28.M. Workshop: Mental ill-health and social exclusion among refugee minors/youth resettling in European countries

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Globally, many countries have experienced the immigration of a growing number or refugee minors/youth. Many refugees have been exposed to traumatic events in their country of origin or during flight to their host country, putting issues of public mental health on the agenda. Mental ill-health can have a strong impact on social integration as it affects educational and occupational attainment and therefore increases the risk of labour market marginalisation. Mental ill-health can range from psychological distress to diagnosed disorders. Most frequently occurring are common mental disorders (CMDs), which include depressive, anxiety and post-traumatic stress disorders (PTSD). These disorders are characterised by an early age of onset, recurrent episodes and emerging comorbid disorders. Despite the size of the problem, research considering both mental ill-health and social integration in refugee minors/youth is severely underdeveloped and intervention studies are rare. Therefore, the overall aim of the consortium entitled REMAIN (REfugee Minors/youth And INtegration) is to gain knowledge on strategies to improve the social integration of refugee minors/youth with mental ill-health. The objective of this workshop is to present findings from etiological, prognostic and intervention studies carried out within the REMAIN consortium. The workshop aims to increase the audience' knowledge in an area of outmost Public Health importance. The reason of organising this workshop is based on the strong increases of young refugees in many countries worldwide and the resulting need for evidence based knowledge in the area of refugee's health and social integration. The added value of this workshop is due to the presentation of recent and solid findings from studies in 5 universities in 4 different European countries, offering a transnational perspective. Moreover, several studies are based on register data with long follow-up times and good data quality, which are not challenged by low response and high attrition rates during follow-up. Also findings from an intervention study will be presented. The proposed studies contribute with crucial information in a research field characterised by an enormous scientific knowledge gaps. The coherence between the presentations is guaranteed as all presentations deal with mental ill-health and social integration among refugee minors/youth. The format of the workshop implies five presentations and discussion with the participants of the workshop. The presentations will be of such a length that ample time for intensive interaction with the audience is guaranteed. After each presentation, the organiser/chair of the workshop will invite the audience for posing questions and comments regarding the findings presented. Moreover, as last part of the workshop, there will be time for a common discussion of the results and its societal and Public Health implications in a more overarching manner. Key messages Psychological interventions should be developed to address common mental disorders in refugee youth. These disorders worsen refugees' social integration in the new host country.

2021 ◽  
Author(s):  
Zulfa Abrahams ◽  
Crick Lund

Abstract Background Common mental disorders (CMDs) such as depression and anxiety are highly prevalent during the perinatal period, and are associated with poverty, food insecurity and domestic violence. We used data collected from perinatal women at two time-points during the COVID-19 pandemic to test the hypotheses that (1) socio-economic adversities at baseline would be associated with higher CMD prevalence at follow-up and (2) worse mental health at baseline would be associated with higher food insecurity prevalence at follow-up. Methods Telephonic interviews were conducted with perinatal women attending healthcare facilities in Cape Town, South Africa. Multivariable logistic regression analysis was used to model the associations of baseline risk factors with the prevalence of household food insecurity and CMD at 3 months follow-up. Results At baseline 859 women were recruited, of whom 217 (25%) were pregnant, 106 (12%) had probable CMD, and 375 (44%) were severely food insecure. At follow-up (n=634), 22 (4%) were still pregnant, 44 (7%) had probable CMD, and 207 (33%) were severely food insecure. In the multivariable regression model, after controlling for confounders, the odds of being food insecure at follow-up were greater in women who were unemployed [OR=2.05 (1.46-2.87); p<0.001] or had probable CMD [OR=2.37 (1.35-4.18); p=0.003] at baseline; and the odds of probable CMD at follow-up were greater in women with psychological distress [OR=2.81 (1.47-5.39); p=0.002] and abuse [OR=2.47 (1.47-4.39); p=0.007] at baseline. Conclusions This study highlights the complex bidirectional relationship between mental health and socioeconomic adversity among perinatal women during the COVID-19 pandemic.


2020 ◽  
Vol 77 (7) ◽  
pp. 454-461 ◽  
Author(s):  
Marijke Keus van de Poll ◽  
Lotta Nybergh ◽  
Caroline Lornudd ◽  
Jan Hagberg ◽  
Lennart Bodin ◽  
...  

ObjectivesCommon mental disorders (CMDs) are among the main causes of sickness absence and can lead to suffering and high costs for individuals, employers and the society. The occupational health service (OHS) can offer work-directed interventions to support employers and employees. The aim of this study was to evaluate the effect on sickness absence and health of a work-directed intervention given by the OHS to employees with CMDs or stress-related symptoms.MethodsRandomisation was conducted at the OHS consultant level and each consultant was allocated into either giving a brief problem-solving intervention (PSI) or care as usual (CAU). The study group consisted of 100 employees with stress symptoms or CMDs. PSI was highly structured and used a participatory approach, involving both the employee and the employee’s manager. CAU was also work-directed but not based on the same theoretical concepts as PSI. Outcomes were assessed at baseline, at 6 and at 12 months. Primary outcome was registered sickness absence during the 1-year follow-up period. Among the secondary outcomes were self-registered sickness absence, return to work (RTW) and mental health.ResultsA statistical interaction for group × time was found on the primary outcome (p=0.033) and PSI had almost 15 days less sickness absence during follow-up compared with CAU. Concerning the secondary outcomes, PSI showed an earlier partial RTW and the mental health improved in both groups without significant group differences.ConclusionPSI was effective in reducing sickness absence which was the primary outcome in this study.


2019 ◽  
Vol 247 ◽  
pp. 66-72 ◽  
Author(s):  
Aapo Hiilamo ◽  
Rahman Shiri ◽  
Anne Kouvonen ◽  
Minna Mänty ◽  
Peter Butterworth ◽  
...  

2006 ◽  
Vol 189 (2) ◽  
pp. 109-117 ◽  
Author(s):  
Petros Skapinakis ◽  
Scott Weich ◽  
Glyn Lewis ◽  
Nicola Singleton ◽  
Ricardo Araya

BackgroundIndividuals in lower socio-economic groups have an increased prevalence of common mental disorders.AimsTo investigate the longitudinal association between socio-economic position and common mental disorders in a general population sample in the UK.MethodParticipants (n=2406) were assessed at two time points 18 months apart with the Revised Clinical Interview Schedule. The sample was stratified into two cohorts according to mental health status at baseline.ResultsNone of the socio-economic indicators studied was significantly associated with an episode of common mental disorder at follow-up after adjusting for baseline psychiatric morbidity. The analysis of separate diagnostic categories showed that subjective financial difficulties at baseline were independently associated with depression at follow-up in both cohorts.ConclusionsThese findings support the view that apart from objective measures of socio-economic position, more subjective measures might be equally important from an aetiological or clinical perspective.


2013 ◽  
Vol 202 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Markus Jokela ◽  
G. David Batty ◽  
Jussi Vahtera ◽  
Marko Elovainio ◽  
Mika Kivimäki

BackgroundInequality in health and treatment of disease across socioeconomic status groups is a major public health issue.AimsTo examine differences in socioeconomic status in common mental disorders and use of psychotherapy provided by the public and private sector in the UK between 1991 and 2009.MethodDuring these years, 28 054 men and women responded to annual surveys by the nationally representative, population-based British Household Panel Survey (on average 7 measurements per participant; 207 545 person-observations). In each year, common mental disorders were assessed with the self-reported 12-item General Health Questionnaire and socioeconomic status was assessed on the basis of household income, occupational status and education.ResultsHigher socioeconomic status was associated with lower odds of common mental disorder (highest v. lowest household income quintile odds ratio (OR) 0.88, 95% CI 0.82–0.94) and of being treated by publicly provided psychotherapy (OR = 0.43, 95% CI 0.34–0.55), but higher odds of being a client of private psychotherapy (OR = 3.33, 95% CI 2.36–4.71). The status difference in publicly provided psychotherapy treatment was more pronounced at the end of follow-up (OR = 0.36, 95% CI 0.23–0.56, in 2005–2009) than at the beginning of the follow-up period (OR =0.96, 95% CI 0.66–1.39, in 1991–1994; time interaction P<0.001). The findings for occupational status and education were similar to those for household income.ConclusionsThe use of publicly provided psychotherapy has improved between 1991 and 2009 among those with low socioeconomic status, although social inequalities in common mental disorders remain.


2000 ◽  
Vol 9 (4) ◽  
pp. 241-248 ◽  
Author(s):  
Ricardo Araya

RIASSUNTOLe malattie non trasmissibili sono in rapida crescita ed i problemi mentali rappresentano una larga percentuale all'interno di questo gruppo. La maggior parte del carico dovuto alle malattie mentali grava sulla medicina territoriale e generale. Ci sono grosse disparità nei tassi di prevalenza tra i vari paesi e al loro interno. I paesi latino americani hanno mostrato in maniera omogenea tassi di prevalenza più alti degli altri paesi.


Author(s):  
Jennifer Dykxhoorn ◽  
James B. Kirkbride

Psychiatric disorders, including common mental disorders, schizophrenia, and suicide, contribute substantially to the global burden of disease in terms of both morbidity and premature mortality, making them an important issue for public mental health. Epidemiological tools quantifying the burden of psychiatric disorders are important in furthering our understanding of psychiatric disorders and informing decision-making. In this chapter, we review major epidemiological studies from the past 30 years of psychiatric epidemiology to provide an overview of the burden of common mental disorders (depression and anxiety), psychotic disorders (schizophrenia and other psychotic disorders), and suicide. We also describe how the incidence and prevalence of these disorder vary by person and place, with a particular focus on the patterns of psychiatric disorders by ethnicity. Finally, we discuss the challenge of applying epidemiological evidence to public health, highlighting key issues facing public health professionals, researchers, and policymakers working in public mental health.


2010 ◽  
Vol 69 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Ann Kristin Knudsen ◽  
Simon Øverland ◽  
Helene Flood Aakvaag ◽  
Samuel B. Harvey ◽  
Matthew Hotopf ◽  
...  

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