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Asylum seekers and refugees in Northern Ireland: the impact of post-migration stressors on mental health

Published online by Cambridge University Press:  20 November 2020

F. Murphy*
Affiliation:
Queen’s University Belfast, Belfast, Northern Ireland
U. M. Vieten
Affiliation:
Queen’s University Belfast, Belfast, Northern Ireland
*
*Address for correspondence: F. Murphy, Queen’s University Belfast. (E-mail: [email protected])

Abstract

Objectives:

In recent years, Northern Ireland has seen an increase in the numbers of asylum seekers and refugees. Given its status as a post-conflict region, this is a relatively new phenomenon for the area. Northern Ireland is also the only part of the United Kingdom (UK) without a refugee integration strategy. In 2016, we conducted an extensive study for the racial equality unit of the Office of the First and Deputy First Minister in Stormont on the everyday life experience of asylum seekers and refugees in Northern Ireland with view to understanding how service delivery and notions of integration/inclusion impact.

Methods:

This was a mixed methods study using quantitative survey methods and in-depth semi-structured interviews with service providers, asylum seekers, refugees and new UK citizens. We examined a range of service provision such as education, labour, legal provision, housing and health.

Results:

This article examines the issue of mental health with respect to asylum seekers and refugees in Northern Ireland. The results delineate how asylum seekers and refugee’s mental health is dramatically impacted by the asylum system in Northern Ireland (and hence, the UK) and the dearth thereof, of particular and necessary supports and access issues in the space of health and mental health in Northern Ireland. We describe how post-migration stressors experienced through the UK asylum system further compound mental health issues. The findings provide a focus on the asylum system, housing and employment.

Conclusions:

Our research found a dearth of mental health supports in Northern Ireland and concluded that the asylum system in the UK (as a form of post-migration stressor) further exacerbates and contributes to poor mental health and well-being for many asylum seekers and refugees.

Type
Original Research
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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References

Ager, A, Strang, A (2004). Indicators of Integration: Final Report. Home Office: London.Google Scholar
Aliverti, A (2012). Making people criminal: the role of the criminal law in immigration enforcement. Theoretical Criminology 16, 417434.CrossRefGoogle Scholar
Aragona, M, Pucci, D, Mazzetti, M, Maisano, B, Geraci, S (2013). Traumatic events, post-migration living conditions and post-traumatic symptoms in first generation immigrants: a primary care study. Annali dell’Istituto Superiore di Sanità 49, 169175.Google ScholarPubMed
Bathilly, A (2014). Immigration detention and its impact on integration: a European approach: KING project. (http://king.ismu.org/wp-content/uploads/EU-Policy-Paper-n-2-rev.pdf). Accessed 14th July 2019.Google Scholar
Black, L, McKay, K (2019). Suicide Statistics and Strategy in Northern Ireland. (https://www.assemblyresearchmatters.org/2019/02/27/suicide-statistics-and-policy-in-northern-ireland/). Accessed 4th March 2020.Google Scholar
Bögner, D, Brewin, Ch, Herlihy, J (2009). Refugees’ experiences of home office interviews: a qualitative study on the disclosure of sensitive personal information. Journal of Ethnic and Migration Studies 36, 519535.CrossRefGoogle Scholar
Bosworth, M (2014). Inside Immigration Setention. Oxford University Press: Oxford.CrossRefGoogle Scholar
Bryan, D, Jarman, N (2017). Anthropology and public service: the UK experience. In Parading Through the Peace Process: Anthropology, Governance and Crisis in Northern Ireland (ed. MacClancy, J). Berghahn: UK. CrossRefGoogle Scholar
Bryman, A (2008). Social Research Methods. Oxford University Press: Oxford. Google Scholar
Carswell, K, Blackburn, P, Barker, C (2009). The relationship between Trauma, Post-migration problems and the psychological well-being of refugees and Asylum seekers. International Journal of Pyschiatry 2, 113.Google Scholar
Chan, S (2006). “God’s little acre’ and ‘belfast chinatown’: cultural politics and agencies of anti-racist spatial. Translocations 1, 5675.Google Scholar
Coffey, GJ, Kaplan, I, Sampson, RC, Montagna Tucci, M (2010). The meaning and mental health consequences of long-term immigration detention for people seeking Asylum. Social Science and Medicine 70, 20702079.CrossRefGoogle ScholarPubMed
Colic-Peisker, V, Tilbury, F (2003). ‘‘Active” and “Passive” Resettlement: The Influence of Support Services and Refugees’ Own Resources on Resettlement Style. Blackwell Publishing Inc: UK.Google Scholar
Correa-Velez, I, Gifford, S, Bice, S (2005). Australian health policy on access to medical care for refugees and Asylum seekers. Australia and New Zealand Health Policy 2, 23.CrossRefGoogle ScholarPubMed
Crenshaw, K (1991). ‘Mapping the margins: intersectionality, identity politics, and violence against women of color’, Stanford Law Review 43, 1241–299.CrossRefGoogle Scholar
Darling, J (2016). Privatising Asylum: neoliberalisation, depoliticisation and the governance of forced migration. Transactions of the Institute of British Geographers 41, 230243.CrossRefGoogle Scholar
Davies, A, Basten, A, Frattini, C (2006). Migration: a social determinant of the health of migrants: Background paper, IOM. (http://www.migrant-health-europe.org/files/FINAL%20DRAFT%20-%20IOM%20SDH.pdf). Accessed 27th October 2019.Google Scholar
Devlin, A, French, D (2018). Why are Disability Rates in Northern Ireland so High? (https://www.sheffield.ac.uk/polopoly_fs/1.797193!/file/B3_Anne_Devlin.pdf). Accessed 4th March 2020.Google Scholar
Fazel, M, Wheeler, J, Danesh, J (2005). Prevalence of serious mental disorder in 7000 refugees resettled in Western countries: a systematic review. The Lancet 365, 13091314.CrossRefGoogle ScholarPubMed
Gerard, A (2014). Gender, securitization and transit: refugee women and the journey to the EU. Journal of Refugee Studies 27, 338359.CrossRefGoogle Scholar
Goodfellow, M (2019). Hostile Environment: How Immigrants Became Scapegoats. Verso Book: London.Google Scholar
Hollander, A-C, Bruce, D, Burstom, B, Ekbad, S (2011). Gender related mental health differences between refugees and non-refugees immigrants: a cross-sectional register based study. BMC: Public Health 11, 18.Google ScholarPubMed
Jarman, N, Monaghan, R (2003). Racist Harassment in Northern Ireland. (http://www.conflictresearch.org.uk/publications.php). Accessed 20th June 2019.Google Scholar
Kalt, A, Hossain, M, Kiss, L, Zimmerman, C (2013). Asylum seekers, violence and health: a systematic review of research in high-income host countries. American Journal for Public Health 103, 3042.CrossRefGoogle ScholarPubMed
Kerr, M (2016). Improving Legal Support for Asylum Seekers in Northern Ireland. NISMP. (http://www.migrationni.org/DataEditorUploads/March%202016%20Legal%20Representation%20paper.pdf). Accessed 16th December 2016.Google Scholar
Kerr, M (2013). Refugee Integration Strategy. NISMP. (http://www.migrationni.org/DataEditorUploads/Refugee%20Integration%20Strategy%20Proposal%20Final.pdf) Accessed 28th October 2016.Google Scholar
Kirmayer, LJ, Narasiah, L, Munoz, M, Rashid, M, Ryder, AG, Guzder, J, Hassan, G, Rousseau, C, Pottie, K (2011). Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ/JAMC 183, 959967.Google ScholarPubMed
Lewis, H, Waite, L (2015). Asylum, immigration restrictions and exploitation: hyper-precarity as a lens for understanding and tackling forced labour. Anti-Trafficking Review 5, 4967.Google Scholar
Li, SSY, Liddell, BJ, Nickerson, A (2016). The relationship between post-migration stress and psychological disorders in refugees and asylum seekers. Current Psychiatry Reports 18, 82.CrossRefGoogle Scholar
Lucas, O, Jarman, N (2016). Poverty and Ethnicity: Key Messages for Northern Ireland. Joseph Rowentree Foundation: UK.Google Scholar
Ch-A, Malischewski (2012). Integration in a Divided Society?: Refugees and Asylum Seekers in Northern Ireland. Refugee Studies Centre: Oxford.Google Scholar
Mann, C, Fazil, Q (2006). Mental illness in asylum seekers and refugees. Primary Care Mental Health 4, 5766.Google Scholar
McCall, L (2005). The complexity of intersectionality. SIGNS: Journal of Women in Culture and Society 30, 17711800.CrossRefGoogle Scholar
Murdie, R (2008). Pathways to housing: the experiences of sponsored refugees and refugee claimants in accessing permanent housing in Toronto. Journal of International Migration and Integration 9, 81101.CrossRefGoogle Scholar
Murphy, F, Vieten, UM (2017). Asylum Seekers’ and Refugee’s Experiences of Life in Northern Ireland: Report of the First Study on the Situation of Asylum Seekers and Refugees in NI: 2016. Northern Ireland: Queen’s University Belfast.Google Scholar
Murphy, F, Vieten, UM (2019). African asylum seekers and refugees in both Irelands. In Immigrants as Outsiders in the Two Irelands (eds. Fanning, B. Michael, L.), pp. 5871. UK: Manchester University Press.Google Scholar
Murphy, F (2018). The whisperings of ghosts: loss, longing, and the return in Stolen Generations stories. Australian Journal of Anthropology 29, 332347.CrossRefGoogle Scholar
Porter, M, Haslam, N (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA 294, 602612.CrossRefGoogle ScholarPubMed
Radford, K, Sturgeon, B, Cuomo, I, Lucas, O (2015). ‘Walking This Thin Line’ Black and Minority Ethnic (BME) Experiences of Mental Health & Wellbeing in Northern Ireland. Institute for Conflict Research: Belfast. (http://www.strongertogetherni.org/wp-content/uploads/2016/04/Waking-this-Thin-Line-Report-BME-Experiences-of-Mental-Health-Wellbeing-in-N.Ireland.pdf). Accessed 28th October 2019.Google Scholar
Robjant, K, Hassan, R, Katona, C (2009). Mental health implications of detaining asylum seekers: systematic review. The British Journal of Psychiatry 194, 306312.CrossRefGoogle ScholarPubMed
Rooney, E (2013). Barriers to Accessing Mental Health Services: Views of Black and Minority Ethnic People in Ballymena Borough. Public Health Agency: Northern Ireland.Google Scholar
Rumbold, A, Giles, L, Whitrow, M, Steele, E, Davies, C, Davies, M, Moore, V (2012). The effects of house moves during early childhood on child mental health at age 9 years. BMC Public Health 12. (http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471–2458–12–583). (Accessed 24th October 2016).CrossRefGoogle ScholarPubMed
Sampson, R, Gifford, SM (2010. Place-making, settlement and well-being: the therapeutic landscapes of recently arrived youth with refugee backgrounds. Health and Place 16, 116131.CrossRefGoogle ScholarPubMed
Schock, K, Rosner, R, Knaevelsrud, C (2015). Impact of asylum interviews on the mental health of traumatised asylum seekers. European Journal of Pyschotraumatology 6, 26286.CrossRefGoogle Scholar
Shawyer, F, Enticott, J, Doherty, A, Block, AA, Cheng, I-H, Wahidi, S, Meadows, GN (2014). A cross-sectional survey of the mental health needs of refugees and asylum seekers attending a refugee health clinic: a study protocol for using research to inform local service delivery. BMC Psychiatry 14.CrossRefGoogle ScholarPubMed
Silove, D, Austin, P, Steel, Z (2001). No refuge from terror: the impact of detention on the mental health of trauma-affected refugees seeking asylum in Australia. Transcultural Pyschiatry 44, 359393.CrossRefGoogle Scholar
Sneddon, H (2018). Mental Health and well-being of asylum seekers and refugees. (https://www.strongertogetherni.org/wp-content/uploads/2019/04/Mental-health-of-refugees-Long-report-FINAL-24–9–18-Helga-Sneddon.pdf). Accessed 4th March 2020.Google Scholar
Souter, J (2011). A culture of disbelief or denial? critiquing refugee status determination in the United Kingdom. Oxford Monitor of Forced Migration 1, 4859.Google Scholar
Spencer, SE (2006). Refugees and other New Migrants: a review of the evidence on successful approaches to integration. A report commissioned by the Home Office. COMPAS: Oxford.Google Scholar
Vieten, UM (2008). Intersectionality scope and multidimensional equality within the European Union: Traversing national boundaries of inequality?. In European Union Discrimination Law: Comparative Perspectives on Multidimensional Equality Law (eds. Schiek, D., Chege, V.), pp. 93113. Routledge: Abingdon.Google Scholar
Vieten, UM (2011). The conceptual order of multiple discrimination: situating difficult genealogies of race and ethnicity. In EU Non-Discrimination Law and Intersectionality: Investigating the Triangle Between Racial, Gender and Disability Discrimination (D., Schiek, A., Lawson), pp. 6376. Ashgate: Farnham.Google Scholar
Vieten, UM (2018). Refugees, displacement and moving bodies: studying loss and the language of dance. (https://www.opendemocracy.net/ulrike-m-vieten/refugees-displacement-and-moving-bodies-studying-loss-and-language-of-dance). Accessed 4th March 2020.Google Scholar
Vieten, UM, Murphy, F (2019). The imagination of the other in a (post-) sectarian society: asylum seekers and refugees in the divided city of Belfast. Social Inclusion 7, 176186.CrossRefGoogle Scholar
Yuval-Davis, N, Kannabiran, K, Vieten, UM (2006). The Situated Politics of Belonging. Sage: London.CrossRefGoogle Scholar