Mental Health Screening Approaches for Resettling Refugees and Asylum Seekers: A Scoping Review

Olivia Magwood, Azaad Kassam, Dorsa Mavedatnia, Oreen Mendonca, Ammar Saad, Hafsa Hasan, Maria Madana, Dominique Ranger, Yvonne Tan and Kevin Pottie
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Olivia Magwood: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada
Azaad Kassam: Department of Psychiatry, University of Ottawa, 75 Laurier Ave E, Ottawa, ON K1N 6N5, Canada
Dorsa Mavedatnia: Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada
Oreen Mendonca: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada
Ammar Saad: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada
Hafsa Hasan: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada
Maria Madana: Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada
Dominique Ranger: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada
Yvonne Tan: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada
Kevin Pottie: C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada

IJERPH, 2022, vol. 19, issue 6, 1-41

Abstract: Refugees and asylum seekers often face delayed mental health diagnoses, treatment, and care. COVID-19 has exacerbated these issues. Delays in diagnosis and care can reduce the impact of resettlement services and may lead to poor long-term outcomes. This scoping review aims to characterize studies that report on mental health screening for resettling refugees and asylum seekers pre-departure and post-arrival to a resettlement state. We systematically searched six bibliographic databases for articles published between 1995 and 2020 and conducted a grey literature search. We included publications that evaluated early mental health screening approaches for refugees of all ages. Our search identified 25,862 citations and 70 met the full eligibility criteria. We included 45 publications that described mental health screening programs, 25 screening tool validation studies, and we characterized 85 mental health screening tools. Two grey literature reports described pre-departure mental health screening. Among the included publications, three reported on two programs for women, 11 reported on programs for children and adolescents, and four reported on approaches for survivors of torture. Programs most frequently screened for overall mental health, PTSD, and depression. Important considerations that emerged from the literature include cultural and psychological safety to prevent re-traumatization and digital tools to offer more private and accessible self-assessments.

Keywords: refugee; asylum seeker; mental health; resettlement; migration; screening; health assessment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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