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A Haentjes-Bögers

A Wiesner

Aart H Schene

AE Stanciole

Aleksandra Matanov

AM Torres-Cantero

Andrea Gaddini

B Padilla

C Pope

Christa Straßmayr

Council of Europe

Council of Europe: Recommendation Rec

D Biswas

D Moussaouri

D Silverman

DL Morgan

Edina Gabor

European Migration Network

European Parliament

F Düvell

FRA – European Union Agency for Fundamental Rights

H Castañeda

H Waller

H Wolff

Heinz Katschnig

Henrique Barros

HF Hsieh

HUMA network

I Holzer

J Lindert

Joaquim JF Soares

José Manuel Díaz-Olalla

M Dauvrin

M Huber

M Ruiz-Casares

MA Schoevers

Marta Welbel

MG Carta

MQ Patton

Médecins Du Monde - European Observatory on Access to Healthcare

NK Jensen

Pablo Nicaise

Petra Holcnerová

PICUM – Platform for International Cooperation on Undocumented Migrants

R Romero-Ortũo

R Tribe

Reamonn Canavan

S Priebe

Stefan Priebe

T Hilbert

Tim Greacen

U Karl-Trummer

Ulrike Kluge

UNCHR

W Devillé

English

PubMed

Background: Irregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice. Methods: Data from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis. Results: Experts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation. Conclusions: Even in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resources.peer-reviewe

Straßmayr, Christa

Matanov, Aleksandra

Priebe, Stefan

Barros, Henrique

Canavan, Reamonn

Díaz-Olalla, José Manuel

Gabor, Edina

Gaddini, Andrea

Greacen, Tim

Holcnerová, Petra

Kluge, Ulrike

Welbel, Marta

Nicaise, Pablo

Schene, Aart H

Soares, Joaquim JF

Katschnig, Heinz

University of Galway Research Repository

BMC Public Health

Mental health care for irregular migrants in europe: barriers and how they are overcome

BACKGROUND:Irregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice.
METHODS:Data from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis.RESULTS:Experts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation.
CONCLUSIONS:Even in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resources

Strassmayr, Christa

Diaz-Olalla, Jose

Holcnerova, Petra

Schene, Aart

Soares, Joaquim

DIAL UCLouvain

Mental health care for irregular migrants in Europe: Barriers and how they are overcome

Background Irregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice. Methods Data from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis. Results Experts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation. Conclusions Even in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resources

Strassmayr, C

Matanov, A

Priebe, S

Barros, H

Canavan, R

Díaz-Olalla, J.M

Gabor, E

Gaddini, A

Greacen, T

Holcnerová, P

Kluge, U

Welbel, M

Nicaise, P

Schene, AH

Soares, Joaquim J. F.

Katschnig, H

Digitala Vetenskapliga Arkivet - Academic Archive On-line

Mental health care for irregular migrants in Europe : Barriers and how they are overcome

Background: Irregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice. Methods: Data from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis. Results: Experts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation. Conclusions: Even in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resource

Schene, Aart H.

NARCIS 

Abstract
          
            Background
            Irregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice.
          
          
            Methods
            Data from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis.
          
          
            Results
            Experts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation.
          
          
            Conclusions
            Even in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resources.
          </jats:sec

Crossref

BackgroundIrregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice.MethodsData from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis.ResultsExperts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation.ConclusionsEven in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resources.</p

Strassmayr, C,

Matanov, A,

Priebe, S,

Barros, H,

Canavan, R,

Díaz-Olalla, J.M,

Gabor, E,

Gaddini, A,

Greacen, T,

Holcnerová, P,

Kluge, U,

Welbel, M,

Nicaise, P,

Schene, AH,

Soares, Joaquim J. F.,

Katschnig, H,

Swepub

Mental health care for irregular migrants in Europe [Elektronisk resurs] : Barriers and how they are overcome

Manuel Diaz-Olalla, J

Holcnerova, P

Soares, JJF

Queen Mary Research Online

Access to health care for illegal immigrants in the EU: should we be concerned?

Access to Health Care for Migrants. Vienna: Ethnic Minorities and Asylum Seekers in Europe;

Access to health care for undocumented migrants in the EU: A first landscape of NowHereland. Eurohealth

Access to healthcare and alternative health-seeking strategies among undocumented migrants in Denmark. BMC Public Health

Book of Solidarity 1. In Who else if not us?” Ethics in Immigration and Social Work with undocumented Migrants. Edited by PICUM. Antwerp: De Wrikke;

Council of Europe: Bratislava Declaration on health, human rights and migration.

Council of Europe: Recommendation Rec: 18 of the Committee of Ministers to member states on health services in a multicultural society.

EUGATE group: Good practice in health care for migrants: views and experiences of care professionals in 16 European countries. BMC Public Health

European Parliament: European Parliament resolution of 8

European Union Agency for Fundamental Rights: Migrants in an irregular situation: access to healthcare in 10 European Union Member States.

Gesundheit hat Bleiberecht.

Gesundheit hat Bleiberecht. In Das Ambulatorium Caritas Marienambulanz und seine Spezialambulanzen. Edited by Rásky É. Vienna: Facultas;

Gesundheitsprobleme und Gesundheitsversorgung von Menschen in der aufenthaltsrechtlichen Illegalität: Deutschland und Italien im Vergleich. Gesundheitswesen

Gesundheitsversorgung von papierlosen Menschen in Bremen. Ergebnisse einer Umfrage bei Arztpraxen im Land Bremen.

Health and Migration in the European Union: Better Health for All in an Inclusive Society. In Health and Migration in the European Union: Good Practices. Edited by Fernandes A,

Health care for immigrants in Europe: is there still consensus among country experts about principles of good practice?A Delphi study. BMC Public Health

Health care provision for illegal migrants: may health policy make a difference?

Health care utilisation and problems in accessing health care of female Straßmayr et al.

Healthcare for irregular migrants: pragmatism across Europe. A qualitative study.

HUMA network: Access to health care for undocumented migrants and asylum seekers in 10 EU Countries. Paris: Law and Practice;

Iglicka K: Clandestino - Undocumented Migration: Countingthe Uncountable. Data and Trends Across Europe. Report on methodological issues., [http://clandestino.eliamep.gr/wp- content/

Illegality as risk factor: A survey of unauthorized migrant patients in a Berlin clinic.

Interpreting Qualitative Data: Methods for Analysing Talk, Text and Interaction. 2nd edition.

Irion O: Undocumented migrants lack access to pregnancy care and prevention. BMC Public Health

Krasnik A: Providing Medical Care for Undocumented Migrants in Denmark: What Are the Challenges for Health Professionals? BMC Health Services Research

McCabe R for the EUGATE study group: Migration and Health in the European Union. In Good practice in emergency care: views from practitioners. Firstth edition. Edited by Rechel

Mental health, health care utilisation of migrants in Europe. European Psychiatry

Migration and Mental Health. In Migrants and mental health: working across culture and languages. Edited by Bhugra D, Gupta S. Cambridge:

Migration and Mental Health. In Risk and protective factors in mental health among migrants. Edited by Bhugra D, Gupta S. Cambridge:

Monde - European Observatory on Access to Healthcare: Access to healthcare for undocumented migrants in 11 European countries.:

Network: Illegally Resident Third Country Nationals in EU member States. Geneva: state approaches towards them, their profile and social situation;

Platform for International Cooperation on Undocumented Migrants: PICUM’s Main Concerns about the Fundamental Rights of Undocumented Migrants in Europe.

Platform for International Cooperation on Undocumented Migrants: Undocumented Migrants’ Health Needs and Strategies to Access Health Care in 17 EU Countries. Summary report in the framework of the project Healthcare in NowHereland.

Practice in Health Services for Immigrants

Qualitative content analysis: a guide to paths not taken. Qualitative Health Research

Qualitative Research and Evaluation Methods. 3rd edition. Thousand Oaks,

Qualitative research in health care. In Analysing qualitative data. 3 rdth edition. Edited by Pope C, Mays N.:

Quality in and Equality of Access to Health Care Services.

Research Note produced for the European Commission as part of the Health and Living Conditions Network of the European Observatory on the Social Situation and Demography.

Right and access to healthcare for undocumented children. Addressing the gap between international conventions and disparate implementations

Sieveking K: Handbuch Transkulturelle Psychiatrie. In Gesundheitliche Versorgung von Menschen “ohne Papiere”. Edited by Hegemann

the “Report on the Mental Health in Europe” working group: Migration and mental health in Europe (the state of the mental health in Europe working group: appendix I) Review. Clinical Practice and Epidemiology in Mental Health

Three Approaches to Qualitative Content Analysis. Qualitative Health Research

UNCHR: The Right to Health. Factsheet No. 31.: OHCHR-WHO;

Undocumented Migrants In Germany And Britain: The Human “Rights” And “Wrongs” Regarding Access To health Care.: ; [http://www.sociology.org/ content/2004/tier2/scott.html].

Academic Archive On-line (Mid Sweden University, Sweden)

Mental health care for irregular migrants in Europe: Barriers and how they are overcome

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