Cited by 539Migration, Health and TraumaMental Health Treatment and AccessMigration, Racism, and Human Rights

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Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review

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Satinsky, Emily, Fuhr, Daniela C., Woodward, Aniek, Sondorp, Egbert, Roberts, Bayard·2019·Health Policy

DOI 10.1016/j.healthpol.2019.02.007

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Abstract

BACKGROUND: Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries. METHODS: Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas' framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist. RESULTS: Twenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers. CONCLUSIONS: Refugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU.

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Authors: Satinsky, E., Fuhr, D. C., Woodward, A., Sondorp, E., & Roberts, B.
Affiliations: London School of Hygiene & Tropical Medicine (GB)
Royal Tropical Institute (NL)
Corresponding author: Satinsky, Emily
ORCID: Satinsky, Emily
Fuhr, Daniela C.
Woodward, Aniek
Sondorp, Egbert
Roberts, Bayard
Venue: Health Policy
Publisher: Elsevier BV
Published: 2019-09
Volume: 123
Issue: 9
Pages: 851-863
ISSN: 0168-8510 (ISSN-L)
DOI: 10.1016/j.healthpol.2019.02.007
OpenAlex: W2915103606
Cited by: 539
References: 54
Citations by year: 2026: 57 · 2025: 78 · 2024: 110 · 2023: 84 · 2022: 89 · 2021: 64 · 2020: 46 · 2019: 10
FWCI: 8.27
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: Health Policy (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Law › Migration, Racism, and Human Rights
Keywords: refugees, asylum seekers, access to mental health care, psychosocial support, barriers to care, help-seeking, mental health stigma, language barriers, clinician attitudes, European Union, migration and mental health
MeSH terms: Mental Disorders, Communication Barriers, Culture, European Union, Health Services Accessibility, Health Services Needs and Demand, Humans, Mental Health Services, Patient Acceptance of Health Care, Refugees, Emigrants and Immigrants

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Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review

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