Distal determinants of mental health conditions (MHC) for asylum-seeking children in Greece: A health system enhancement study
| Autor: | M. Mourtzaki, Jesse B. Bump, D.N. Poole, L. Rapoport, K. Kazanas |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Refugee Population Stigma (botany) 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Social determinants of health Psychiatry education Child media_common education.field_of_study Refugees Greece 030503 health policy & services Health Policy Mental Disorders Mental health Government Programs Mental Health Feeling Accountability 0305 other medical science Psychology Autonomy |
| Zdroj: | Health policy (Amsterdam, Netherlands). 124(10) |
| ISSN: | 1872-6054 |
| Popis: | Mental health conditions (MHC) of asylum-seeking children in Greece are dire, but still recovering from the financial crisis, Greece cannot afford the cost of mental health treatments. We were motivated to understand the root causes of these mental health problems to explore the possibilities for prevention. We developed our inferences in four ways: (1) secondary analyses of thirty-nine semi-structured informational interviews conducted with national and international aid organizations and healthcare providers; (2) secondary analyses of nine interviews with asylum seekers; (3) direct observation during six refugee camp visits from June 1 to July 28, 2017; and (4) a literature review to develop a diagnostic tree of causal outcomes. Results revealed eight proximal causes: chronic stress, trauma, at-risk population without protection and assistance, the large number of vulnerable groups, feeling of insecurity, feeling of lacking control, a lack of autonomy, and feeling helpless and hopeless. We identified sixty-nine distal determinants of adverse MHC beneath the proximal causes. Too numerous and too diverse to treat effecvively with limited resources, these root causes of MHC were thematically grouped into: laws and regulations, capacity and resources, accountability and standards, prioritization, bias and stigma, and displacement. Using a common health systems framework, we developed strategic policy approaches to target the root causes, which could prevent ill-health while saving time and resources. |
| Databáze: | OpenAIRE |
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