Mental health, trauma and wellbeing of forced and other migrants: effective responses at times of crisis

Book chapter


Hatzidimitriadou, E. 2021. Mental health, trauma and wellbeing of forced and other migrants: effective responses at times of crisis. in: Fouskas, T. (ed.) Immigrants, Asylum Seekers and Refugees in Times of Crises: B. An International Handbook on Migration, Asylum, Social Integration and Exclusion Athens, Greece European Public Law Organization (EPLO). pp. 765-788
AuthorsHatzidimitriadou, E.
EditorsFouskas, T.
Abstract

It is widely recognised that the main impact of forced migrant experience involves serious distress and suffering which may escalate to psychosocial dysfunctioning, trauma and chronic mental health problems. These challenges are often affecting not only migrants’ and refugees’ own lives but also the wellbeing of their families and whole communities. In their majority, these are normal reactions to
abnormal situations. To address the mental health needs of such populations, specific skills and approaches are required. The task becomes even more complex as health and mental health infrastructure in host countries are at best unprepared, or at worst non-existent, to respond to these needs. Assumptions, however, are repeatedly made that entire refugee populations become mentally disturbed and are in need of psychiatric care. In fact, psychiatric morbidity and psychosocial dysfunctioning depends on the nature and time span of the conflict, on level and rapidity with which resilience will emerge, based on socio-cultural factors and environmental parameters. Approaches to migrant and refugee mental health care are heavily influenced by Western models of care and not always culturally sensitive or responsive to the needs of these groups. Lack of appropriate care in the mainstream services means that often humanitarian organisations are becoming the main providers of care and support for these populations, posing challenges
of dependency on this humanitarian aid and sustainability of support without dedicated funding and resources.
In this chapter, I will present a brief critical analysis of access to healthcare, social protection and welfare of forced and other migrants. I will then consider how the concept of refugee trauma and the diagnosis of Post-Traumatic Stress Disorder dominate discussion on the mental health needs of forced and other migrants. I will present some key challenges in assessing needs of these populations and designing appropriate responses by mental health service providers at a time that most European healthcare systems are under
pressure to curtail existing resources while being made accountable for compromising quality of care standards. Also, I will discuss innovative and integrated psychosocial models of care in the refugee mental health field, which still remain outside of the mainstream provision rather than embedded responses to the current refugee crisis. Finally, I will argue the necessity of identifying and eliminating existing systemic barriers to recognising the resilience and
determination of forced and other immigrants as a key factor in coping with refugee mental health care needs in reception countries. To exemplify the issues addressed, I will draw on studies in relation to the situation of vulnerable refugee and migrant groups, such as women, older people and unaccompanied asylum seeking children
in the United Kingdom and Europe.

KeywordsMental health; Truama; Wellbeing ; Forced migrant experience
Page range765-788
Year2021
Book titleImmigrants, Asylum Seekers and Refugees in Times of Crises: B. An International Handbook on Migration, Asylum, Social Integration and Exclusion
PublisherEuropean Public Law Organization (EPLO)
Output statusPublished
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File Access Level
Open
Place of publicationAthens, Greece
SeriesEuropean Public Law Series / Bibliothèque de Droit Public Européen, vol. CXXV
ISBN978-618-5417-10-9 (SET), 978-618-5417-12-3 (B)
ISSN2308-8648
Publication process dates
Deposited04 Jan 2022
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Palmer, D., Williams, L., White, S., Chenga, C., Calabria, V., Branch, D., Arundal, S., Storer, L., Ash, C., Cuthill, C., Bezuayehu, H. and Hatzidimitriadou, E. 2009. 'No one knows like we do' - the narratives of mental health service users trained as researchers. Journal of Public Mental Health. 8 (4), pp. 18-28. https://doi.org/10.1108/17465729200900024
Sozialraumliche Koordinaten beruflicher Orientierung. Hochqualifizierte der zweiten Generation in Deutschland und Grossbritannien
Schittenhelm, K. and Hatzidimitriadou, E. 2010. Sozialraumliche Koordinaten beruflicher Orientierung. Hochqualifizierte der zweiten Generation in Deutschland und Grossbritannien. in: Nohl, A., Schittenhelm, K., Schmidtke, O. and Weiss, A. (ed.) Kulturelles Kapital in der Migration: Hochqualifizierte Einwanderer und Einwanderinnen auf dem Arbeitsmarkt Wiesbaden, Germany VS Verlag. pp. 301-314
"Isn't he wonderful?" Exploring the contribution and conceptualization of older husbands as carers
Milne, A. and Hatzidimitriadou, E. 2003. "Isn't he wonderful?" Exploring the contribution and conceptualization of older husbands as carers. Ageing International. 28 (4), pp. 389-407. https://doi.org/10.1007/s12126-003-1011-y
Carers of older relatives in long term care: support needs and services
Milne, A., Hatzidimitriadou, E. and Chryssanthopoulou, C. 2004. Carers of older relatives in long term care: support needs and services. Generations Review. 14 (3), pp. 4-9.
Carers of older relatives in long term care: support needs and services
Milne, A., Hatzidimitriadou, E. and Chryssanthopoulou, C. 2004. Carers of older relatives in long term care: support needs and services. Generations Review.
Planning ahead: meeting the needs of older people with intellectual disabilities in the United Kingdom
Hatzidimitriadou, E. and Milne, A. 2005. Planning ahead: meeting the needs of older people with intellectual disabilities in the United Kingdom. Dementia: The International Journal for Social Research and Practice. 4 (3), pp. 341-359. https://doi.org/10.1177/1471301205055027
GP attitudes to early diagnosis of dementia: evidence of improvement
Hatzidimitriadou, E., Milne, A. and Hamilton-West, K. 2005. GP attitudes to early diagnosis of dementia: evidence of improvement. Aging & Mental Health. 9 (5), pp. 449-455. https://doi.org/10.1080/13607860500142762
Providing care for older people with learning disabilities
Hatzidimitriadou, E. and Milne, A. 2006. Providing care for older people with learning disabilities. in: Carnaby, S. (ed.) Intimate and Personal Care for People with Learning Disabilties London Jessica Kingsley. pp. 160-180
Learning in the real world? Exploring widening participation student views concerning the 'fit' between knowledge learnt and work practices
Forrester-Jones, R. and Hatzidimitriadou, E. 2007. Learning in the real world? Exploring widening participation student views concerning the 'fit' between knowledge learnt and work practices. Assessment & Evaluation in Higher Education. 31 (6), pp. 611-624. https://doi.org/10.1080/02602930600760181
Migrant women and welfare issues: diversity of experiences, challenges and opportunities
Hatzidimitriadou, E. 2007. Migrant women and welfare issues: diversity of experiences, challenges and opportunities. International Journal of Migration, Health and Social Care. 3 (3), pp. 2-5. https://doi.org/10.1108/17479894200700014
Community activism and empowerment of Turkish-speaking migrant women in London
Hatzidimitriadou, E. and Cakir, S. 2009. Community activism and empowerment of Turkish-speaking migrant women in London. International Journal of Migration, Health and Social Care. 5 (1), pp. 34-46. https://doi.org/10.1108/17479894200900005
Migration and ageing: settlement experiences and emerging care needs of older refugees in developed countries
Hatzidimitriadou, E. 2010. Migration and ageing: settlement experiences and emerging care needs of older refugees in developed countries. Hellenic Journal of Psychology. 7 (1), pp. 1-20.
Intimate partner violence in Europe: design and methods of a multinational study
Costa, D., Soares, J., Lindert, J., Hatzidimitriadou, E., Karlsson, A., Sundin, O., Toth, O., Ioannidi-Kapolou, E., Degomme, O., Cervilla, J. and Barros, H. 2013. Intimate partner violence in Europe: design and methods of a multinational study. Gaceta Sanitaria. 27 (6), pp. 558-561. https://doi.org/10.1016/j.gaceta.2013.03.001
From the asylum to the community: a longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services
Carpenter, J., Ring, C., Sangster, A., Cambridge, P. and Hatzidimitriadou, E. 2000. From the asylum to the community: a longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services. Journal of Mental Health. 9 (2), pp. 211-230. https://doi.org/10.1080/09638230050009203
Early diagnosis of dementia by GPs: an exploratory study of attitudes
Milne, A., Woolford, H., Mason, J. and Hatzidimitriadou, E. 2000. Early diagnosis of dementia by GPs: an exploratory study of attitudes. Aging & Mental Health. 4 (4), pp. 292-300. https://doi.org/10.1080/713649958
Caring in later life: reviewing the role of older carers
Milne, A., Hatzidimitriadou, E., Chryssanthopoulou, C. and Owen, T. 2001. Caring in later life: reviewing the role of older carers. London Help the Aged.
Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups
Hatzidimitriadou, E. 2002. Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups. Journal of Community & Applied Social Psychology. 12 (4), pp. 271-285. https://doi.org/10.1002/casp.681
The caring in later life report: a secondary analysis of the 1995 General Household Survey
Milne, A. and Hatzidimitriadou, E. 2002. The caring in later life report: a secondary analysis of the 1995 General Household Survey. Quality in Ageing and Older Adults. 3 (3), pp. 3-15. https://doi.org/10.1108/14717794200200017
Gaining access to and working with self-help groups in mental health
Hatzidimitriadou, E. 2003. Gaining access to and working with self-help groups in mental health. in: Cochrane, S. (ed.) Where You Stand Affects Your Point of View: Emancipatory Approaches to Mental Health Research: Notes from SPN Study Day 12 June 2003 UK Social Perspectives Network.
Intimate partner violence and health-related quality of life in European men and women: findings from the DOVE study
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2015. Intimate partner violence and health-related quality of life in European men and women: findings from the DOVE study. Quality of Life Research. 24 (2), pp. 463-471.
Physical intimate partner violence in Europe: results from a population-based multi-center study in six countries
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2015. Physical intimate partner violence in Europe: results from a population-based multi-center study in six countries. International Journal of Epidemiology. 44 (S1), p. 264. https://doi.org/10.1093/ije/dyv096.500
"Tangled wires in the head": older migrant Chinese's perception of mental illness in Britain
Li, S., Hatzidimitriadou, E. and Psoinos, M. 2014. "Tangled wires in the head": older migrant Chinese's perception of mental illness in Britain. Journal of Aging Studies. 30 (1), pp. 73-86. https://doi.org/10.1016/j.jaging.2014.04.001
Cultural health capital and professional experiences of overseas doctors and nurses in the UK
Hatzidimitriadou, E. and Psoinos, M. 2014. Cultural health capital and professional experiences of overseas doctors and nurses in the UK. Diversity and Equality in Health and Care. 11 (1), pp. 35-47.
Evaluation of co-production processes in a community-based mental health project in Wandsworth
Hatzidimitriadou, E., Mantovani, N. and Keating, F. 2012. Evaluation of co-production processes in a community-based mental health project in Wandsworth. Kingston upon Thames Kingston University and St George's, University of London.
Ageing in the English countryside: is it good for your health?
Milne, A., Hatzidimitriadou, E. and Wiseman, J. 2004. Ageing in the English countryside: is it good for your health?
Health and quality of life among older people in rural England: exploring the impact and efficacy of policy
Milne, A., Hatzidimitriadou, E. and Wiseman, J. 2007. Health and quality of life among older people in rural England: exploring the impact and efficacy of policy. Journal of Social Policy. 36 (3), pp. 477-495. https://doi.org/10.1017/S0047279407001055