Addressing the Mental Health Challenges of Refugees—A Regional Network-Based Approach in Middle Hesse Germany

Hanewald, Bernd; Knipper, Michael; Daub, Janneke; Ebert, Saskia; Bogdanski, Christina; Hinder, Laura; Hall, Mila; Berthold, Daniel; Stingl, Markus

doi:10.3390/ijerph192013436

Cited by 4 publications

(1 citation statement)

References 60 publications

(68 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…57 In some cases, syndemic care requires the integration of legal protection for patients who do not feel safe due to policies around policies for migrants, refugees, or asylees. 58,59 Syndemic care views patients as one unit as opposed to a composite of discrete diseases. Treating patients as one unit entails coordinated medical visits provided by a single medical centre and caregiver rather than multiple diseasespecific centres.…”

Section: Actualising Care For Whole Personsmentioning

confidence: 99%

Making morbidity multiple: History, legacies, and possibilities for global health

Dixon

Mendenhall

Bosire

et al. 2023

Journal of Multimorbidity and Comorbidity

View full text Add to dashboard Cite

Multimorbidity has been framed as a pressing global health challenge that exposes the limits of systems organised around single diseases. This article seeks to expand and strengthen current thinking around multimorbidity by analysing its construction within the field of global health. We suggest that the significance of multimorbidity lies not only in challenging divisions between disease categories but also in what it reveals about the culture and history of transnational biomedicine. Drawing on social research from sub-Saharan Africa to ground our arguments, we begin by describing the historical processes through which morbidity was made divisible in biomedicine and how the single disease became integral not only to disease control but to the extension of biopolitical power. Multimorbidity, we observe, is hoped to challenge single disease approaches but is assembled from the same problematic, historically-loaded categories that it exposes as breaking down. Next, we highlight the consequences of such classificatory legacies in everyday lives and suggest why frameworks and interventions to integrate care have tended to have limited traction in practice. Finally, we argue that efforts to align priorities and disciplines around a standardised biomedical definition of multimorbidity risks retracing the same steps. We call for transdisciplinary work across the field of global health around a more holistic, reflexive understanding of multimorbidity that foregrounds the culture and history of translocated biomedicine, the intractability of single disease thinking, and its often-adverse consequences in local worlds. We outline key domains within the architecture of global health where transformation is needed, including care delivery, medical training, the organisation of knowledge and expertise, global governance, and financing.

show abstract

Section: Actualising Care For Whole Personsmentioning

confidence: 99%

Making morbidity multiple: History, legacies, and possibilities for global health

Dixon

Mendenhall

Bosire

et al. 2023

Journal of Multimorbidity and Comorbidity

View full text Add to dashboard Cite

show abstract

The importance of addressing intergenerational trauma in refugees

Shoib,

Armiya’u,

Swed

et al. 2023

Nat. Mental Health

View full text Add to dashboard Cite

An ecosystemic view on refugee mental health care: on caring environments and their interaction

Klapprott,

Saleh,

Kluge

2023

Health Promotion International

View full text Add to dashboard Cite

Despite the burden of mental health problems among refugees, knowledge about mental health care for this group is limited. In this context, the comprehensive discussion is important because care is more than professional care, but takes place in everyday situations and between different groups of people. In this study, we look at expert views (based on profession and lived experience) on caring environments concerning refugees’ mental health on different system levels. These levels include the individual level, family level, community level and the society. Additionally, we aimed to understand how these system levels interact. We conducted interviews with 11 psychotherapists from Germany and 12 participants who fled from Arabic-speaking countries to Germany. We analyzed transcripts following Braun and Clarke’s reflexive thematic analysis. Interviewees shared ideas on how society in general (e.g. increase acceptance), professional actors (e.g. be sensitive about cultural differences), other refugees (e.g. exchange information), family/friends (e.g. provide emotional help) and refugees with mental health problems themselves (e.g. be open to involve others) could provide care. Participants provided examples of how system levels interacted, for example when legal norms made care among family members harder. The interactions between different system levels point to a multidisciplinary approach towards mental health care for refugees and call for building expert networks instead of viewing refugee mental health as a medical, psychiatric issue alone. To improve the mental health of refugees, different societal actors should keep in mind the interactions across different system levels and exchange their respective expert knowledge.

show abstract

Addressing the Mental Health Challenges of Refugees—A Regional Network-Based Approach in Middle Hesse Germany

Cited by 4 publications

References 60 publications

Making morbidity multiple: History, legacies, and possibilities for global health

Making morbidity multiple: History, legacies, and possibilities for global health

The importance of addressing intergenerational trauma in refugees

An ecosystemic view on refugee mental health care: on caring environments and their interaction

Contact Info

Product

Resources

About