Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
Por:
Lotito C, Turrini G, Purgato M, Bryant RA, Félez M, Haro JM, Lorant V, David McDaid, Mediavilla R, Melchior M, Nicaise P, Nosè M, Park AL, McGreevy KR, Roos R, Tortelli A, Underhill J, Martinez JV, Witteveen A, Sijbrandij M and Barbui C
Publicada:
19 may 2023
Ahead of Print:
19 may 2023
Resumen:
BackgroundThe COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group.MethodsParticipants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach.ResultsA total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes.ConclusionsThe present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions.
Filiaciones:
Lotito C:
WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Cochrane Global Mental Health, University of Verona, Verona, Italy
Turrini G:
WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy.
Cochrane Global Mental Health, University of Verona, Verona, Italy.
Purgato M:
WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Cochrane Global Mental Health, University of Verona, Verona, Italy
Bryant RA:
School of Psychology, University of New South Wales, Sydney, Australia
Félez M:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain
Haro JM:
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Lorant V:
Institute of Health and Society (IRSS), Université catholique de Louvain, Brussels, Belgium
David McDaid:
Care Policy and Evaluation Centre, Department of Health, London School of Economics and Political Science, London, UK
Mediavilla R:
Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain
Centro de Investigaci?n Biom?dica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
Melchior M:
Département d'Epidémiologie Sociale, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, 27 rue de Chaligny, Paris, 75012, France
Nicaise P:
Institute of Health and Society (IRSS), Université catholique de Louvain, Brussels, Belgium
Nosè M:
WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Cochrane Global Mental Health, University of Verona, Verona, Italy
Park AL:
Care Policy and Evaluation Centre, Department of Health, London School of Economics and Political Science, London, UK
McGreevy KR:
Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain
Centro de Investigaci?n Biom?dica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Roos R:
Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Tortelli A:
Département d'Epidémiologie Sociale, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, 27 rue de Chaligny, Paris, 75012, France
Underhill J:
Research consultant, Brighton, UK
Martinez JV:
Département d'Epidémiologie Sociale, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, 27 rue de Chaligny, Paris, 75012, France
Witteveen A:
Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Sijbrandij M:
Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Barbui C:
WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
Cochrane Global Mental Health, University of Verona, Verona, Italy
Green Accepted, gold, Green Published
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