The Family-School-Primary Care Triangle and the Access to Mental Health Care Among Migrant and Ethnic Minorities
Abstract
Understanding the concepts of mental health and help seeking behaviours of migrant and ethnic minority families constitutes an important step toward improving the intercultural competence of health and education professionals. This paper addresses these goals among ethnic and migrant minorities in Portugal. For this a multi-informant approach was selected. The study involved nine focus groups (N = 39) conducted with different samples: young immigrants (12-17 years), immigrant parents, teachers and health professionals. The results showed similarities and differences in concepts of mental health, as well as help seeking processes. Stigma continued to be recognized as a barrier in the access to mental health care. The paper argues that providing adequate training on mental health on cultural diversity competencies to health and education professionals can contribute to a better inter-communication and -relation system in the family-school-primary care triangle and thus facilitate access to mental health care for youth.
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The majority of barrier/facilitator studies were cross sectional (n=36), thirteen were qualitative, and six used a mixed-method design.
“The majority of the studies were cross sectional (n = 36) [26–61], thirteen studies were qualitative [62–74] and six used a mixed-method design [75–80].”
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“The ‘stigma’ associated with mental health problems or attending mental health services was reported as a barrier in studies from different countries and cultures, including 11 (46%) qualitative studies [45, 54, 55, 57, 58, 60, 61, 63, 69, 71, 75], and among at least 10% of participants in six (25%) quantitative studi…”
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- Authors
- Gonçalves, M., & Moleiro, C.
- Affiliations
- Iscte – Instituto Universitário de Lisboa (PT)
- Corresponding author
- Gonçalves, Marta
- Venue
- Journal of Immigrant and Minority Health
- Published
- 2011-09-27
- Volume
- 14
- Issue
- 4
- Pages
- 682-690
- ISSN
- 1557-1912 (ISSN-L)
- 1557-1920
- OpenAlex
- W1980997493
- Cited by
- 25
- References
- 38
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 3 · 2021: 2 · 2020: 4 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Immigrant and Minority Health (publishedVersion)
- PubMed (publishedVersion)
- Repositório do ISCTE-IUL (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- migrant youth, ethnic minorities, mental health, help-seeking, access to mental health care, mental health stigma, intercultural competence, cultural diversity training, immigrant parents, teachers, healthcare workers, Portugal
- MeSH terms
- Workforce, Adolescent, Adult, Aged, Child, Faculty, Female, Health Personnel, Humans, Male, Mental Health, Middle Aged, Minority Groups, Mothers, Patient Acceptance of Health Care, Portugal, Primary Health Care, Transients and Migrants, Focus Groups, Qualitative Research, Cultural Competency, Social Stigma
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