rees S. The contemporary refugee crisis: an overview of mental health challenges. World Psychiatry. 2017;16(2):130-139. doi:10.1002/wps.20438
  6. Bhugra D, Gupta S, Schouler-Ocak M, et al. EPA guidance mental health care of migrants. Eur Psychiatry. 2014;29(2):107-115. doi:10.1016/j.eurpsy.2014.01.003
  7. Priebe S, Giacco D, El-Nagib R. Public health aspects of mental health among migrants and refugees: a review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Copenhagen: WHO Regional Office for Europe; 2016.
  8. Karam EG, Friedman MJ, Hill ED, et al. Cumulative traumas and risk thresholds: 12-month PTSD in the World Mental Health (WMH) surveys. Depress Anxiety. 2014;31(2):130-142. doi:10.1002/da.22169
  9. Laban CJ, Komproe IH, Gernaat HB, de Jong JT. The impact of a long asylum procedure on quality of life, disability and physical health in Iraqi asylum seekers in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2008;43(7):507-515. doi:10.1007/s00127-008-0333-1
  10. Hinton DE, Pich V, Hofmann SG, Otto MW. Acceptance and Mindfulness Techniques as Applied to Refugee and Ethnic Minority Populations With PTSD: Examples From "Culturally Adapted CBT". Cogn Behav Pract. 2013;20(1):33-46. doi:10.1016/j.cbpra.2011.09.001
  11. van Loenen T, van den Muijsenbergh M, Hofmeester M, et al. Primary care for refugees and newly arrived migrants in Europe: a qualitative study on health needs, barriers and wishes. Eur J Public Health. 2018;28(1):82-87. doi:10.1093/eurpub/ckx210
  12. Giacco D, Matanov A, Priebe S. Providing mental healthcare to immigrants: current challenges and new strategies. Curr Opin Psychiatry. 2014;27(4):282-288. doi:10.1097/yco.0000000000000065
  13. Abbara A, Coutts A, Fouad FM, Ismail SA, Orcutt M. Mental Health among displaced Syrians: findings from the Syria Public Health Network. J R Soc Med. 2016;109(3):88-90. doi:10.1177/0141076816629765
  14. Satinsky E, Fuhr DC, Woodward A, Sondorp E, Roberts B. Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review. Health Policy. 2019;123(9):851-863. doi:10.1016/j.healthpol.2019.02.007
  15. Migrant Integration Policy Index (MIPEX). Health Policies. MIPEX; 2015.
  16. Butler LD, Critelli FM, Rinfrette ES. Trauma-informed care and mental health. Directions in Psychiatry. 2011;31:197-210
  17. Jirovsky E, Hoffmann K, Mayrhuber EA, et al. Development and evaluation of a web-based capacity building course in the EUR-HUMAN project to support primary health care professionals in the provision of high-quality care for refugees and migrants. Glob Health Action. 2018;11(1):1547080. doi:10.1080/16549716.2018.1547080
  18. Hinton DE, Lewis-Fernandez R. Idioms of distress among trauma survivors: subtypes and clinical utility. Cult Med Psychiatry. 2010;34(2):209-218. doi:10.1007/s11013-010-9175-x
  19. Rohlof HG, Knipscheer JW, Kleber RJ. Somatization in refugees: a review. Soc Psychiatry Psychiatr Epidemiol. 2014;49(11):1793-1804. doi:10.1007/s00127-014-0877-1
  20. Kirmayer LJ, Rousseau C, Jarvis GE, Guzder J. The cultural context of clinical assessment. In: Tasman A, Kay J, Lieberman JA, First MB, Maj M, eds. Psychiatry. 3rd ed. New York, NY, US: John Wiley & Sons Ltd; 2008:54-66.
  21. Kousoulis AA, Ioakeim-Ioannidou M, Economopoulos KP. Refugee crisis in Greece: not a one-country job. Int J Public Health. 2017;62(1):1-2. doi:10.1007/s00038-016-0890-0
  22. Menon V, Rajan TM, Sarkar S. Psychotherapeutic Applications of Mobile Phone-based Technologies: A Systematic Review of Current Research and Trends. Indian J Psychol Med. 2017;39(1):4-11. doi:10.4103/0253-7176.198956
  23. Jankovic J, Vidakovic I, Matanov A, et al. Reasons for not receiving treatment in people with posttraumatic stress disorder following war. J Nerv Ment Dis. 2011;199(2):100-105. doi:10.1097/NMD.0b013e3182083db5
  24. Sijbrandij M, Acarturk C, Bird M, et al. Strengthening mental health care systems for Syrian refugees in Europe and the Middle East: integrating scalable psychological interventions in eight countries. Eur J Psychotraumatol. 2017;8(sup2):1388102. doi:10.1080/20008198.2017.1388102
International Journal of Health Policy and Management
Volume 8, Issue 12
December 2019
Pages 734-736

  • Received Date 15 July 2019
  • Revised Date 10 September 2019
  • Accepted Date 11 September 2019
  • First Published Date 01 December 2019
  • Published Date 01 December 2019