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Ermansons G, Kienzler H, Asif Z, Schofield P. Refugee mental health and the role of place in the Global North countries: A scoping review. Health Place 2023; 79:102964. [PMID: 36628805 DOI: 10.1016/j.healthplace.2023.102964] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 12/16/2022] [Accepted: 12/22/2022] [Indexed: 01/09/2023]
Abstract
Post-migration factors significantly influence refugee mental health. This scoping review looks at the role of place in refugee mental health. We included 34 studies in Global North high-income countries that elaborated on the place characteristics of facilities, neighbourhoods, urban and rural areas, and countries. While the role of place remains under-theorised, all studies reveal common characteristics that support a strong relationship between place of residence, refugee mental health and wellbeing outcomes in post-migration context. Given that refugees often have little or no choice of where they ultimately live, we suggest future research should focus on how characteristics of place co-constitute post-migration refugee mental health risks, protections, and outcomes.
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Affiliation(s)
- Guntars Ermansons
- Department of Global Health & Social Medicine, School of Global Affairs, King's College London, 40 Aldwych, Bush House (NE), London, WC2B 4BG, UK.
| | - Hanna Kienzler
- Department of Global Health & Social Medicine, School of Global Affairs, King's College London, 40 Aldwych, Bush House (NE), London, WC2B 4BG, UK.
| | - Zara Asif
- Department of Global Health & Social Medicine, School of Global Affairs, King's College London, 40 Aldwych, Bush House (NE), London, WC2B 4BG, UK.
| | - Peter Schofield
- Department of Population Health Sciences, School of Life Course & Population Sciences, King's College London, 3rd Floor, Addison House, Guy's Campus, London, SE1 1UL, UK.
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Kaufmann C, Zehetmair C, Jahn R, Marungu R, Cranz A, Kindermann D, Friederich HC, Bozorgmehr K, Nikendei C. Maternal mental healthcare needs of refugee women in a State Registration and Reception Centre in Germany: A descriptive study. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:1608-1617. [PMID: 34250665 DOI: 10.1111/hsc.13508] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 04/28/2021] [Accepted: 06/14/2021] [Indexed: 06/13/2023]
Abstract
Pregnant refugees and new mothers are at high risk of developing mental health problems. Previous research has highlighted an increase in adverse pre-, peri- and postpartum outcomes in refugee women and their newborns. This descriptive study aimed to present the characteristics and needs of refugee women who attended a psychosocial walk-in clinic addressing pregnant refugees' and new mothers' maternity mental healthcare needs in a state registration and reception centre in Germany. We assessed all patients that consulted the clinic and received interventions during the first 28 weeks after it opened, collecting information on symptoms, diagnoses, attitudes towards and experience of pregnancy, birth, obstetric care and applied psychosocial interventions during consultations. Between November 2017 and May 2018, N = 120 pregnant refugees and new mothers attended the clinic. Most patients were diagnosed with post-traumatic stress-, adjustment- or depressive disorder. While 69.6% of the women reported physical and mental health problems during pregnancy, 87.4% experienced obstetric complications. Trauma-informed and psychoeducational interventions were primarily used during counselling sessions. Our data underpin the glaring disparities in refugee maternal healthcare in Germany. Maternal care designed to meet the specific needs of pregnant refugees and mothers is essential. More targeted, evidence-based and cost-effective interventions are needed. Our psychosocial walk-in clinic is a first step towards ensuring primary care delivery for refugee women during the particularly vulnerable period of pregnancy and early motherhood.
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Affiliation(s)
- Claudia Kaufmann
- Center for Psychosocial Medicine, Department for General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, Heidelberg, Germany
| | - Catharina Zehetmair
- Center for Psychosocial Medicine, Department for General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, Heidelberg, Germany
| | - Rosa Jahn
- Department for General Medicine and Health Services Research, University Hospital of Heidelberg, Heidelberg, Germany
| | - Rosi Marungu
- Department for General Medicine and Health Services Research, University Hospital of Heidelberg, Heidelberg, Germany
| | - Anna Cranz
- Center for Psychosocial Medicine, Department for General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, Heidelberg, Germany
| | - David Kindermann
- Center for Psychosocial Medicine, Department for General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, Heidelberg, Germany
| | - Hans-Christoph Friederich
- Center for Psychosocial Medicine, Department for General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, Heidelberg, Germany
| | - Kayvan Bozorgmehr
- Department for General Medicine and Health Services Research, University Hospital of Heidelberg, Heidelberg, Germany
- Department for Population Medicine and Health Services Research, School of Public Health, Bielefeld University, Germany
| | - Christoph Nikendei
- Center for Psychosocial Medicine, Department for General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, Heidelberg, Germany
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