Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy

Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client p...

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Autores principales:	Ulrich Trohl, Karoline Wagner, Vivian Kalfa, Sarah Negash, Andreas Wienke, Amand Führer
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	asylum seekers mental health secondary data analysis health care utilization Medicine R
Acceso en línea:	https://doaj.org/article/897bc1fc426741ee89887af3ea565fb6
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spelling	oai:doaj.org-article:897bc1fc426741ee89887af3ea565fb62021-11-25T17:48:55ZSick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy10.3390/ijerph1822118501660-46011661-7827https://doaj.org/article/897bc1fc426741ee89887af3ea565fb62021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11850https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client population on the waiting list of a psychosocial center (PSZ). Methods: We conducted a retrospective observational study based on client files in Halle (Saale), Germany. We included 437 adults who were on the PSZ waiting list between 2016 and 2019. Questionnaires that collected information on the clientele at two different times were analyzed. Results: The average waiting time for psychotherapy was 50 weeks. In total, 85.6% of the 188 respondents reported sleep disorders (<i>n</i> = 161), 65.4% of clients reported pain (<i>n</i> = 123) and 54.8% suicide attempts/suicidal thoughts (<i>n</i> = 54). In the 16-week waiting period in which the clients waited for an initial appointment with a psychologist, the residence status deteriorated in 21.3% (<i>n</i> = 40). Conclusion: Improving asylum seekers’ access to the German health system is urgently needed in order to prevent unnecessary suffering in the future and to comply with EU law.Ulrich TrohlKaroline WagnerVivian KalfaSarah NegashAndreas WienkeAmand FührerMDPI AGarticleasylum seekersmental healthsecondary data analysishealth care utilizationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11850, p 11850 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	asylum seekers mental health secondary data analysis health care utilization Medicine R
spellingShingle	asylum seekers mental health secondary data analysis health care utilization Medicine R Ulrich Trohl Karoline Wagner Vivian Kalfa Sarah Negash Andreas Wienke Amand Führer Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
description	Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client population on the waiting list of a psychosocial center (PSZ). Methods: We conducted a retrospective observational study based on client files in Halle (Saale), Germany. We included 437 adults who were on the PSZ waiting list between 2016 and 2019. Questionnaires that collected information on the clientele at two different times were analyzed. Results: The average waiting time for psychotherapy was 50 weeks. In total, 85.6% of the 188 respondents reported sleep disorders (<i>n</i> = 161), 65.4% of clients reported pain (<i>n</i> = 123) and 54.8% suicide attempts/suicidal thoughts (<i>n</i> = 54). In the 16-week waiting period in which the clients waited for an initial appointment with a psychologist, the residence status deteriorated in 21.3% (<i>n</i> = 40). Conclusion: Improving asylum seekers’ access to the German health system is urgently needed in order to prevent unnecessary suffering in the future and to comply with EU law.
format	article
author	Ulrich Trohl Karoline Wagner Vivian Kalfa Sarah Negash Andreas Wienke Amand Führer
author_facet	Ulrich Trohl Karoline Wagner Vivian Kalfa Sarah Negash Andreas Wienke Amand Führer
author_sort	Ulrich Trohl
title	Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_short	Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_full	Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_fullStr	Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_full_unstemmed	Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy
title_sort	sick and tired—sociodemographic and psychosocial characteristics of asylum seekers awaiting an appointment for psychotherapy
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/897bc1fc426741ee89887af3ea565fb6
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Sick and Tired—Sociodemographic and Psychosocial Characteristics of Asylum Seekers Awaiting an Appointment for Psychotherapy

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