Structural and socio-cultural barriers to accessing mental healthcare among Syrian refugees and asylum seekers in Switzerland

Nikolai Kiselev, Monique Pfaltz, Florence Haas, Matthis Schick, Marie Kappen, Marit Sijbrandij, Anne M. De Graaff, Martha Bird, Pernille Hansen, Peter Ventevogel, Daniela C. Fuhr, Ulrich Schnyder, Naser Morina*

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Due to their experiences of major stressful life events, including post-displacement stressors, refugees and asylum seekers are vulnerable to developing mental health problems. Yet, despite the availability of specialized mental health services in Western European host countries, refugees and asylum seekers display low mental healthcare utilization.

Objective: The aim of this study was to explore structural and socio-cultural barriers to accessing mental healthcare among Syrian refugees and asylum seekers in Switzerland.

Method: In this qualitative study, key-informant (KI) interviews with Syrian refugees and asylum seekers, Swiss healthcare providers and other stakeholders (e.g. refugee coordinators or leaders) were conducted in the German-speaking part of Switzerland. Participants were recruited using snowball sampling. Interviews were audiotaped and transcribed, and then analysed using thematic analysis, combining deductive and inductive coding.

Results: Findings show that Syrian refugees and asylum seekers face multiple structural and socio-cultural barriers, with socio-cultural barriers being perceived as more pronounced. Syrian key informants, healthcare providers, and other stakeholders identified language, gatekeeper-associated problems, lack of resources, lack of awareness, fear of stigma and a mismatch between the local health system and perceived needs of Syrian refugees and asylum seekers as key barriers to accessing care.

Conclusions: The results show that for Syrian refugees and asylum seekers in Switzerland several barriers exist. This is in line with previous findings. A possible solution for the current situation might be to increase the agility of the service system in general and to improve the willingness to embrace innovative paths, rather than adapting mental healthcare services regarding single barriers and needs of a new target population.
Original languageEnglish
Article number1717825
Pages (from-to)1-16
Number of pages16
JournalEuropean Journal of Psychotraumatology
Volume11
Issue number1
Early online date4 Feb 2020
DOIs
Publication statusPublished - 2020

Bibliographical note

Title and abstract also in Spanish and Chinese.
Spanish title: Barreras estructurales y socioculturales para acceder a cuidados de salud mental para refugiados y solicitantes de asilo sirios en Suiza

Funding

This work was supported by the Swiss State Secretariat for Education, Research and Innovation (SERI) under contact number 16.0205. The opinions expressed and arguments employed herein do not necessarily reflect the official views of the Swiss Government. This study was conducted on behalf of the STRENGTHS-Consortium.

FundersFunder number
Swiss Government
Swiss State Secretariat for Education, Research and Innovation
Horizon 2020 Framework Programme733337
Singapore Eye Research Institute16.0205

    Keywords

    • barriers
    • Mental healthcare services
    • qualitative study
    • refugee mental health
    • Switzerland
    • Syrian refugees and asylum seekers

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