Abstract
Psychosocial needs are common among migrants but their use of mental health services is not. Little is known about the understanding of mental health issues by migrants and their perception of mental health services. The study aims to provide a basis for further developments of the mental health system to contribute to health equity in the long term.
Qualitative research: literature review, semi-structured interviews and focus groups. 54 migrants from Afghanistan, Somalia, arabic-speaking countries and Turkey and 16 experts were involved. Access was gained through cooperating with an institution offering various health services in different languages and well-known by migrant communities. Migrants from Turkey with long residence in Austria and linked to psychosocial services were chosen as reference group.
There are many similarities among socio-economically disadvantaged people in terms of their understanding of mental health and their willingness to seek and accept support. However, differences can also be observed which are related to country of origin or gender, but also to acculturation status, current life situation or previous experiences within the home or the receiving country. The Turkish reference group shows, that mental health issues are given higher priority in the course of time. To quicken this process, targeted measures for the promotion of health literacy are decisive, but also integration possibilities and the social climate. With a wide range of access and psychosocial support options, attitudes like openness, impartiality and flexibility among health professionals, it is possible to reach migrants with psychosocial needs.
A stronger exchange on how people with a migration background and psychosocial needs are perceived and reached is needed. But also activities to increase the diversity of support services and to carry information about mental health issues as well as the existing services into the migrant communities
Key messages
Specific activities can improve the knowledge about mental health issues within migrant communities. A wide range of access and psychosocial support services is needed to address the diversity.