scholarly journals Diverse and Complex Challenges to Migrant and Refugee Mental Health: Reflections of the M8 Alliance Expert Group on Migrant Health

Author(s):  
Danny Sheath ◽  
Antoine Flahault ◽  
Joachim Seybold ◽  
Luciano Saso

Forced migration is likely to continue to grow in the coming years due to climate change, disease outbreaks, conflict, and other factors. There are a huge number of challenges to maintaining good health, and specifically good mental health, among migrants at all stages of migration. It is vital to fully understand these diverse challenges so that we can work towards overcoming them. In 2017, as a response to the growing health challenges faced by migrants and refugees, the M8 Alliance created an expert group focussing on migrant and refugee health. The group meets annually at the Sapienza University of Rome, Italy, and this article is based on the discussions that took place at the third annual meeting (6–7 June 2019) and a special session on “Protecting the Mental Health of Refugees and Migrants,” which took place on 27 October at the World Health Summit 2019 in Berlin. Our discussions are also supported by supplementary literature to present the diverse and complex challenges to the mental health of migrants and refugees. We conclude with some lessons learned and hope for the future.

2021 ◽  
Vol 30 (3) ◽  
pp. 184-187
Author(s):  
Paul Illingworth

The World Health Organization (WHO) has acknowledged that high-income countries often address discrimination against people with mental health problems, but that low/middle income countries often have significant gaps in their approach to this subject—in how they measure the problem, and in strategies, policies and programmes to prevent it. Localised actions have occurred. These include the Hong Kong government's 2017 international conference on overcoming the stigma of mental illness, and the 2018 London Global Ministerial Mental Health Summit. Furthermore, the UK's Medical Research Council has funded Professor Graham Thornicroft (an expert in mental health discrimination and stigma) to undertake a global study. These and other approaches are welcome and bring improvements; however, they often rely on traditional westernised, ‘global north’ views/approaches. Given the rapid global demographic changes/dynamics and the lack of evidence demonstrating progress towards positive mental health globally, it is time to consider alternative and transformative approaches that encompasses diverse cultures and societies and aligns to the United Nations' Sustainable Development Goals (SDGs), specifically UN SDG 3 (Good health and wellbeing). This article describes the need for the change and suggests how positive change can be achieved through transnational inclusive mental health de-stigmatising education.


Author(s):  
Suresh K. ◽  
Manimozhi G. ◽  
Elango M.

In the 21st century, people are connecting with technology, and most of the people are spending time in social networks for sharing information. For the most part, spending time on social media is linked with an increased risk of loneliness and depression. Negative effects of social media and social network are affecting the person's mental, emotional, and physical health. The World Health Organization (WHO) reported that 8,000,000 people are dying due to suicide every year, and especially, every 40 seconds teenagers are dying. Generally, most of the teenagers are emotionally imbalanced; most of the suicide is committed on high depression. Depression is the foremost cause of emotional and mental illness. Emotional health is a state of emotional wellbeing, and it's a hidden and invisible factor as well as a factor for good mental health; mental health is a deep-seated problem for most humans. With this background, this chapter discusses the emotional and mental health with respect to technological issues.


Author(s):  
Suresh K. ◽  
Manimozhi G. ◽  
Elango M.

In the 21st century, people are connecting with technology, and most of the people are spending time in social networks for sharing information. For the most part, spending time on social media is linked with an increased risk of loneliness and depression. Negative effects of social media and social network are affecting the person's mental, emotional, and physical health. The World Health Organization (WHO) reported that 8,000,000 people are dying due to suicide every year, and especially, every 40 seconds teenagers are dying. Generally, most of the teenagers are emotionally imbalanced; most of the suicide is committed on high depression. Depression is the foremost cause of emotional and mental illness. Emotional health is a state of emotional wellbeing, and it's a hidden and invisible factor as well as a factor for good mental health; mental health is a deep-seated problem for most humans. With this background, this chapter discusses the emotional and mental health with respect to technological issues.


2021 ◽  
Vol 22 (14) ◽  
pp. 7528
Author(s):  
Ancuța Dinu ◽  
Constantin Apetrei

Good health, of vital importance in order to carry out our daily routine, consists of both physical and mental health. Tyrosine (Tyr) deficiency as well as its excess are issues that can affect mental health and can generate disorders such as depression, anxiety, or stress. Tyr is the amino acid (AA) responsible for maintaining good mental health, and for this reason, the present research presents the development of new electrochemical sensors modified with polypyrrole (PPy) doped with different doping agents such as potassium hexacyanoferrate (II) (FeCN), sodium nitroprusside (NP), and sodium dodecyl sulfate (SDS) for a selective and sensitive detection of Tyr. The development of the sensors was carried out by chronoamperometry (CA) and the electrochemical characterization was carried out by cyclic voltammetry (CV). The detection limits (LOD) obtained with each modified sensor were 8.2 × 10−8 M in the case of PPy /FeCN-SPCE, 4.3 × 10−7 M in the case of PPy/NP-SPCE, and of 3.51 × 10−7 M in the case of PPy/SDS-SPCE, thus demonstrating a good sensitivity of these sensors detecting L-Tyr. The validation of sensors was carried out through quantification of L-Tyr from three pharmaceutical products by the standard addition method with recoveries in the range 99.92–103.97%. Thus, the sensors present adequate selectivity and can be used in the pharmaceutical and medical fields.


2019 ◽  
Author(s):  
Lamus MN ◽  
Stephanie Lozano ◽  
Charles CM ◽  
Guida JP ◽  
Parpinelli MA ◽  
...  

Abstract Background There are no accurate estimates of the prevalence of non-severe maternal morbidities. Given the lack of instruments to fully assess these morbidities, the World Health Organization (WHO) developed an instrument called WOICE. Objective To evaluate the prevalence of non-severe maternal morbidities in puerperal women and analyses factors associated to impaired clinical, social and mental health conditions. Method A cross-sectional study with 519 postpartum women in a single encounter 6 to 12 weeks postpartum. The WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; The second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. Data collection was supported by Tablets with REDCAP software. Initially, a descriptive analysis was performed, with general prevalence of all variables contained in the WOICE, including scales on anxiety and depression (GAD-7 and PHQ-9- altered if ≥10), functionality (WHODAS- altered when ≥37.4) and data on violence and substance use. Subsequently, an evaluation of cases with alterations was performed, with a logistic regression to investigate factors associated to impaired non-clinical and clinical conditions. Results 517 women were included, majority (54.3%) multiparous, ages between 20 and 34 years (65.4%) and with partner (75,6%). Over a quarter had (26.2%) preterm birth, however good perinatal outcomes. Around a third (30.2%) reported health problems informed by the physician, although more than 80% considered having good or very good health. About 10% reported any substance and 5.9% suffered violence. Anxiety was identified in 19.8% of cases, depression in 36.9% and altered functioning in 4.4% of women. Logistic regression identified that poor overall health rating was associated to increased anxiety/depression and impaired functioning. Having a partner reduces the perception of women on the presence of clinical morbidities. Conclusion During postpartum care, women presented high frequency of anxiety and depression and relevant frequency of substance use and violence. These aspects of women´s health need further evaluation and specific interventions to improve quality of care.


2020 ◽  
Author(s):  
Martha Narvaez Lamus ◽  
Stephanie Lozano ◽  
Charles MPoca ◽  
Jose Paulo Guida ◽  
Mary Angela Parpinelli ◽  
...  

Abstract BackgroundThere are no accurate estimates of the prevalence of non-severe maternal morbidities. Given the lack of instruments to fully assess these morbidities, the World Health Organization (WHO) developed an instrument called WOICE.ObjectiveTo evaluate the prevalence of non-severe maternal morbidities in puerperal women and analyses factors associated to impaired clinical, social and mental health conditions.MethodA cross-sectional study with 519 postpartum women in a single encounter 6 to 12 weeks postpartum. The WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; The second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. Data collection was supported by Tablets with REDCAP software. Initially, a descriptive analysis was performed, with general prevalence of all variables contained in the WOICE, including scales on anxiety and depression (GAD-7 and PHQ-9- altered if ≥ 10), functionality (WHODAS- altered when ≥ 37.4) and data on violence and substance use. Subsequently, an evaluation of cases with alterations was performed, with a logistic regression to investigate factors associated to impaired non-clinical and clinical conditions.Results517 women were included, majority (54.3%) multiparous, ages between 20 and 34 years (65.4%) and with partner (75,6%). Over a quarter had (26.2%) preterm birth, however good perinatal outcomes. Around a third (30.2%) reported health problems informed by the physician, although more than 80% considered having good or very good health. About 10% reported any substance and 5.9% suffered violence. Anxiety was identified in 19.8% of cases, depression in 36.9% and altered functioning in 4.4% of women. Logistic regression identified that poor overall health rating was associated to increased anxiety/depression and impaired functioning. Having a partner reduces the perception of women on the presence of clinical morbidities.ConclusionDuring postpartum care, women presented high frequency of anxiety and depression and relevant frequency of substance use and violence. These aspects of women´s health need further evaluation and specific interventions to improve quality of care.


1989 ◽  
Vol 13 (4) ◽  
pp. 191-192
Author(s):  
Judy Renshaw

Good Practices in Mental Health (GPMH) is a national charity set up to disseminate information about local mental health services which are found to work well. Its general aim is to promote and assist the development of good mental health services. By providing an exchange of information about effective services in both hospitals and the community, GPMH encourages others to build on what is already proving successful. GPMH developed from a survey of mental health in big cities carried out by the International Hospital Federation (IHF) and was set up in 1977 with the support of the IHF, MIND and the King's Fund. It has the backing of all the major professional organisations concerned with mental health in the United Kingdom, the World Health Organization and the World Federation for Mental Health internationally. It is now funded mainly by the DHSS; some funding comes from the London Boroughs Grants Committee and charitable sources. There are three units within the organisation: information, development and evaluation.


2015 ◽  
Vol 23 (3) ◽  
pp. 149-152 ◽  
Author(s):  
Stefan Kohler ◽  
Stefan N. Willich

Abstract A modern urban lifestyle can be a risk factor for developing non-communicable diseases and mental health problems (Eckert S, Kohler S. Urbanization and health in developing countries: A systematic review. World Health Popul. 2014;15:7–20; Penkalla AM, Kohler S. Urbanicity and mental health in Europe: a systematic review. Eur J Ment Health 2014;9:163–77). Two non-commercial, state-funded web portals in the German states of Berlin and Brandenburg are attempting to support the residents in realizing a healthier lifestyle. The initial portal is named Präventionsatlas [Atlas of Prevention] and has existed since 2008. The second portal, called Stadtplan Gesundheitsförderung [Health Promotion Map], went online in 2014 and has become the successor to the former. Both web portals provide health information as well as searchable databases with locally available health promotion courses and projects. Since internet portals and knowledge management through Internet portals have become more and more frequently used as public health tools (see, e.g. Quinn E, Huckel-Schneider C, Campbell D, Seale H, Milat AJ. How can knowledge exchange portals assist in knowledge management for evidence-informed decision making in public health? BMC Public Health 2014;14:443), we share our lessons learned during the development and revision of the health portal www.praeventionsatlas.de in this article.


2021 ◽  
Author(s):  
Ancha Rani ◽  
Vandana Singh Malik ◽  
Rakesh Kumar Behamani

The COVID-19 pandemic is a global health problem affecting around 213 countries and territories worldwide, with more than 6,474,200 cases reported and 382,914 deaths documented so far. The World Health Organization announced COVID-19 is a pandemic outbreak on 11 March, 2020. We are facing a medical emergency because of COVID-19 pandemic. These large incidents have negative and detrimental effects on mental health and well-being of individuals worldwide. Widespread infectious disease outbreaks such as COVID-19 are linked to mental illness symptoms and psychological distress. Preliminary studies indicate that depression (28%) and anxiety (16%) symptoms and self-reported stress (8 %) are typical psychological responses to the COVID-19 pandemic, which could be correlated with sleep disturbance. The physical and psychological wellbeing of general people, particularly health care practitioners, has been profoundly affected by illness. The main objective of this review-based study is to focus mental health and psychological interventions which can be provided during this pandemic. Stress, fear, anxiety, panic, frustration is very common during COVID-19 pandemic and these can be reduced by some psychological intervention measures.


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