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Mental Health in Times of Increasing Flight and Migration - A German Perspective

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Health in Diversity – Diversity in Health
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Abstract

The chapter gives a brief introduction to the mental health care situation of refugees in Germany, presenting recent developments and discourses exemplary of one research and care delivery facility in Berlin. The impact of living conditions and access barriers on the mental health situation are presented and the main challenges regarding treatment and service structures are discussed.

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References

  • Adorjan, K., Kluge, U., Heinz, A., Stamm, T., Odenwald, M., Dohrmann, K., Mokhtari-Nejad, R., Hasan, A., Schulze, TG., Falkai, P., Pogarell, O. (2017). Versorgungsmodelle für traumatisierte Flüchtlinge in Deutschland. Nervenarzt. https://doi.org/10.1007/s00115-017-0364-5

    Article  Google Scholar 

  • Crumlish, N., & O’Rourke, K. (2010). A Systematic Review of Treatments for Post-Traumatic Stress Disorder among Refugees and Asylum-Seekers. The Journal of Nervous and Mental Disease, 198, (4, 237–251). https://doi.org/10.1097/nmd.0b013e3181d61258

    Article  Google Scholar 

  • Bundesamt für Migration und Flüchtlinge (2015) Migrationsbericht des Bundesamtes für Migration und Flüchtlinge im Auftrag der Bundesregierung. https://www.bamf.de/SharedDocs/Anlagen/DE/Publikationen/Migrationsberichte/migrationsbericht-2015.pdf;jsessionid=38AA4E19FB25B6193889987CACC2385E.1_cid286?__blob=publicationFile (last access: 20.10.2019)

  • Bundesamt für Migration und Flüchtlinge (2017) Migrationsbericht der Bundesregierung Migrationsbericht 2016/2017. http://www.bamf.de/SharedDocs/Anlagen/DE/Publikationen/Migrationsberichte/migrationsbericht-2016-2017.pdf?__blob=publicationFile (last access: 20.10.2019)

  • Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of Serious Mental Disorder in 7000 Refugees Resettled in Western Countries: A Systematic Review. The Lancet, 365, (9467, 1309–1314). https://doi.org/10.1016/s0140-6736(05)61027-6

    Article  Google Scholar 

  • First, M. B., Reed, G. M., Hyman, S. E., & Saxena, S. (2015). The Development of the ICD-11 Clinical Descriptions and Diagnostic Guidelines for Mental and Behavioural Disorders. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 14, (1, 82–90). https://doi.org/10.1002/wps.20189

    Article  Google Scholar 

  • Heeren, M., Wittmann, L., Ehlert, U., Schnyder, U., Maier, T., & Müller, J. (2014). Psychopathology and Resident Status - Comparing Asylum Seekers, Refugees, Illegal Migrants, Labor Migrants, and Residents. Comprehensive Psychiatry, 55, (4, 818–825). https://doi.org/10.1016/j.comppsych.2014.02.003

    Article  Google Scholar 

  • Hollander, A.-C., Dal, H., Lewis, G., Magnusson, C., Kirkbride, J. B., & Dalman, C. (2016). Refugee Migration and Risk of Schizophrenia and Other Non-Affective Psychoses: Cohort Study of 1.3 Million People in Sweden. BMJ (Clinical research ed.), 352, (i1030). https://doi.org/10.1136/bmj.i1030

  • Kluge, U., Bogic, M., Devillé, W., Greacen, T., Dauvrin, M., Dias, S., Gaddini, A., Jensen, N K., Ioannidi- Kapolou, E., Mertaniemi, R., Puipcinós i Riera, R., Sandhu, S., Sarvary, A., Soares, J J F., Stankunas, M., Straßmayr, C., Welbel, M., Heinz, A., Priebe, S. (2012). Health Services and the Treatment of Immigrants: Data on Service Use, Interpreting Services and Immigrant Staff Members in Services Across Europe. European Psychiatry 27:S56-S62.

    Article  Google Scholar 

  • Kluge, U. (2016). Behandlung psychisch belasteter und traumatisierter Asylsuchender und Flüchtlinge - Das Spannungsverhältnis zwischen therapeutischem und politischem Alltag. Nervenheilkunde 35 (6):385-390.

    Article  Google Scholar 

  • Kluge, U., Romero, B., Hodzic, S. (2017). Psychotherapeutische und psychiatrische Versorgung geflüchteter Menschen mit Sprach- und Kulturmittlern. Swiss Archives of Neurology, Psychiatry and Psychotherapy, 168(5):133–139.

    Google Scholar 

  • Kimmerle, H. (2002). Interkulturelle Philosophie zur Einführung. Hamburg , Junius- Verlag

    Google Scholar 

  • Lesley, J., & Varvin, S. (2016). ‘Janet vs Freud’ on traumatization: A critique of the theory of structural dissociation from an object relations perspective. British Journal of Psychotherapy, 32(4), 436–455.

    Google Scholar 

  • Mehran, N., Abi Jumaa, J., Valensise, L., von Bach, E., Hertner, L., Strasser, J., Kluge, U. (2019). Zur Beziehungsgestaltung zwischen geflüchteten Frauen und weiblichen Freiwilligen / Exploring the Relationship between Refugee Women and Female Volunteers. Fortschritte Neurologie-Psychiatrie. (accepted)

    Google Scholar 

  • Momartin, S., Silove, D., Manicavasagar, V., & Steel, Z. (2004). Comorbidity of PTSD and Depression: Associations with Trauma Exposure, Symptom Severity and Functional Impairment in Bosnian Refugees Resettled in Australia. Journal of Affective Disorders, 80, (2-3, 231–238). https://doi.org/10.1016/s0165-0327(03)00131-9

    Article  Google Scholar 

  • Nygaard, M., Sonne, C., & Carlsson, J. (2017). Secondary Psychotic Features in Refugees Diagnosed with Post-Traumatic Stress Disorder: A Retrospective Cohort Study. BMC psychiatry, 17, (1, 5). https://doi.org/10.1186/s12888-016-1166-1

  • Silove, D., Ventevogel, P., & Rees, S. (2017). The Contemporary Refugee Crisis: An Overview of Mental Health Challenges. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 16, (2, 130–139). https://doi.org/10.1002/wps.20438

    Article  Google Scholar 

  • Tay, A. K., Rees, S., Chen, J., Kareth, M., & Silove, D. (2015). The Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder amongst West Papuan Refugees. BMC psychiatry, 15, (111). https://doi.org/10.1186/s12888-015-0480-3

  • Thöle, AM., Penka, S., Aichberger, MC., Heinz, A., Kluge, U. (2017). Die (Flüchtlings-) Krise im psychotherapeutischen Behandlungszimmer. Psychother Psych Med 2018; 68(01): 30-37

    Google Scholar 

  • UNHCR: The UN Refugee Agency (UN, Ed.). (2018). Global Trends. Forced Displacement in 2017. https://www.unhcr.org/globaltrends2017/. Accessed: 13 October 2019.

  • UNO Flüchtlingshilfe. (2018). Zahlen & Fakten zu Menschen auf der Flucht. https://www.uno-fluechtlingshilfe.de/fluechtlinge/zahlen-fakten/. Accessed: 13 October 2019.

  • Varvin, S. (2018). “Flucht und Exil: die Aufgabe der Psychoanalyse in einem entmenschlichenden Kontext”. Lecture at the conference „Psychoanalytische und gruppenanalytische Behandlungsaspekte in der Arbeit mit Menschen mit Flucht- und Migrationserfahrung“. October 2018 in Berlin. http://wp.belongingandcontaining.de/wp-content/uploads/2018/10/Sverre-Varvin-Flucht-und-Exil-Übersetzung.pdf. (last access: 20.10.2019).

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Correspondence to Ulrike Kluge .

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Kluge, U. (2020). Mental Health in Times of Increasing Flight and Migration - A German Perspective. In: Crepaz, K., Becker, U., Wacker, E. (eds) Health in Diversity – Diversity in Health. Springer VS, Wiesbaden. https://doi.org/10.1007/978-3-658-29177-8_2

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