Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services
•There is a strong need for language support in mental health services.•Migrants, refugees and healthcare professionals are not aware of language support options.•Systemic, interpersonal, and intrapersonal factors affect uptake of language support options.•Improving language support and cultural com...
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Veröffentlicht in: | Health policy (Amsterdam) 2024-01, Vol.139, p.104949-104949, Article 104949 |
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creator | Krystallidou, Demi Temizöz, Özlem Wang, Fang de Looper, Melanie Di Maria, Emilio Gattiglia, Nora Giani, Stefano Hieke, Graham Morganti, Wanda Pace, Cecilia Serena Schouten, Barbara Braun, Sabine |
description | •There is a strong need for language support in mental health services.•Migrants, refugees and healthcare professionals are not aware of language support options.•Systemic, interpersonal, and intrapersonal factors affect uptake of language support options.•Improving language support and cultural competency in mental health services is essential.•Seeking, providing and accessing mental health services is a complex system.
Migrants and refugees may not access mental health services due to linguistic and cultural discordance between them and health and social care professionals (HSCPs). The aim of this review is to identify the communication needs and barriers experienced by third-country nationals (TCNs), their carers, and HSCPs, as well as the strategies they use and their preferences when accessing/providing mental health services and language barriers are present.
We undertook a rapid systematic review of the literature (01/01/2011 – 09/03/2022) on seeking and/or providing mental health services in linguistically discordant settings. Quality appraisal was performed, data was extracted, and evidence was reviewed and synthesised qualitatively.
58/5,650 papers met the inclusion criteria. Both TCNs (and their carers) and HSCPs experience difficulties when seeking or providing mental health services and language barriers are present. TCNs and HSCPs prefer linguistically and culturally concordant provision of mental health services but professional interpreters are often required. However, their use is not always preferred, nor is it without problems.
Language barriers impede TCNs’ access to mental health services. Improving language support options and cultural competency in mental health services is crucial to ensure that individuals from diverse linguistic and cultural backgrounds can access and/or provide high-quality mental health services. |
doi_str_mv | 10.1016/j.healthpol.2023.104949 |
format | Article |
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Migrants and refugees may not access mental health services due to linguistic and cultural discordance between them and health and social care professionals (HSCPs). The aim of this review is to identify the communication needs and barriers experienced by third-country nationals (TCNs), their carers, and HSCPs, as well as the strategies they use and their preferences when accessing/providing mental health services and language barriers are present.
We undertook a rapid systematic review of the literature (01/01/2011 – 09/03/2022) on seeking and/or providing mental health services in linguistically discordant settings. Quality appraisal was performed, data was extracted, and evidence was reviewed and synthesised qualitatively.
58/5,650 papers met the inclusion criteria. Both TCNs (and their carers) and HSCPs experience difficulties when seeking or providing mental health services and language barriers are present. TCNs and HSCPs prefer linguistically and culturally concordant provision of mental health services but professional interpreters are often required. However, their use is not always preferred, nor is it without problems.
Language barriers impede TCNs’ access to mental health services. Improving language support options and cultural competency in mental health services is crucial to ensure that individuals from diverse linguistic and cultural backgrounds can access and/or provide high-quality mental health services.</description><identifier>ISSN: 0168-8510</identifier><identifier>EISSN: 1872-6054</identifier><identifier>DOI: 10.1016/j.healthpol.2023.104949</identifier><identifier>PMID: 38071855</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Communication ; Interpreting ; Language barriers ; Mental healthcare ; Migrants ; Refugees</subject><ispartof>Health policy (Amsterdam), 2024-01, Vol.139, p.104949-104949, Article 104949</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-9802c3417ab9a7688a4b7b1c03bb502a44aab41876d2fc89733e0d580b7fb8e53</citedby><cites>FETCH-LOGICAL-c420t-9802c3417ab9a7688a4b7b1c03bb502a44aab41876d2fc89733e0d580b7fb8e53</cites><orcidid>0000-0002-7595-009X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.healthpol.2023.104949$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38071855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krystallidou, Demi</creatorcontrib><creatorcontrib>Temizöz, Özlem</creatorcontrib><creatorcontrib>Wang, Fang</creatorcontrib><creatorcontrib>de Looper, Melanie</creatorcontrib><creatorcontrib>Di Maria, Emilio</creatorcontrib><creatorcontrib>Gattiglia, Nora</creatorcontrib><creatorcontrib>Giani, Stefano</creatorcontrib><creatorcontrib>Hieke, Graham</creatorcontrib><creatorcontrib>Morganti, Wanda</creatorcontrib><creatorcontrib>Pace, Cecilia Serena</creatorcontrib><creatorcontrib>Schouten, Barbara</creatorcontrib><creatorcontrib>Braun, Sabine</creatorcontrib><title>Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services</title><title>Health policy (Amsterdam)</title><addtitle>Health Policy</addtitle><description>•There is a strong need for language support in mental health services.•Migrants, refugees and healthcare professionals are not aware of language support options.•Systemic, interpersonal, and intrapersonal factors affect uptake of language support options.•Improving language support and cultural competency in mental health services is essential.•Seeking, providing and accessing mental health services is a complex system.
Migrants and refugees may not access mental health services due to linguistic and cultural discordance between them and health and social care professionals (HSCPs). The aim of this review is to identify the communication needs and barriers experienced by third-country nationals (TCNs), their carers, and HSCPs, as well as the strategies they use and their preferences when accessing/providing mental health services and language barriers are present.
We undertook a rapid systematic review of the literature (01/01/2011 – 09/03/2022) on seeking and/or providing mental health services in linguistically discordant settings. Quality appraisal was performed, data was extracted, and evidence was reviewed and synthesised qualitatively.
58/5,650 papers met the inclusion criteria. Both TCNs (and their carers) and HSCPs experience difficulties when seeking or providing mental health services and language barriers are present. TCNs and HSCPs prefer linguistically and culturally concordant provision of mental health services but professional interpreters are often required. However, their use is not always preferred, nor is it without problems.
Language barriers impede TCNs’ access to mental health services. Improving language support options and cultural competency in mental health services is crucial to ensure that individuals from diverse linguistic and cultural backgrounds can access and/or provide high-quality mental health services.</description><subject>Communication</subject><subject>Interpreting</subject><subject>Language barriers</subject><subject>Mental healthcare</subject><subject>Migrants</subject><subject>Refugees</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFUctu1DAUtRAVHQq_AF6yIFPbcRKb3WgEFKkSG1hbftzMeEicwXam6i_1K_GQthIrVpZ9z-P6HITeU7KmhLbXh_Ue9JD3x2lYM8Lq8solly_QioqOVS1p-Eu0KkhRiYaSS_Q6pQMhpKvr9hW6rAXpqGiaFXrYTuM4B2919lPAPuAI_bwDwDo4PPpd1CHjEULWA148rY7wCW9wuk8ZxsKzOOqjd4V58nCHi0zeAw4ALn3ERsfoIaa_eilHnWHnIeGpxwng19PkGKeTd-dbGfxjV2Dx5C2kN-ii10OCt4_nFfr55fOP7U11-_3rt-3mtrKckVxJQZitOe20kbprhdDcdIZaUhvTEKY519rwElPrWG-FLJEAcY0gpuuNgKa-Qh8W3bLT7xlSVqNPFoZBB5jmpJgkTDaSMVmg3QK1cUqpJKeO0Y863itK1LkodVDPRalzUWopqjDfPZrMZgT3zHtqpgA2CwDKV0uuUSXrIVhwPoLNyk3-vyZ_AI_nrFM</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Krystallidou, Demi</creator><creator>Temizöz, Özlem</creator><creator>Wang, Fang</creator><creator>de Looper, Melanie</creator><creator>Di Maria, Emilio</creator><creator>Gattiglia, Nora</creator><creator>Giani, Stefano</creator><creator>Hieke, Graham</creator><creator>Morganti, Wanda</creator><creator>Pace, Cecilia Serena</creator><creator>Schouten, Barbara</creator><creator>Braun, Sabine</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7595-009X</orcidid></search><sort><creationdate>202401</creationdate><title>Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services</title><author>Krystallidou, Demi ; Temizöz, Özlem ; Wang, Fang ; de Looper, Melanie ; Di Maria, Emilio ; Gattiglia, Nora ; Giani, Stefano ; Hieke, Graham ; Morganti, Wanda ; Pace, Cecilia Serena ; Schouten, Barbara ; Braun, Sabine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-9802c3417ab9a7688a4b7b1c03bb502a44aab41876d2fc89733e0d580b7fb8e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Communication</topic><topic>Interpreting</topic><topic>Language barriers</topic><topic>Mental healthcare</topic><topic>Migrants</topic><topic>Refugees</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krystallidou, Demi</creatorcontrib><creatorcontrib>Temizöz, Özlem</creatorcontrib><creatorcontrib>Wang, Fang</creatorcontrib><creatorcontrib>de Looper, Melanie</creatorcontrib><creatorcontrib>Di Maria, Emilio</creatorcontrib><creatorcontrib>Gattiglia, Nora</creatorcontrib><creatorcontrib>Giani, Stefano</creatorcontrib><creatorcontrib>Hieke, Graham</creatorcontrib><creatorcontrib>Morganti, Wanda</creatorcontrib><creatorcontrib>Pace, Cecilia Serena</creatorcontrib><creatorcontrib>Schouten, Barbara</creatorcontrib><creatorcontrib>Braun, Sabine</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Health policy (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krystallidou, Demi</au><au>Temizöz, Özlem</au><au>Wang, Fang</au><au>de Looper, Melanie</au><au>Di Maria, Emilio</au><au>Gattiglia, Nora</au><au>Giani, Stefano</au><au>Hieke, Graham</au><au>Morganti, Wanda</au><au>Pace, Cecilia Serena</au><au>Schouten, Barbara</au><au>Braun, Sabine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services</atitle><jtitle>Health policy (Amsterdam)</jtitle><addtitle>Health Policy</addtitle><date>2024-01</date><risdate>2024</risdate><volume>139</volume><spage>104949</spage><epage>104949</epage><pages>104949-104949</pages><artnum>104949</artnum><issn>0168-8510</issn><eissn>1872-6054</eissn><abstract>•There is a strong need for language support in mental health services.•Migrants, refugees and healthcare professionals are not aware of language support options.•Systemic, interpersonal, and intrapersonal factors affect uptake of language support options.•Improving language support and cultural competency in mental health services is essential.•Seeking, providing and accessing mental health services is a complex system.
Migrants and refugees may not access mental health services due to linguistic and cultural discordance between them and health and social care professionals (HSCPs). The aim of this review is to identify the communication needs and barriers experienced by third-country nationals (TCNs), their carers, and HSCPs, as well as the strategies they use and their preferences when accessing/providing mental health services and language barriers are present.
We undertook a rapid systematic review of the literature (01/01/2011 – 09/03/2022) on seeking and/or providing mental health services in linguistically discordant settings. Quality appraisal was performed, data was extracted, and evidence was reviewed and synthesised qualitatively.
58/5,650 papers met the inclusion criteria. Both TCNs (and their carers) and HSCPs experience difficulties when seeking or providing mental health services and language barriers are present. TCNs and HSCPs prefer linguistically and culturally concordant provision of mental health services but professional interpreters are often required. However, their use is not always preferred, nor is it without problems.
Language barriers impede TCNs’ access to mental health services. Improving language support options and cultural competency in mental health services is crucial to ensure that individuals from diverse linguistic and cultural backgrounds can access and/or provide high-quality mental health services.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>38071855</pmid><doi>10.1016/j.healthpol.2023.104949</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7595-009X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Communication Interpreting Language barriers Mental healthcare Migrants Refugees |
title | Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services |
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