Book contents
- Seeking Asylum and Mental Health
- Seeking Asylum and Mental Health
- Copyright page
- Contents
- The Authors
- Foreword
- Acknowledgements
- Glossary
- Introduction
- 1 Why do people seek asylum? The global context
- 2 Seeking asylum in the United Kingdom
- 3 Seeking asylum and mental health
- 4 Access to mental health care
- 5 Assessing mental health needs
- 6 Interpreting assessment findings
- 7 Formulation and diagnosis
- 8 Common diagnoses
- 9 Intervention: the essentials
- 10 Specific interventions
- 11 Children, families, and young people
- 12 Records and reports
- 13 Improving mental health services
- 14 Therapeutic complexity
- 15 Working with people seeking asylum
- Some resources
- Index
- References
13 - Improving mental health services
Published online by Cambridge University Press: 26 August 2022
Book contents
- Seeking Asylum and Mental Health
- Seeking Asylum and Mental Health
- Copyright page
- Contents
- The Authors
- Foreword
- Acknowledgements
- Glossary
- Introduction
- 1 Why do people seek asylum? The global context
- 2 Seeking asylum in the United Kingdom
- 3 Seeking asylum and mental health
- 4 Access to mental health care
- 5 Assessing mental health needs
- 6 Interpreting assessment findings
- 7 Formulation and diagnosis
- 8 Common diagnoses
- 9 Intervention: the essentials
- 10 Specific interventions
- 11 Children, families, and young people
- 12 Records and reports
- 13 Improving mental health services
- 14 Therapeutic complexity
- 15 Working with people seeking asylum
- Some resources
- Index
- References
Summary
It is likely that those planning, managing or commissioning mental health services will be able to create changes that make them more effective for people seeking asylum. There are some recurrent themes in publications about what changes are needed. However, priorities are different in different situations and from different perspectives.One approach to choosing how to use limited resources is to consider what guiding principles are most important.We consider the implications of adopting each of six principles: anti-racist and anti-discriminatory practice;‘first do no harm’; a human rights approach; evidence-based care; using public health principles; working with organisational values. An alternative approach to deciding on what actions to prioritise is to identify specific goals.We discuss what might be done towards the following nine goals: involving people seeking asylum; improving interpreting; removing barriers to access; using training, supervision and support to enable staff to provide good care; working with community groups and other agencies; working to guidelines, standards or checklists; creating alternative services; prevention; making a difference quickly.
Keywords
- Type
- Chapter
- Information
- Seeking Asylum and Mental HealthA Practical Guide for Professionals, pp. 253 - 274Publisher: Cambridge University PressPrint publication year: 2022
References
Aked, H. (2020) False positives: The Prevent counter-extremism policy in healthcare. London: Medact.Google Scholar
Atto, N., Hirst, C., and Hall, V. (2020). Integration: Policies, Practices and Experiences. United Kingdom Country Report. RESPOND D5.3. http://uu.diva-portal.org/smash/get/diva2:1454151/FULLTEXT01.pdfGoogle Scholar
Bhugra, D., et al. (2014). European Psychiatric Association Guidance: Mental health care of migrants. European Psychiatry, 29(2): 107–15.Google Scholar
Bradby, H., Humphris, R., Newall, D., and Phillimore, J. (2015). Public health aspects of migrant health: A review of the evidence on health status for refugees and asylum seekers in the European Region. Health Evidence Network Synthesis Report 44. World Health Organisation.Google Scholar
British Psychological Society (2018). Guidelines for psychologists working with refugees and asylum seekers in the UK: Extended version. British Psychological Society. www.bps.org.uk/sites/www.bps.org.uk/files/Policy/Policy%20-%20Files/Guidelines%20for%20Psychologists%20Working%20With%20Refugees%20and%20Asylum%20Seekers%20in%20the%20UK%20-%20Extended%20%28Update%20Nov%202018%29.pdfGoogle Scholar
Cénat, J. (2020). How to provide antiracist care. Lancet Psychiatry. Published online. https://doi.org/10.1016/S2215-0366(20)30309-6CrossRefGoogle Scholar
Centre for Addiction and Mental Health, Dalla Lana School of Public Health, University of Toronto, Toronto Public Health (2012). Best Practice Guidelines for mental health promotion programs: Refugees. www.porticonetwork.ca/documents/81358/128451/Refugees/3974e176-69a8-4a5f-843b-a40d0a56299c.Google Scholar
City of Sanctuary UK. (2021). Guidance for welcoming a person with lived experience to speak. City of Sanctuary website: https://schools.cityofsanctuary.org/wp-content/uploads/sites/159/2021/09/Guidance-for-Welcoming-a-Person-with-Lived-Experience-to-Speak.pdf.Google Scholar
Coho, C., Parra, S. R., Hussein, L., and Laffy, C. (2019). Female genital trauma: Guidelines for working therapeutically with survivors of female genital mutilation. London. www.dahliaproject.org/wp-content/uploads/2019/11/1924_Female_Genital_Trauma_Report_Web.pdf.Google Scholar
Combs, G. (2018). White privilege: What’s a family therapist to do? Journal of Marital and Family Therapy, 45(1): 61–75.CrossRefGoogle ScholarPubMed
European Psychiatric Association (2014). Position Paper on Psychiatric Care of Refugees in Europe. European Psychiatric Association. www.europsy.net/app/uploads/2019/02/EPA-statement-on-Refugees-20151102_FINAL.pdfGoogle Scholar
Desmond, J. S., and Desmond, G. J. (2016). Achievements and limitations of evidence-based medicine. Journal of the American College of Cardiology, 68(2): 204–13.Google Scholar
Fassil, Y. and Burnett, A. (2015). Commissioning mental health services for vulnerable adult migrants: Guidance for commissioners. MIND. London: NHS England Publications Gateway Reference: 03512.Google Scholar
Jayaweera, H. (2016). Commissioning Health Services for Vulnerable Migrant Women in England: Evidence on Policies and Practices. Maternity Action, Women’s Health and Equality Consortium. www.maternityaction.org.uk/wp-content/uploads/2013/09/guidancecommissioninghealthservvulnmigrantwomen2012.pdf.Google Scholar
Haoussou, K. (2016). When your patient is a survivor of torture. British Medical Journal, 355: i5019.CrossRefGoogle Scholar
Human Trafficking Foundation (2018). The Slavery and Trafficking Survivor Care Standards. Helen Bamber Foundation. www.antislaverycommissioner.co.uk/media/1235/slavery-and-trafficking-survivor-care-standards.pdfGoogle Scholar
Medact (2020). Patients Not Passports: Challenging Healthcare Charging in the NHS. London: Medact.Google Scholar
Medact Manchester (2017). Healthcare professionals’ views and experiences of dealing with refugees and asylum seekers: A survey of North-West practitioners. https://medactmanchester.files.wordpress.com/2017/10/medact_report_2017.pdfGoogle Scholar
Midlands and Lancashire Commissioning Support unit (2017). Guidance for considering the needs of asylum seekers and refugees in commissioning health services. Equality and Inclusion Team. www.midlandsandlancashirecsu.nhs.uk/download/publications/equality_and_inclusion/Asylum-Guidance.pdfGoogle Scholar
MIND. The Influence and Participation Toolkit. www.mind.org.uk/workplace/influence-and-participation-toolkit/Google Scholar
National Institute of Health and Care Excellence (2018) Post-traumatic stress disorder. www.nice.org.uk/guidance/ng116Google Scholar
Phillimore, J., Ergün, E., Goodson, L., Hennessy, D., and BNCN community researchers (2007). ‘They do not understand the problem I have’: Refugee wellbeing and mental health. Birmingham: Joseph Rowntree Foundation.Google ScholarPubMed
Priebe, S., Giacco, D., and El-Nagib, R. (2016). Public health aspects of mental health among migrants and refugees: A review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Copenhagen: WHO Regional Office for Europe (Health Evidence Network (HEN) Synthesis Report 47).Google ScholarPubMed
Public Health England (2017 [updated 2019]). Mental health: Migrant health guide. Advice and guidance on the health needs of migrant patients for healthcare practitioners. www.gov.uk/guidance/mental-health-migrant-health-guide.Google Scholar
Rawlinson, R., Aslam, R. W., Burnside, G. et al. (2020). Lay-therapist-delivered, low-intensity, psychosocial intervention for refugees and asylum seekers (PROSPER): protocol for a pilot randomised controlled trial. Trials 21: 367.Google Scholar
Refugee Council (2022). Top facts from the latest statistics on refugees and people seeking asylum. Refugee Council. https://www.refugeecouncil.org.uk/information/refugee-asylum-facts/top-10-facts-about-refugees-and-people-seeking-asylum/Google Scholar
Rose, N., Stirling, S., Ricketts, A., and Chappel, D. (2011). Including migrant populations in joint strategic needs assessment: A guide. www.equalityhumanrights.wales.nhs.uk/sitesplus/documents/1120/a%20guide%20to%20including%20migrants.pdfGoogle Scholar
Summers, A., Alachkar, M., and Wells, R. (2018). Health and wellbeing of refugees resettled in Lancashire: An assessment of needs for Lancashire Refugee Resettlement Programme. www.rrsoc.org/sites/default/files/pdf/Lancashire_Refugee_Health_Needs_Assessment_(public).pdfGoogle Scholar
Sweeney, A., Clement, S., Filson, B. and Kennedy, A. (2016). Trauma-informed mental healthcare in the UK: What is it and how can we further its development? Mental Health Review Journal, 21(3): 174–92.CrossRefGoogle Scholar
WHO Regional Office for Europe (2018) Mental health promotion and mental health care in refugees and migrants. Copenhagen: WHO Technical guidance on refugee and migrant health.Google Scholar
Witkin, R., and Robjant, K. (2018). The Trauma-Informed Code of Conduct for all Professionals working with Survivors of Human Trafficking and Slavery. Helen Bamber Foundation. www.helenbamber.org/resources/best-practiseguidelines/trauma-informed-code-conduct-ticc.Google Scholar
Yeo, R. (2015) ‘Disabled asylum seekers? … They don’t really exist’: The marginalisation of disabled asylum seekers in the UK and why it matters. Disability and the Global South, 2(1): 523–50.Google Scholar
Xue, Z. J. (2009). Evidence based medicine in cultural and historical context. McGill Journal of Medicine, 12(1): 49–51.Google Scholar