title: 'This doctor, I not trust him, I'm not safe': the perceptions of mental health and services by unaccompanied refugee adolescents.
abstract: BACKGROUND
  Unaccompanied refugee adolescents are a small but clinically significant group. This group is vulnerable with physical and psychiatric needs which are often not met. There are several barriers to providing care for this group, originating with the refugees but also due to service provision.
  
  
  OBJECTIVE
  The aim of this research is to appreciate the views and perceptions that unaccompanied minors hold about mental health and services.
  
  
  METHODS
  Fifteen unaccompanied adolescents engaged with mental health services were interviewed, and thematic analysis was employed to explore relevant issues.
  
  
  CONCLUSIONS
  Their views reflected a range of opinions on mental health and the treatments they received, but many held negative attitudes toward mental health and had a lack of trust in services. This could be explained by their descriptions of their experiences within their home country of psychiatric care, their experiences of being a refugee/asylum-seeker or cultural differences.
  
  
  CONCLUSIONS
  We argue it is important to engage this group in the development of policy and practice in child mental health, and in developing services.
authors.affiliation: School of Medicine, Biological Sciences and Psychology, The Greenwood Institute, University of Leicester, Leicester, UK.
authors.forename: Pallab
authors.initials: P
authors.lastname: Majumder
authors.affiliation: School of Medicine, Biological Sciences and Psychology, The Greenwood Institute, University of Leicester, Leicester, UK mjo14@le.ac.uk.
authors.forename: Michelle
authors.initials: M
authors.lastname: O'Reilly
authors.affiliation: School of Medicine, Biological Sciences and Psychology, The Greenwood Institute, University of Leicester, Leicester, UK.
authors.forename: Khalid
authors.initials: K
authors.lastname: Karim
authors.affiliation: School of Medicine, Biological Sciences and Psychology, The Greenwood Institute, University of Leicester, Leicester, UK.
authors.forename: Panos
authors.initials: P
authors.lastname: Vostanis
mesh_terms: D000293:Adolescent; D001294:Attitude to Health / Q000208:ethnology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008603:Mental Health / Q000208:ethnology*; D008605:Mental Health Services; D010342:Patient Acceptance of Health Care; D010465:Perception; D010817:Physician-Patient Relations; D012036:Refugees / Q000523:psychology*; D057545:Social Stigma; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis; D016896:Treatment Outcome; D035502:Trust; D035862:Vulnerable Populations / Q000523:psychology*
keywords: Refugee adolescents; mental health; perceptions; qualitative; stigma