Re-designing the integrated care program for Asylum Seekers in the Netherlands

Asylum seekers often have serious and complex mental health problems mostly due to experiences either in their home country or during their travel to the Netherlands. During the asylum procedure, people seek treatment from the GP or a primary health care provider. However, often their problems are more serious and complex and they need to be referred to specialized primary and secondary mental health care.Asylum seekers are, as a group, characterized by diversity and multiple cultural backgrounds.Problem statement: The consequences are mental trauma such as depression, psychotic symptoms, slee... Mehr ...

Verfasser: Pluck, Ferdy
Ettema, Roelof
de Kuiper, Marlou
Dokumenttyp: Artikel
Erscheinungsdatum: 2018
Verlag/Hrsg.: Ubiquity Press
Schlagwörter: asylum seekers / neuman systems model / realist perspective / integrated care program / netherlands
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29177573
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://account.ijic.org/index.php/up-j-ijic/article/view/4527

Asylum seekers often have serious and complex mental health problems mostly due to experiences either in their home country or during their travel to the Netherlands. During the asylum procedure, people seek treatment from the GP or a primary health care provider. However, often their problems are more serious and complex and they need to be referred to specialized primary and secondary mental health care.Asylum seekers are, as a group, characterized by diversity and multiple cultural backgrounds.Problem statement: The consequences are mental trauma such as depression, psychotic symptoms, sleeplessness, suicidal behavior, conflicts, insufficient social support. For professionals in the first echelon of care, this group is problematic and requires resources which are not always available which is why many problems are underdiagnosed and undertreated Asielzoekersteam GGz Centraal, n.d.The problem statement provides the rationale for the design of an integrated specialized care program for asylum seekers, including first and second echelon health care providers, social work, specialized care and preventive care.At the moment, there is no national guideline for the care of these clients. At GGz Centraal, which is a large Mental Health Care Institute in the Netherlands, there are 8 facilities for refugees and asylum seekers for a total of around 3500 people "Asielzoekersteam GGz Centraal", n.d. For people with mental health problems, a program was designed and implemented which is carried out by multidisciplinary teams of Mental Health Care professionals such as psychiatrists, Nurse Specialists, psychologists, etc. Due to a lack of a methodical evaluation, the effects of this program are unknown.Research proposal:At the moment, there are three main research questions:What are the effects of the current program on long-term symptoms and perceived quality of life of clients and what is the opinion of professionals on the different aspects of the program such as feasibility en demands on professional resources?Which are ...