{"corpus_id":73505389,"paper_sha":"9017ebf9be364ed6ec23481035e0d45cb0b78a1c","doi":"10.1016/j.healthpol.2019.02.007","arxiv_id":null,"pmid":30850148,"pmcid":null,"mag_id":2915103606,"dblp_id":null,"acl_id":null,"title":"Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review.","year":2019,"publication_date":"2019-09-01","venue":"Health Policy","journal":{"name":"Health policy","pages":null,"volume":null},"journal_issn":null,"journal_title":null,"publication_types":["JournalArticle","Review"],"pubmed_pub_types":["Journal Article","Systematic Review"],"s2_fields_of_study":["Medicine","Sociology","Psychology"],"reference_count":57,"citation_count":387,"influential_citation_count":13,"is_open_access":false,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":[{"d":"Communication Barriers","mj":false,"ui":"D003144"},{"d":"Culture","mj":false,"ui":"D003469"},{"d":"Emigrants and Immigrants","mj":false,"qs":[{"q":"psychology","mj":false,"ui":"Q000523"},{"q":"statistics & numerical data","mj":true,"ui":"Q000706"}],"ui":"D054242"},{"d":"European Union","mj":false,"ui":"D005062"},{"d":"Health Services Accessibility","mj":false,"qs":[{"q":"statistics & numerical data","mj":true,"ui":"Q000706"}],"ui":"D006297"},{"d":"Health Services Needs and Demand","mj":false,"qs":[{"q":"statistics & numerical data","mj":false,"ui":"Q000706"}],"ui":"D006301"},{"d":"Mental Disorders","mj":false,"ui":"D001523"},{"d":"Mental Health Services","mj":false,"qs":[{"q":"statistics & numerical data","mj":true,"ui":"Q000706"}],"ui":"D008605"},{"d":"Patient Acceptance of Health Care","mj":false,"ui":"D010342"},{"d":"Refugees","mj":false,"qs":[{"q":"psychology","mj":false,"ui":"Q000523"},{"q":"statistics & numerical data","mj":true,"ui":"Q000706"}],"ui":"D012036"}],"chemicals":null,"comments_corrections":null,"source_flags":5,"s2_open_access_pdf_url":null,"s2_open_access_landing_url":null,"s2_open_access_license":null,"s2_open_access_status":null,"pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"BACKGROUND\nRefugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries.\n\n\nMETHODS\nFour peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Access was categorised according to Penchansky and Thomas' framework and descriptive analyses were conducted. Quality of studies was assessed by the Newcastle-Ottawa scale and the Critical Appraisal Skills Programme checklist.\n\n\nRESULTS\nTwenty-seven articles were included. The findings suggest inadequate MHPSS utilisation. Major barriers to accessing care included language, help-seeking behaviours, lack of awareness, stigma, and negative attitudes towards and by providers.\n\n\nCONCLUSIONS\nRefugees and asylum seekers have high mental health needs but under-utilise services in European host countries. This underutilisation may be explained by cultural-specific barriers which need to be tackled to increase treatment demand. Training health providers on cultural models of mental illness may facilitate appropriate identification, referral, and care. Based on these findings, it is crucial to review policies regarding MHPSS provision across the EU.","claims":[{"public_id":"cl_97b4fd4787a1276fc226066897b575d6","status":"active","text":"Cultural-specific barriers may explain the underutilisation of mental health and psychosocial support services.","confidence":0.89,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_97b4fd4787a1276fc226066897b575d6"},{"public_id":"cl_d03447e6bab3e82c3335a3ddbdcddc6c","status":"active","text":"Evidence suggests inadequate mental health and psychosocial support service utilisation among refugees and asylum seekers in European host countries.","confidence":0.96,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous 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