Mental health problems in undocumented and documented migrants: a survey study

Undocumented migrants (UM) frequently report mental health problems. It is unknown to what extent these migrants seek help for these problems in general practice and how these issues are explored, discussed, registered and treated by GPs. To gain insight in the registration and treatment of mental h...

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Bibliographic Details
Published in:Family practice 2014-10, Vol.31 (5), p.571-577
Main Authors: Teunissen, Erik, van den Bosch, Laura, van Bavel, Eric, van den Driessen Mareeuw, Francine, van den Muijsenbergh, Maria, van Weel-Baumgarten, Evelyn, van Weel, Chris
Format: Article
Language:English
Subjects:
Adolescent
Adult
Data Collection
Drug Prescriptions - statistics & numerical data
Female
General Practice - statistics & numerical data
Humans
Male
Mental Disorders - diagnosis
Mental Disorders - drug therapy
Middle Aged
Netherlands
Psychiatry - statistics & numerical data
Psychology - statistics & numerical data
Psychotropic Drugs - therapeutic use
Referral and Consultation - statistics & numerical data
Retrospective Studies
Transients and Migrants - legislation & jurisprudence
Transients and Migrants - psychology
Transients and Migrants - statistics & numerical data
Young Adult
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Summary:Undocumented migrants (UM) frequently report mental health problems. It is unknown to what extent these migrants seek help for these problems in general practice and how these issues are explored, discussed, registered and treated by GPs. To gain insight in the registration and treatment of mental health problems in general practice of UM compared to documented migrants (DM). A survey study of general practice patient records of UM and DM in nine general practices in the Netherlands. Consultation rates, registration of mental health problems, prescription of psychotropic medication and referrals to mental health care institutions of UM and DM patients were compared. A total of 541 migrants were included (325 UM and 216 DM). UM consulted a GP significantly less than DM (3.1 versus 4.9 times per year). Only 20.6% of the UM had at least one mental health problem diagnosis registered compared to 44.0% of the DM. In both groups, ~10% mentioned at least one main mental health complaint during the consultation that was not coded in the record. No significant differences were found in the prescription of psychotropic medication between the two groups. UM were referred less to mental health care institutions but more often to psychiatrists than to psychologists. UM had less consultations with their GP, and in these consultations, less mental health problems were registered. UM were referred less to psychologists but more often to psychiatrists. GPs are advised to explore and register mental health problems more actively in UM.
ISSN:0263-2136
1460-2229
DOI:10.1093/fampra/cmu038