Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework.

Dumke L, Wilker S, Hecker T, Neuner F (2024)
Clinical psychology review 113.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
This study undertakes a scoping review of reviews on barriers to accessing mental health care for refugees and asylum seekers in high-income countries. By assessing mental health care access using the Levesque's conceptual framework, we identify barriers along the patient care pathway and highlight research gaps. Following PRISMA-ScR guidelines, 10 relevant systematic and scoping reviews were identified and analyzed. Seven common barriers were identified, that could be located across different stages of the conceptual framework. Demand-side barriers included: (1) refugees' understanding of mental illness, (2) fear of stigma, (3) lack of awareness of services, (4) attitudes towards formal treatment; while supply-side barriers comprised: (5) language barriers, (6) practical and structural issues, and (7) providers' attitudes and competence. There was a focus on demand-side barriers as key determinants for low service use. We observed a paucity of quantitative studies linking barriers and indicators of access to care. In the context of well-established mental health care systems, previous research has largely explained low access through peculiarities of refugees and asylum seekers, thereby neglecting the role of supply-side factors (including system structures and attitudes of service providers). We discuss how future research can critically question prevailing assumptions and contribute to rigorous evidence. Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.
Stichworte
Mental health Access Barriers Refugee Levesque Conceptual framework
Erscheinungsjahr
2024
Zeitschriftentitel
Clinical psychology review
Band
113
ISSN
1873-7811
Page URI
https://pub.uni-bielefeld.de/record/2992353

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Dumke L, Wilker S, Hecker T, Neuner F. Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework. Clinical psychology review. 2024;113.
Dumke, L., Wilker, S., Hecker, T., & Neuner, F. (2024). Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework. Clinical psychology review, 113. https://doi.org/10.1016/j.cpr.2024.102491
Dumke, Lars, Wilker, Sarah, Hecker, Tobias, and Neuner, Frank. 2024. “Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework.”. Clinical psychology review 113.
Dumke, L., Wilker, S., Hecker, T., and Neuner, F. (2024). Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework. Clinical psychology review 113.
Dumke, L., et al., 2024. Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework. Clinical psychology review, 113.
L. Dumke, et al., “Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework.”, Clinical psychology review, vol. 113, 2024.
Dumke, L., Wilker, S., Hecker, T., Neuner, F.: Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework. Clinical psychology review. 113, (2024).
Dumke, Lars, Wilker, Sarah, Hecker, Tobias, and Neuner, Frank. “Barriers to accessing mental health care for refugees and asylum seekers in high-income countries: A scoping review of reviews mapping demand and supply-side factors onto a conceptual framework.”. Clinical psychology review 113 (2024).
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2024-09-11T08:58:53Z
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