Overview of European refugee mental health situation

2016 ◽  
Vol 33 (S1) ◽  
pp. S9-S9
Author(s):  
M. Muijen

This presentation will offer information about latest number of refugees and internally displaced people across Europe, their (mental) health problems and activities and interventions coordinated by WHO. It will also suggest ways by which EPA and WHO could continue their effective partnership to assist countries.Disclosure of interestThe author has not supplied his declaration of competing interest.

2020 ◽  
Author(s):  
Yaregal Fufa Eba ◽  
Jemal Ebrahim Shifa

Abstract Background: Mental health problems in internally displaced people (IDP) can be triggered by either collective effect or individual effect of traumas experienced during Preflight, Flight, and Resettlement time. Higher level of depression and anxiety has been reported among IDPs globally while little is known in Ethiopia.Aims: To assess the prevalence of depression and anxiety among internally displaced people in Gedeo zone, Ethiopia, 2019.Methods: A cross-sectional study was conducted among internally displaced communities settled in Gedeo Zone, Southern Nations, Nationalities, and Peoples' Regional states (SNNPR) among randomly selected 421 displaced individuals. Data were collected using standard and structured tools and entered into Epi info version 7 and exported to Statistical Package for the Social Sciences (SPSS) version 24 for analysis and descriptive statistics have been used to report the magnitude of the outcome. Logistic regression was considered to evaluate association between variables. Results: A total of 421 displaced persons completed the survey constituting a 99.5% response rate, of which 232 (55.1%) were males. Age of the study subjects ranged between 19 and 80 years, with a median of 33 years and ±11.8 SD. Higher prevalence of psychiatric disorders were found: depression 18.5% ((95% CI: (15.0, 22.3)), and anxiety 59.1% ((95% CI: (54.6, 63.9)). Tobacco use, female gender and age range from 19-30 years had statistically significant effect on the mental health outcomes of IDPs in the current study. Respondents’ marital condition, educational status, occupation, current living condition, social support status, as well as exposure status to physical and sexual violence were not significantly associated with both depression and anxiety. Conclusions: This assessment identified that the prevalence of depression and anxiety was high among internally displaced populations in the Gedeo zone. Clinical and psychosocial intervention is required.


2018 ◽  
Vol 16 (02) ◽  
pp. 40-42
Author(s):  
William Tamayo-Agudelo ◽  
Vaughan Bell

Although significant progress has been made in the peace process, Colombia still experiences high levels of ongoing violence and a legacy of more than five decades of armed conflict. Epidemiological studies show markedly raised levels of mental health problems in people affected by the conflict, with internally displaced people being a large and important group with unmet needs. Provision of mental health services is uneven and subject to significant underinvestment. Priority mental health treatment for victims of the conflict is now established in law, although the effectiveness of these programmes has yet to be established.


2017 ◽  
Vol 41 (S1) ◽  
pp. S95-S95
Author(s):  
S. Gorbeña ◽  
P. Penas ◽  
E. Calvete ◽  
I. Crespo ◽  
I. Iraurgi

IntroductionHigher risk of mental health problems has been linked with problems in relationships, including the experience of relational conflict with significant others and peers. Conversely, positive relations with others have been established as a key factor of psychological well being.ObjectivesWe hypothesized that psychological maladjustment will be related to the number, nature and severity of relational stressors. Furthermore, there would be a higher likelihood of risk of mental disorders for those who experience more relational hardships and of greater severity. Positive relations with others will protect from risk of mental health problems.MethodA total of 4461 university students completed a health and well-being survey, including the GHQ-12 (centesimal and 3-point cut-off scores), Ryff psychological well-being scale and a scale of 25 life stressors. Indexes of number and severity of difficulties in relationships were calculated with 10 items including romantic partners, friends, family, and classmates.ResultsCorrelations were significant. Logistic regression showed a risk effect for all stressors with OR values above 1.32. Overall perceived severity had the highest value (OR = 2.38, 95% CI = 2.16–2.61) and amongst the 10 stressors, gender related abuse/violence was also the highest (OR = 1.90, 95% CI = 1.73–2.09). Positive relations showed a protective effect (OR = 0.60, 95% CI = 0.56–0.54).ConclusionsFindings can inform health promotion, prevention and therapeutic interventions so as to improve the quality of personal relationship and conflict management skills, and to strengthen well-being associated with positive relations with others. Academic institutions committed to student welfare and the promotion of healthy environments should play a major role in young adults’ mental health.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 41 (S1) ◽  
pp. S222-S222
Author(s):  
D. Raven ◽  
F. Jörg ◽  
R.A. Schoevers ◽  
A.J. Oldehinkel

IntroductionMental health problems are highly prevalent and are associated with a high burden, but such problems are often left untreated. This is referred to as the “treatment gap”. The question of who is most likely to remit from their mental health problems without treatment has received surprisingly little attention. A few studies do suggest that untreated remission is common in the general population, but these are in particular limited by short follow-up times.ObjectivesThe aims of this study are to describe untreated remission of mental health problems in adolescence, and to assess the extent to which mental health problems recur after untreated remission.MethodsData from the Dutch community-based cohort study TRacking Adolescents’ Individual Lives Survey (TRAILS) were used. Depressive and anxiety problems were assessed using the Youth Self-Report at ages 11, 13, and 16, and the Adult Self-Report at ages 19 and 22.ResultsPreliminary analyses show high rates of untreated remission (approximately 80% over all waves). However, a substantial proportion of remitted cases still report sub clinical levels of mental health problems at follow-up. More elaborate analyses are ongoing, and will be presented at the conference.ConclusionsFirst results suggest that untreated remission is common in adolescents. The presence of residual symptoms may point towards an elevated risk of recurrence in adolescents who remit without treatment. Further knowledge about untreated remission is of vital importance for an accurate assessment of the treatment gap, and for prevention and early intervention programmes.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 41 (S1) ◽  
pp. S516-S516
Author(s):  
S. Musharrafi ◽  
W. Al-Ruzaiqi ◽  
S. Al-Adawi

BackgroundArab/Islamic culture such as those in Oman has been prescribed to be part of “collective culture” where family is central to one's identity. It is not clear how mental illness is perceived among young doctors in Oman in the light of modernization and acculturation.AimsExplore the socio-cultural teaching impact on attitudes towards mental health problems among Omani physicians.MethodThe consenting residents were asked to fill self-reported questionnaire Attitudes towards Mental Health Problems (ATMHP). It measure: external shame (beliefs that others will look down on themselves self if one have mental health problems); internal shame (related to negative self-evaluations); and reflected shame (believing that one can bring shame to their family/community). Socio-demographic information was also sought, including age, gender and previous contact with a person with mental illness.ResultsOne hundred and seventy residents filled the questionnaire. The response rate was > 80%. The majority were female. It showed elevated scores in indices of external shame and reflected shame. However, having a history of mental distress or having contact with a person with mental illness have moderate indices external shame and reflected shame.ConclusionThis study suggests that medical education has little eroded societal teaching among physicians under training in Oman. Thus, their attitude toward mental disorder appears to be expressed in term of external shame and reflected shame, which, in turn, encapsulate cultural patterning of shame and the centrality of family identity in Oman. Such socio-cultural teaching could lay groundwork for further research to mitigate mental illness in Oman.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2018 ◽  
Vol 12 (1) ◽  
pp. 24-32
Author(s):  
Tabitha Mwaniki ◽  
Kennedy Onkware ◽  
Stephen Ngari

Disasters and the consequent displacement is common world over. Global trends indicate that disaster-induced displacement is on the rise, and is brought about by factors which include natural and human-made disasters as well as complex human conflicts. The most notable case of internal displacement in Kenya arose from the 2007-2008 post-election violence. Most of the displacees have been since resettled. Among the effects of displacement are loss of property, loss of livelihoods and mental health problems. The aim of this study was to establish the vulnerability to mental health problems among persons in prolonged displacement in Nakuru County of Kenya. The study was a qualitative survey in which a sample of 400 respondents was obtained from a population of 106,004 internally displaced persons who had been resettled. Data was collected using questionnaires and structured interview schedules. The mental health status was determined using an adapted version of the Impact of Event Scale-Revised (IES-R). This instrument has been used widely and established as having a test-retest reliability of about 0.91. Owing to the sensitive and personal nature of information sought, respondents were assured of confidentiality. The data was analyzed using the statistical package for social sciences (SPSS) version 14.0. The research established that the respondents experienced considerable mental health problems as indicated by high scores in the overall Impact of Event Scale-Revised as well as in the intrusion, avoidance and hyper-vigilance sub-scales. This shows that the internally displaced persons, despite having been resettled, were still vulnerable to mental health problems. The findings are expected to help the government line-ministries and humanitarian agencies involved in humanitarian interventions plan mitigation of adverse mental health effects of disasters. In particular, they are useful in designing psychosocial interventions required in post-disaster scenarios, and especially where internal displacement is prolonged. Keywords: internal displacement, mental health, structured interview, vulnerability.


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