Mental health, health care utilisation of migrants in Europe

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.

[1]  Bundesministerium für Arbeit und Soziales,et al.  Lebenslagen in Deutschland - Der 2. Armuts- und Reichtumsbericht der Bundesregierung , 2001 .

[2]  A. Hjern,et al.  Social adversity contributes to high morbidity in psychoses in immigrants – a national cohort study in two generations of Swedish residents , 2004, Psychological Medicine.

[3]  M. Have,et al.  Inequalities in mental health care and social services utilisation by immigrant women , 1999 .

[4]  M. Lambert,et al.  Psychiatric disorders among migrants in Germany: prevalence in a psychiatric clinic and implications for services and research , 1997, European Psychiatry.

[5]  A. Heinz,et al.  [Different explanatory models for addictive behavior in Turkish and German youths in Germany: significance for prevention and treatment]. , 2003, Der Nervenarzt.

[6]  Declan T. Barry,et al.  CULTURAL, PSYCHOLOGICAL, AND DEMOGRAPHIC CORRELATES OF WILLINGNESS TO USE PSYCHOLOGICAL SERVICES AMONG EAST ASIAN IMMIGRANTS , 2002, The Journal of nervous and mental disease.

[7]  L. Kirmayer,et al.  Use of Health Care Services for Psychological Distress by Immigrants in an Urban Multicultural Milieu , 2007, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[8]  Gordon H. Hanson.  International migration and development , 2020, World Population Policies 2019.

[9]  H Siem,et al.  No real progress towards equity: health of migrants and ethnic minorities on the eve of the year 2000. , 1995, Social science & medicine.

[10]  W. Rössler,et al.  Mental hospital admission rates of immigrants in Switzerland , 2007, Social Psychiatry and Psychiatric Epidemiology.

[11]  E. Wang,et al.  Acculturation, social alienation, and depressed mood in midlife women from the former Soviet Union. , 2006, Research in nursing & health.

[12]  H. Neuhauser,et al.  [A basic set of indicators for mapping migrant status. Recommendations for epidemiological practice]. , 2006, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz.

[13]  A. Kerkhof,et al.  [Suicide among migrant populations and native Dutch in The Netherlands]. , 2006, Nederlandsch tijdschrift voor geneeskunde.

[14]  L. Servais,et al.  Psychosis, migration and social environment: an age-and-gender controlled study , 2004, European Psychiatry.

[15]  A. Kleinman.  Major conceptual and research issues for cultural (anthropological) psychiatry. , 1980, Culture, medicine and psychiatry.

[16]  E. Cantor-Graae,et al.  Schizophrenia and migration: a meta-analysis and review. , 2005, The American journal of psychiatry.

[17]  A. Heinz,et al.  Unterschiedliche Erklärungsmodelle für abhängiges Verhalten bei türkischen und deutschen Jugendlichen , 2003, Der Nervenarzt.

[18]  R. María,et al.  From generation to generation: The health and well-being of children on immigrant families , 1999 .

[19]  Hochang B. Lee,et al.  Correlates of Depression in the Korean American Elderly: Focusing on Personal Resources of Social Support , 2007, Journal of cross-cultural gerontology.

[20]  J. Jong.  Ambulatory mental health care for migrants in the Netherlands , 1994 .

[21]  R. Murray,et al.  First episodes of psychosis in Afro-Caribbean and White people , 1998, British Journal of Psychiatry.

[22]  K. M. Lin,et al.  Mental health issues for Asian Americans. , 1999, Psychiatric services.

[23]  R. Salman,et al.  Handbuch Interkulturelle Suchthilfe : Modelle, Konzepte und Ansätze der Prävention, Beratung und Therapie , 1999 .

[24]  W. Machleidt.  [12 Sonnenberg Guidelines for psychiatric-psychotherapeutic management of migrans in Germany]. , 2002, Der Nervenarzt.

[25]  M. Fava,et al.  Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans. , 2004, General hospital psychiatry.

[26]  A. Furnham,et al.  [Health and migration. Psychosocial determinants]. , 2006, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz.

[27]  H. Zeeb,et al.  [Suicide mortality among Turks in Germany]. , 2004, Der Nervenarzt.

[28]  H. Wittchen,et al.  Size and burden of mental disorders in Europe—a critical review and appraisal of 27 studies , 2005, European Neuropsychopharmacology.

[29]  K. Stronks,et al.  UvA-DARE ( Digital Academic Repository ) Immigrants in the Netherlands : equal access for equal needs ? , 2001 .

[30]  S. Bäärnhielm,et al.  [Mental illness among immigrants and refugees. Are needs and available care adequate?]. , 1998, Lakartidningen.

[31]  P. Allebeck,et al.  Suicide in first- and second-generation immigrants in Sweden A comparative study , 2002, Social Psychiatry and Psychiatric Epidemiology.

[32]  R. Lewis‐Fernández,et al.  Cultural Psychiatry: Theoretical, Clinical, and Research Issues , 1995 .

[33]  S. Yeo.  Language barriers and access to care. , 2004, Annual review of nursing research.

[34]  R. Mikolajczyk,et al.  Correlates of depressive symptoms among Latino and Non-Latino White adolescents: Findings from the 2003 California Health Interview Survey , 2007, BMC public health.

[35]  W. Machleidt,et al.  Transkulturelle Psychiatrie und Migration – Psychische Erkrankungen aus ethnischer Sicht , 2005 .

[36]  E. Susser,et al.  Discrimination and the incidence of psychotic disorders among ethnic minorities in The Netherlands. , 2007, International journal of epidemiology.

[37]  L. Bolton,et al.  Structural and Racial Barriers to Health Care , 2004, Annual Review of Nursing Research.

[38]  C. Mullins,et al.  Health disparities: a barrier to high-quality care. , 2005, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[39]  W. Rössler,et al.  Patterns of inpatient care for immigrants in Switzerland , 2006, Social Psychiatry and Psychiatric Epidemiology.

[40]  M. Merbach,et al.  Migration und Gesundheit , 2006, Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz.

[41]  M. Grube.  Evaluation eines Verbundprojekts zur Behandlung psychisch erkrankter türkischer Migranten , 2001 .

[42]  I. Forgacs,et al.  Health and Migration , 2001 .

[43]  B. Knight,et al.  The influence of ethnicity and culture on the caregiver stress and coping process: a sociocultural review and analysis. , 1997, The Gerontologist.

[44]  D. J. Hernandez,et al.  From Generation to Generation: The Health and Well-Being of Children in Immigrant Families. , 2000 .

[45]  H. Neuhauser,et al.  Mindestindikatorensatz zur Erfassung des Migrationsstatus , 2006, Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz.

[46]  W. Rössler,et al.  Are immigrants at a disadvantage in psychiatric in‐patient care? , 2005, Acta psychiatrica Scandinavica.

[47]  A. Heinz,et al.  Immigration-associated variables and substance dependence. , 2005, Journal of studies on alcohol.

[48]  Örnulv Ödegaard.  EMIGRATION AND INSANITY , 1933 .

[49]  O. Razum,et al.  Suizidsterblichkeit unter Türkinnen und Türken in Deutschland , 2004, Der Nervenarzt.