EPA Guidance mental health care of migrants

Currently the majority of data regarding indicators of psychiatric morbidity of migrant and minority groups in Germany is derived from studies on help-seeking behavior, mental health service use, or data from population studies, which were not specifically aimed at including migrants Such data are only available for certain groups, for example, population-based studies on psychiatric disorders and suicidal behavior among Turkish migrants have been conducted, while, comprehensive data on the psychiatric morbidity among major migrant groups in Germany are still rather limited Barriers to recruiting migrants for health studies, difficulties in assessing psychiatric morbidity in multi-cultural samples, observed as feasibility problems, are among the factors that interfere with population-based studies

Mental disorders of immigrants in Germany

This background paper aims to better understand and classify the needs of migrant, refugee and asylum seeker patients worldwide, and provides background information on the subject.

Background paper on the needs of migrant, refugee and asylum seeker patients around the globe

Because migration is such a complex process, it often brings with it stress, strain, and risk factors such as poor medical care, separation of family and children as well as other relatives. It can also include homelessness, lack of food and water, xenophobic attacks, poor education, perceived and experienced discrimination, and a high risk of death and injury.[4,5] Furthermore, social factors, including cultural bereavement, culture shock, social defeat, as well as a discrepancy between expectations and achievement, and acceptance by the new nation can all affect adjustment.[3,6] Further risk factors in new communities can include social exclusion, stigma, and discrimination.

Mental health of migrants

In the modern world, migration and immigrants are shaping cities. Human mobility transfers human and material capital as well as knowledge. Hence, increasing diversity within cities is not only a feature of modern day trends in migration and urban growth, it is also an important matter in mental health. Various scholars have suggested considering environmental and sociocultural contexts as additional factors in the understanding of psychopathology and mental disorders [1–3]. While research on mental disorders in Western countries often favors individualistic explanations, with little attention being paid to the role of social structure [4–6], psychosocial and sociocultural factors have often been neglected [7,8]. 

Recent Developments in Cultural Psychiatry

The elderly population of ethnic minorities is increasing in most Western countries, but ethnic minority patients are underrepresented in dementia assessment and care. This may in part be due to cultural perceptions of dementia and lack of knowledge about the available support among ethnic minorities. Also, it can be difficult to make clinical assessments of ethnic minority patients who do see a physician for dementia symptoms. In particular, the interpretation of cognitive test results represents a major challenge.

Dementia in ethnic minorities

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Dementia in ethnic minorities