Advertisement

Psychosomatic Basic Care in the Context of International Migration

  • Anne-Maria MüllerEmail author
Chapter

Abstract

Refugees and migrants show elevated rates of mental health problems, not least due to traumatic experiences before and during their migration, and further aggravating secondary stressors associated with settlement and acculturation in the host country. Recognition and treatment of migrants’ and refugees’ mental health problems in the primary care setting is faced with challenges and barriers. The path to mental health care is, amongst others, impeded by language barriers, stigmatization, lack of knowledge on the health-care system of the new country of residence, differing illness and help-seeking behaviour and the host country’s restrictive legislations. In order to enhance the quality of care for migrants and refugees, structural barriers need to be addressed by enhancing knowledge, providing adequate translation services and building links to community support networks.

Keywords

Migration Refugee Mental health Primary care Stressors 

Literature

  1. Coid JW, Kirkbride JB, Barker D, Cowden F, Stamps R, Yang M, Jones PB. Raised incidence rates of all psychoses among migrant groups: findings from the East London first episode psychosis study. Arch Gen Psychiatry. 2008;65(11):1250–8.CrossRefGoogle Scholar
  2. Crosby SS. Primary care management of non-English-speaking refugees who have experienced trauma: a clinical review. JAMA. 2013;310(5):519–28.CrossRefGoogle Scholar
  3. Hyde R. Refugees need health cards, say German doctors. Lancet. 2016;388:646–48.CrossRefGoogle Scholar
  4. IOM. World migration report 2018. 2018. http://publications.iom.int/system/files/pdf/wmr_2018_en.pdf Accessed 20 Apr 2019.
  5. Joshi C, Russell G, Cheng IH, Kay M, Pottie K, Alston M, Smith M, Chan B, Vasi S, Lo W, Wahidi SS, Harris MF. A narrative synthesis of the impact of primary health care delivery models for refugees in resettlement countries on access, quality and coordination. Int J Equity Health. 2013;12:88.CrossRefGoogle Scholar
  6. Kirmayer LJ. Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. J Clin Psychiatry. 2001;62(Suppl 13):22–8; discussion 29–30.PubMedGoogle Scholar
  7. Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, Hassan G, Rousseau C, Pottie K. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183(12):e959–67.CrossRefGoogle Scholar
  8. Lange B, Bockley A, Braun C, Janda A, Stete K, Müller A, Rieg S. Medizinische Herausforderungen der Gesundheitsversorgung in der Erstaufnahme für Geflüchtete am Beispiel des Aufbaus eines integrierten Versorgungsmodells in der Erstaufnahme in Freiburg. Zeitschrift für Medizinische Ethik. 2018;64:51–64.Google Scholar
  9. Mishori R, Aleinikoff S, Davis D. Primary care for refugees: challenges and opportunities. Am Fam Physician. 2017;96(2):122–0.Google Scholar
  10. Rousseau C, Frounfelker R. Mental health needs and services for migrants: an overview for primary care providers. J Travel Med (International Society of Travel Medicine). 2018;26:1–23.Google Scholar
  11. Shultz JM, Garfin DR, Espinel Z, Araya R, Oquendo MA, Wainberg ML, Chaskel R, Gaviria SL, Ordóñez AE, Espinola M, Wilson FE, Muñoz García N, Gómez Ceballos AM, Garcia-Barcena Y, Verdeli H, Neria Y. Internally displaced “victims of armed conflict” in Colombia: the trajectory and trauma signature of forced migration. Curr Psychiatry Rep. 2016;16(10):475.CrossRefGoogle Scholar
  12. Sleptsova M, Hofer G, Marcel E, Grossman P, Morina N, Schick M, Daly ML, Weber I, Kocagöncü O, Langewitz WA. What do interpreters understand as their role in a medical consultation and how do they carry it out in reality? Psychother Psychosom Med Psychol. 2015;65(9–10):363–9.PubMedGoogle Scholar
  13. Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537–49.CrossRefGoogle Scholar
  14. Suphanchaimat R, Kantamaturapoj K, Putthasri W, Prakongsai P. Challenges in the provision of healthcare services for migrants: a systematic review through providers’ lens. BMC Health Serv Res. 2015;17(15):390.CrossRefGoogle Scholar
  15. Teunissen E, Van Bavel E, Van Den Driessen Mareeuw F, Macfarlane A, Van Weel-Baumgarten E, Van Den Muijsenbergh M, Van Weel C. Mental health problems of undocumented migrants in the Netherlands: a qualitative exploration of recognition, recording, and treatment by general practitioners. Scand J Prim Health Care. 2015;33(2):82–90.CrossRefGoogle Scholar
  16. Turrini G, Purgato M, Acarturk C, Anttila M, Au T, Ballette F, Bird M, Carswell K, Churchill R, Cuijpers P, Hall J, Hansen LJ, Kösters M, Lantta T, Nosè M, Ostuzzi G, Sijbrandij M, Tedeschi F, Valimaki M, Wancata J, White R, van Ommeren M, Barbui C. Efficacy and acceptability of psychosocial interventions in asylum seekers and refugees: systematic review and meta-analysis. Epidemiol Psychiatr Sci. 2019;11:1–13.Google Scholar
  17. United Nations High Commissioner for Refugees. 2018. https://www.unhcr.org/figures-at-a-glance.html. Accessed: May 23 2019.
  18. Van Melle MA, Lamkaddem M, Stuiver MM, Gerritsen AA, Devillé WL, Essink-Bot ML. Quality of primary care for resettled refugees in the Netherlands with chronic mental and physical health problems: a cross-sectional analysis of medical records and interview data. BMC Fam Pract. 2014;15:160.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Center for Mental Health, Department of Psychosomatic Medicine and PsychotherapyMedical Center – University of Freiburg, Faculty of MedicineFreiburg im BreisgauGermany

Personalised recommendations