Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study

Background: The COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migra...

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Detalles Bibliográficos
Autores: Lotito, Claudia, Turrini, Giulia, Purgato, Marianna, Bryant, Richard A., Felez Nobrega, Mireia, Haro, Josep Maria, Lorant, Vincent, McDaid, David, Mediavilla Torres, Roberto, Melchior, Maria, Nicaise, Pablo, Nosè, Michela, Park, A. La, McGreevy, Kerry R., Roos, Rinske, Tortelli, Andrea, Underhill, James, Vadell Martinez, Julian, Witteveen, Anke, Sijbrandij, Marit, Barbui, Corrado
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/720564
Acceso en línea:http://hdl.handle.net/10486/720564
https://dx.doi.org/10.1186/s40359-023-01208-0
Access Level:acceso abierto
Palabra clave:Asylum seeker
COVID-19
Focus group
Free listing interviews
Mental health
Migrant
Psychological distress
Qualitative study
Refugee
Medicina
Descripción
Sumario:Background: The COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group. Methods: Participants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach. Results: A total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes. Conclusions: The present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions.