In or out? Barriers and facilitators to refugee-background young people accessing mental health services
Open accessAbstract
Refugee young people have been identified as a group with high risk for mental health problems, due to their experience of trauma, forced migration, and stressors associated with settlement. A high prevalence of mental health problems is reported in this group, however some research suggests refugee young people have low rates of mental health service access. There is little information available on barriers and facilitators to mental service delivery for this group. Using data from 15 focus groups and five key informant interviews with a total of 115 service providers from 12 agencies in Melbourne, Australia, this paper explores barriers and facilitators to engaging young people from refugee backgrounds with mental health services. Eight key themes emerged: cultural concepts of mental health, illness, and treatment; service accessibility; trust; working with interpreters; engaging family and community; the style and approach of mental health providers; advocacy; and continuity of care.
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Refugees from non-Western countries may have a different conceptualization of mental illness and its treatment.
“refugees from non-Western countries may have a different conceptualization of mental illness and its treatment [22]”
From A brief transdiagnostic psychological intervention for Afghan asylum seekers and refugees in Austria: A randomized controlled trial (2020) · cites this paper as [22]
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References 47 · Cited by 188
Research works printed but not linked: 1
- Minas, H. (2001). Service responses to cultural diversity. In G. Thornicroft & G. Szmukler (Eds.), Community Psychiatry. Oxford: Oxford University Press.
- Authors
- Colucci, E., Minas, H., Szwarc, J., Guerra, C., & Paxton, G.
- Affiliations
- The University of Melbourne (AU)
- Victorian Foundation for Survivors of Torture, Melbourne
- Centre for Multicultural Youth, Melbourne
- Royal Children's Hospital (AU)
- Corresponding author
- Colucci, Erminia
- Venue
- Transcultural Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-03-02
- Volume
- 52
- Issue
- 6
- Pages
- 766-790
- ISSN
- 1363-4615 (ISSN-L)
- 1461-7471
- OpenAlex
- W2118211762
- Cited by
- 188
- References
- 47
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 31 · 2023: 16 · 2022: 21 · 2021: 20 · 2020: 26 · 2019: 14 · 2018: 14 · 2017: 13 · 2016: 3 · 2015: 2
- FWCI
- 13.15
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Transcultural Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Middlesex University Research Repository (Middlesex University Of London) (acceptedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Funders
- Sidney Myer Fund
- 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 › Migration, Identity, and Health
- Keywords
- refugee youth, access to mental health care, barriers and facilitators, service providers, access to services, trust, interpreters, family and community involvement, continuity of care, advocacy, trauma, forced migration, Melbourne
- MeSH terms
- Adolescent, Attitude to Health, Australia, Cultural Characteristics, Female, Health Services Accessibility, Humans, Interviews as Topic, Male, Mental Health Services, Professional-Patient Relations, Refugees, Focus Groups, Qualitative Research, Young Adult
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