What are the barriers to access to mental healthcare and the primary needs of asylum seekers? A survey of mental health caregivers and primary care workers.
BACKGROUND
We aimed to assess the opinion of primary care workers, social workers, translators and mental health caregivers who work with asylum seekers about the latter's unmet needs and barriers to access to mental healthcare.


METHODS
We used a Likert scale to assess the opinion of 135 primary care workers (general practitioners, nurses, social workers and translators) and mental health caregivers about the proportion of asylum seekers with psychiatric disorders, their priority needs and their main barriers to mental health services.


RESULTS
Insufficient access to adequate financial resources, poor housing and security conditions, access to employment, professional training and legal aid were considered as priority needs, as were access to dental and mental healthcare. The main barriers to access to mental healthcare for asylum seekers included a negative representation of psychiatry, fear of being stigmatized by their own community and poor information about existing psychiatric services.


CONCLUSIONS
We found a good correlation between the needs reported by healthcare providers and those expressed by the asylum-seeking population in different studies. We discuss the need for greater mobility and accessibility to psychiatric services among this population.
CAPPI Servette, Department of Mental Health and Psychiatry, Geneva University Hospitals, 91 rue de Lyon, CH-1203, Genève, Switzerland. Javier.Bartolomei@hcuge.ch.
Javier
J
Bartolomei
CAPPI Servette, Department of Mental Health and Psychiatry, Geneva University Hospitals, 91 rue de Lyon, CH-1203, Genève, Switzerland.
Rachel
R
Baeriswyl-Cottin
CAPPI Servette, Department of Mental Health and Psychiatry, Geneva University Hospitals, 91 rue de Lyon, CH-1203, Genève, Switzerland.
David
D
Framorando
CAPPI Servette, Department of Mental Health and Psychiatry, Geneva University Hospitals, 91 rue de Lyon, CH-1203, Genève, Switzerland.
Filip
F
Kasina
CAPPI Servette, Department of Mental Health and Psychiatry, Geneva University Hospitals, 91 rue de Lyon, CH-1203, Genève, Switzerland.
Natacha
N
Premand
Department of Mental Health and Psychiatry, Geneva University Hospitals, 2 Ch du Petit Bel-Air, CH-1225, Chêne-Bourg, Switzerland.
Ariel
A
Eytan
Department of Mental Health and Psychiatry, Substance Abuse Unit, Geneva University Hospitals, Genève, Switzerland.
Yasser
Y
Khazaal
Asylum seekers; Barriers to access to mental health services; Priority needs
Can Child Adolesc Psychiatr Rev. 2005 Aug;14(3):73-6
19030510
Swiss Med Wkly. 2010 Nov 19;140:w13110
21104473
BMC Public Health. 2011 Sep 13;11:699
21914194
Transcult Psychiatry. 2009 Dec;46(4):623-41
20028680
Pan Afr Med J. 2013 Apr 24;14:159
23785564
BMJ. 2001 Mar 3;322(7285):544-7
11230074
Soz Praventivmed. 1998;43(1):18-28
9544467
Health Place. 2005 Sep;11(3):261-73
15774332
Am J Psychiatry. 1987 Dec;144(12):1567-72
3688280
Perspect Psychiatr Care. 2011 Jan;47(1):48-55
21418072
Med J Aust. 2006 Oct 2;185(7):357-61
17014402
J Nerv Ment Dis. 2006 Dec;194(12):925-34
17164631
Acta Psychiatr Scand. 2005 May;111(5):351-7
15819728
JAMA. 2005 Aug 3;294(5):602-12
16077055
Rev Med Suisse. 2013 Sep 18;9(398):1664, 1666-8
24164015
J Nerv Ment Dis. 2000 Jul;188(7):416-21
10919699
Health Educ Res. 2015 Aug;30(4):591-8
26187910
Transcult Psychiatry. 2008 Mar;45(1):105-20
18344254
Lancet. 2005 Apr 9-15;365(9467):1309-14
15823380
Public Health. 2006 Sep;120(9):809-16
16876836
Psychol Med. 2001 Jul;31(5):815-25
11459379
Soc Psychiatry Psychiatr Epidemiol. 2013 Jan;48(1):105-16
22714866
Soc Psychiatry Psychiatr Epidemiol. 2006 Jan;41(1):18-26
16341619
Behav Med. 2015 Dec 11;:1-13
26651367
Soc Psychiatry Psychiatr Epidemiol. 2006 Oct;41(10):789-95
16900305
Soc Psychiatry Psychiatr Epidemiol. 2006 Mar;41(3):199-207
16424971
Br J Psychiatry. 2012 Mar;200(3):216-23
22282430
Soc Sci Med. 2001 Jun;52(11):1709-18
11327142