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Mental health, health care utilisation of migrants in Europe

Published online by Cambridge University Press:  16 April 2020

J. Lindert ,
M. Schouler-Ocak ,
A. Heinz  and
S. Priebe
J. Lindert*
Affiliation:
Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, London, UK
M. Schouler-Ocak
Affiliation:
Klinik für Psychiatrie und Psychotherapie, Charité Campus Mitte, Charité – Universitätsmedizin, Berlin, Germany
A. Heinz
Affiliation:
Klinik für Psychiatrie und Psychotherapie, Charité Campus Mitte, Charité – Universitätsmedizin, Berlin, Germany
S. Priebe
Affiliation:
Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, London, UK
*
*Corresponding author. E-mail: mail@jlindert.de (J. Lindert).
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Abstract

Background

Migration during the 1990s has been high and has been characterised by new migrations. Migration has been a key force in the demographic changes of the European population. Due to the different condition of migration in Europe, variables related to mental health of migrants are: motivation for migration, living conditions in the home and in the host country.

Aims

To give an overview on (i) prevalence of mental disorders; suicide; alcohol and drug abuse; (ii) access to mental health and psychosocial care facilities of migrants in the European region, and (iii) utilisation of health and psychosocial institution of these migrants.

Methods

Non-system review of the literature concerning mental health disorders of migrants and their access to and their consumption of health care and psychosocial services in Europe.

Results

It is impossible to consider “migrants” as a homogeneous group concerning the risk for mental illness. The literature showed (i) mental health differs between migrant groups, (ii) access to psychosocial care facilities is influenced by the legal frame of the host country; (iii) mental health and consumption of care facilities is shaped by migrants used patterns of help-seeking and by the legal frame of the host country.

Conclusion

Data on migrant's mental health is scarce. Longitudinal studies are needed to describe mental health adjusting for life conditions in Europe to identify those factors which imply an increased risk of psychiatric disorders and influence help seeking for psychosocial care. In many European countries migrants fall outside the existing health and social services, particularly asylum seekers and undocumented immigrants.

Keywords

MigrantsMental healthAccessPsychosocial services consumption
Type
Research Article
Information
European Psychiatry , Volume 23 , Issue S1: Transcultural psychiatry in Europe , January 2008 , pp. s114 - s20
Copyright
Copyright © European Psychiatric Association 2008

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References

Aranda, M.P., Knight, B.G.The influence of ethnicity and culture on the caregiver stress and coping process: A sociocultural review and analysis. The Gerontologist 1997; 37: 342–354CrossRefGoogle ScholarPubMed
Baarnhielm, S., Saers, K.Mental illness among immigrants and refugees. Are needs and available care adequate? Lakartidningen 1998; 95 (14): 1532–1534Google ScholarPubMed
Barry, D.T., Grilo, C.M.Cultural, psychological, and demographic correlates of willingness to use psychological services among East Asian Immigrants. Nerv Ment Dis 2002; 190 (1): 32–39CrossRefGoogle ScholarPubMed
Beauftragte der Bundesregierung für Ausländerfragen. Bericht über die Lage der Ausländer in der Bundesrepublik Deutschland. Berlin, Bonn; 2000.Google Scholar
Birck, A., Winter, D., Koch, F.Diagnostik psychischer Folgen. Richtlinien für die Untersuchung von traumatisierten Flüchtlingen und Folteropfer Bonn: Deutscher Psychologen Verlag, 2001p.39-53Google Scholar
Bollini, P., Siem, H.No real progress towards equity: Health of migrants and ethnic minorities on the eve of the year 2000. Soc Sci Med 1995; 41 (6): 819–828CrossRefGoogle ScholarPubMed
Bundesministerium für Arbeit und Soziales. Lebenslagen in Deutschland – Der erste Armuts- und Reichtumsbericht der Bundesregierung; 2001. http://www.bmas.bund.de/BMAS/Redaktion/Pdf/Publikationen/Armuts-und-Reichtumsbericht/lebenslagen-indeutschland-armutsbericht 1; 20.04.06.Google Scholar
Bundesministerium für Arbeit und Soziales. Der 2. Armuts - und Reichtumsbericht der Bundesregierung 2005, http://www.bmas.bund.de/BMAS/Redaktion/Pdf/Lebenslagen ;1.05.2006.Google Scholar
Burnus Bolton, L., Giger, J.N., Georges, C.A.Structural and racial barriers to health care. Annu Rev Nurs Res 2004; 22: 39–58CrossRefGoogle Scholar
Cantor-Graae, E., Selten, J.-P.Schizophrenia and migration: a meta-analysis and review. Am J Psychiatry 2005; 162: 12–24CrossRefGoogle ScholarPubMed
Cross T, Bazron BJ, Dennis KW, Isaacs MR. Towards a culturally competent system of care.Vol 1: Monograph on effective series for minority children who are severly emotionally disturbed. Washington(DC): CASSP Technical Assistance Center, Georgetown University Child Development Center;1989.Google Scholar
Czycholl, D.Migration, Suchtrisiken und Versorgungsdefizite am Beispiel von Aussiedlern in Deutschland. Salman, R., Tuna, S., Lessing, A.Handbuch interkulturelle Suchthilfe. Modelle, Konzepte und Ansätze der Prävention, Beratung und Therapi.e Gießen: Psychosozial-Verlag, 1999; 222–227Google Scholar
De Jong, J.T.V.M.Ambulatory mental health care for migrants in the Netherlands. Curare 1994; 17: 5–34Google Scholar
http://www.eds-destatis.de/20.07.2007.Google Scholar
Fossion, P., Servais, L., Rejas, M.C., Ledoux, Y., Pelc, I., Minner, P.Psychosis, migration and social environment: an age- and- gender controlled study. Eur Psychiatry 2002; 19: 338–343CrossRefGoogle Scholar
Garssen, M.J., Hoogenbroezem, J., Kerkhof, A.J.Suicide among migrant populations and native Dutch in The Netherlands. Ned Tijdschr Geneeskd 2006; 50 (39): 2143–2149Google Scholar
Grube, M.Evaluation of a special project for treating mentally ill Turkish migrants. Psychiatr Prax 2001; 28: 81–83CrossRefGoogle Scholar
Gruesser, S.M., Wolfling, K., Morsen, C.P., Albrecht, U., Heinz, A.Immigration-associated variables and substance dependence. J Stud Alcohol 2005; 66: 98–104CrossRefGoogle Scholar
Grüsser SM, Becker K. Drogenabhängigkeit und Migration innerhalb der Europäischen Union (EU). In: Gölz J, editor. Moderne Suchtmedizin; 5/1999:p.1-7.Google Scholar
Haasen, C., Lambert, M., Yagdiran, O., Krausz, M.Psychiatric disorders among migrants in Germany: prevalence in a psychiatric clinic and implications on services and research. Eur Psychiatry 1997; 12: 305–310CrossRefGoogle Scholar
Han, H.R., Kim, M., Lee, H.B., Pistulka, G., Kim, K.B.Correlates of depression in the Korean American elderly: focusing on personal resources of social support. J Cross Cult Gerontol 2007; 22 (1): 115–127CrossRefGoogle ScholarPubMed
Hernandez, D., Charney, E.From generation to generation: The health and well-being of children in immigrant families. Washington: National Academy Press: 1998Google Scholar
Hjern, A., Wicks, S., Dalman, C.Social adversity contributes to high morbidity in psychoses in immigrants - a national cohort study in two generations of Swedish residents. Psychol Med 2004; 34 (6): 1025–1033CrossRefGoogle ScholarPubMed
Hjern, A., Allebeck, P.Suicide in first-and second-generation immigrants in Sweden: a comparative study. Soc Psychiatry Psychiatry Epidemiol 2002; 37 (9): 423–439CrossRefGoogle ScholarPubMed
Hofmann, K.Migrant patients in forensic psychiatry. An epidemiolog survey from Baden – Wurttemberg. Nervenarzt 2006; 77 (1): 50–57Google Scholar
http://www.un.org/esa/population/publications/ReplMig,ED./Europe.pdf; 23-5.2007.Google Scholar
Karmi, G.Migration and Mental Health in the United Kingdom. Huismann, A., Weilandt, C., Geiger, A.Country Reports on Migration and Mental Health in Europe Bonn: Wissenschaftliches Institut der Ärzte Deutschlands e. V., 1997; 451–467Google Scholar
Kirkcaldy, B., Wittig, U., Furnham, A., Merbach, M., Siefen, R.G.Health and migration Psychosocial determinants. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2006; 49 (9): 873–883CrossRefGoogle ScholarPubMed
Kirmayer, L.J., Weinfeld, M., Burgos, G., du Fort, G.G., Lasry, J.C., Young, A.Use of health care services for psychological distress by immigrants in an urban multicultural milieu. Can J Psychiatry 2007; 52 (5): 295–304CrossRefGoogle Scholar
Kleinman, A.Major conceptual and research issues for cultural (anthropological) psychiatry. Cult Med Psychiatry 1980; 4 (1): 3–23CrossRefGoogle ScholarPubMed
Kleinemeier, E., Yagdiran, O., Censi, B., Haasen, C.Inanspruchnahmeeiner Spezialambulanz. psychoneuro 2004; 30 (11): 628–632CrossRefGoogle Scholar
Knudsen, H.K., Ducharme, L.J., Roman, P.M.Racial and ethnic disparities in SSRI availability in substance abuse treatment. Psychiatr Serv 2007; 58 (1): 55–62CrossRefGoogle ScholarPubMed
Schenk, L., Bau, A.M., Borde, T., Butler, J., Lampert, T., Neuhauser, H., et al.A basic set of indicators for mapping migrant status. Recommendations for epidemiological practice. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2006; 49 (9): 853–860CrossRefGoogle ScholarPubMed
Lay, B., Nordt, C., Rössler, W.Mental hospital admission rates of immigrants in Switzerland. Soc Psychiatry Psychiatr Epidemiol 2007; 42 (3): 229–236CrossRefGoogle ScholarPubMed
Lay, B., Lauber, C., Nordt, C., Rössler, W.Patterns of inpatient care for immigrants in Switzerland: a case control study. Soc Psychiatry Psychiatr Epidemiol 2006; 41 (3): 199–207CrossRefGoogle ScholarPubMed
Lay, B., Lauber, C., Rössler, W.Are immigrants at a disadvantage in psychiatric in-patient care? Acta Psychiatr Scand 2005; 111: 358–366CrossRefGoogle Scholar
Leidinger F. Klinikstatistiken. Landschaftsverband Rheinland. Werkstattgespräch Psychiatrische Versorgung von Migranten und Zuwanderern in Nordrhein-Westfalen. Dokumentation der Veranstaltung am 1. April 2003 im Ministerium für Gesundheit, Soziales, Frauen und Familie in Düsseldorf. Düsseldorf; 2004.Google Scholar
Lewis-Fernandez, R., Kleinman, A.Cultural psychiatry. Theoretical, clinical, and research. Psychatr Clin North Am 1995; 18 (3): 433–448CrossRefGoogle ScholarPubMed
Lin, K.M., Cheung, F.Mental Health Issues for Asian Americans. Psychiatric Services 1999; 50: 774–780CrossRefGoogle ScholarPubMed
Lin KM, Dohrenwend BP. Formulation of hypotheses about the ratio of untreated to treated cases in the true prevalence studies of functional psychiatric disorders in adults in the United States: Epidemiologic estimates. In: Dohrenwend BP, Dohrendwend BS, Gould MS, Link B, Neugebauer R, Wunsch-Hirzig R, editors New York; 1980; p.130–48.Google Scholar
Machleidt, W.Die 12 Sonnenberger Leitlinien. Nervenarzt 2006; 73: 1208–1209CrossRefGoogle Scholar
Machleidt, W., Calliess, I.T.Transkulturelle Psychiatrie und Migration – Psychische Erkrankungen aus ethnischer Sicht. Die Psychiatrie 2005; 2: 77–84Google Scholar
Mielck, A.(Hrsg.) Soziale Ungleichheit und Gesundheit. Empirische Ergebnisse. Erklärungsansätze Weinheim: Interventionsmöglichkeiten, 2000Google Scholar
Mikolajczyk, R.T., Bredehorst, M., Khelaifat, N., Maier, C., Maxwell, A.E.Correlates of depressive symptoms among Latino and Non-Latino White adolescents: findings from the 2003 California Health Interview Survey. BMC Public Health 2007; 21: 7–21Google Scholar
Miller, A.M., Sorotkin, O., Wang, E., Feetham, S., Choi, M., Wilbur, J.Acculturation, social alienation, and depressed mood in midlife women from the former Soviet Union. Res Nurs Health 2006; 29: 134–146CrossRefGoogle ScholarPubMed
Mullins, C.D., Blatt, L., Gbarayor, C.M., Yang, H.W., Baquet, C.Health disparities: a barrier to high-quality care. Am J Health Syst Pharm 2005; 62 (18): 1873–1882CrossRefGoogle ScholarPubMed
Ödegard, Ö.Emigration and insanity. A Study of mental disease among the Norwegian born population of Minnesota. Acta Psychiat 1932; 4: 1–206Google Scholar
Osterloh, K.Arbeit mit illegale Suchtmittel konsumierenden Migranten und Migrantinnen aus der GUS. Am Beispiel der Mudra Drogenhilfe Nürnberg. Barth, W., Schubert, C.Migration – Sucht – Hilfe. Junge Migranten und Migrantinnen aus der GUS in den Systemen Suchthilfe und Migrationsberatung Nürnberg: Emwe-Verlag, 2002; 43–58Google Scholar
Penka, S., Krieg, S., Hunner, Ch., Heinz, A.Different explanatory models for addictive behaviour in Turkish and German youths in Germany: significance for prevention and treatment. Nervenarzt 2003; 74 (7): 581–586CrossRefGoogle ScholarPubMed
Razum, O., Zeeb, H.Suicide mortality among Turks in Germany. Article in German. Nervenarzt 2004; 75 (11): 1092–1098CrossRefGoogle Scholar
Sluzki, C.Psychologische Phasen der Migration und ihrer Auswirkungen. Hegemann, T., Salman, R.Transkulturelle Psychiatrie. Konzepte für die Arbeit mit Menschen aus anderen Kulturen Bonn: Psychiatrie-Verlag, 2001; 101–115Google Scholar
Stronks, K., Ravelli, A.C., Reijneveld, S.A.Immigrants in the Netherlands: equal access for equal needs? J Epidemiol Community Health 2001; 55 (10): 701–707CrossRefGoogle ScholarPubMed
Takei, N., Persaud, R., Woodruff, P.First episodes of psychosis in Afro-Caribbean and White people An 18-year follow-up population-based study. Br J Psychiatry 1998; 172: 147–153CrossRefGoogle ScholarPubMed
Ten Have, M.L., Bijl, B.V.Inequalities in mental health care and social services utilisation by immigrant women. Euro J Public Health 1999; 9 (1): 45–51CrossRefGoogle Scholar
United Nations. International migration and development. Western Europe; 2007. http://www.un.org/migration/presskit/factsheet_w_europe.pdf; 2007/15-07-2007.Google Scholar
Veling, W., Selten, J.-P., Susser, E., Laan, W., Mackenbach, J.P., Hoek, H.W.Discrimination and the incidence of psychotic disorders among ethnic minorities in The Netherlands. Int J Epidemiol 2007; 36: 761–768CrossRefGoogle ScholarPubMed
Wittchen, H.U., Jacobi, F.Size and burden of mental disorders in Europe – a critical review and appraisal of 27 studies. Eur Neuropsychopharmacology 2005; 15 (4): 357–376CrossRefGoogle ScholarPubMed
Yeo, S.Language barriers and access to care. Annu Rev Nurs Res 2004; 22: 59–73Google ScholarPubMed
Yeung, A., Kung, W.W., Chung, H., Rubenstein, G., Roffi, P., Mischoulon, D., et al.Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans. Gen Hosp Psychiatry 2004; 26 (4): 256–260CrossRefGoogle ScholarPubMed
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