Mental Health Issues rise among refugees in Greece: discussion on the mental health services “delivery” to refugees.

Abstract

Introduction: The 2015 migration crisis prompted changes in Greece's system and services, particularly in mental health support. However, many refugees with mental health issues still face barriers, impacting social integration. Addressing these needs is crucial for effective integration strategies. Literature Review: Forced migration and traumatic experiences put a significant portion of refugees at risk of psychological and psychiatric issues. Despite available services, most refugees with mental health problems lack proper support. Factors like unequal service distribution, lack of coordination, and cultural considerations contribute to this gap. Research Objective: This study aims to assess Greece's response to refugees' mental health needs and mental health professionals' perceptions, focusing on integration. Objectives include analyzing Greece's mental health care system, evaluating the effectiveness of its response to integration, understanding challenges faced by professionals, and identifying barriers and solutions for improved support. Methodology: Thirteen mental health experts were interviewed, primarily from Non governmental organizations (NGOs) and international organizations. The study used Braun and Clarke's thematic analysis framework to extract meaningful insights. Results: Six key themes emerged, highlighting complexities in mental health care for refugees. These covered mental health provision challenges, access barriers, cultural considerations, effective therapeutic relationships, service development progress, and integration challenges and suggestions. Discussion: The study emphasizes NGOs' crucial role in bridging mental healthcare gaps and the need for enhanced cultural competence among professionals. It provides practical recommendations, including awareness and education, cultural training, interpreter availability, and targeted language and employment support. Conclusion: These findings hold substantial implications for refining mental health services for refugees not only in Greece but also in similar global context.