General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems

Refugees suffer from higher rates of certain mental health problems than non-refugee migrants and the native population of their host country. General practitioners (GPs) in Norway and many other European countries are the first contact person for settled refugees in need of non-emergency medical su...

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Main Authors: Samantha Marie Harris, Per-Einar Binder, Gro Mjeldheim Sandal
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-03-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2020.00412/full
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author Samantha Marie Harris
Per-Einar Binder
Gro Mjeldheim Sandal
author_facet Samantha Marie Harris
Per-Einar Binder
Gro Mjeldheim Sandal
author_sort Samantha Marie Harris
collection DOAJ
description Refugees suffer from higher rates of certain mental health problems than non-refugee migrants and the native population of their host country. General practitioners (GPs) in Norway and many other European countries are the first contact person for settled refugees in need of non-emergency medical support. This includes psychiatric support, although GPs are not typically specialists in psychiatry. The aim of this study is to investigate how GPs experience working with refugees suffering from mental health problems, with a specific focus on perceived challenges and facilitators. We conducted semi-structured interviews with 15 GPs working in Norway (7 females). Participants ages ranged from 29 to 67 (M = 41.7 years, SD = 11.1) with work experience ranging from 2 to 39 years (M = 13.6 years, SD = 12.1). Interviews were analysed thematically using the qualitative data analysis computer software package NVivo 12. The main challenges presented by GPs relate to language barriers, mismatched expectations, different understandings of health and illness, and the GP feeling unprepared to work with this patient group. The main facilitating themes related to establishing trust and finding the work meaningful. The themes presented in this study highlight areas of interest for future research, and should inform training programmes to improve health care for both clinicians and refugee patients.
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spelling doaj.art-36ac9055ed0b42a79b9c25af8d304fcb2022-12-22T00:02:32ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-03-011110.3389/fpsyg.2020.00412511871General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health ProblemsSamantha Marie Harris0Per-Einar Binder1Gro Mjeldheim Sandal2Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, NorwayDepartment of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, NorwayDepartment of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, NorwayRefugees suffer from higher rates of certain mental health problems than non-refugee migrants and the native population of their host country. General practitioners (GPs) in Norway and many other European countries are the first contact person for settled refugees in need of non-emergency medical support. This includes psychiatric support, although GPs are not typically specialists in psychiatry. The aim of this study is to investigate how GPs experience working with refugees suffering from mental health problems, with a specific focus on perceived challenges and facilitators. We conducted semi-structured interviews with 15 GPs working in Norway (7 females). Participants ages ranged from 29 to 67 (M = 41.7 years, SD = 11.1) with work experience ranging from 2 to 39 years (M = 13.6 years, SD = 12.1). Interviews were analysed thematically using the qualitative data analysis computer software package NVivo 12. The main challenges presented by GPs relate to language barriers, mismatched expectations, different understandings of health and illness, and the GP feeling unprepared to work with this patient group. The main facilitating themes related to establishing trust and finding the work meaningful. The themes presented in this study highlight areas of interest for future research, and should inform training programmes to improve health care for both clinicians and refugee patients.https://www.frontiersin.org/article/10.3389/fpsyg.2020.00412/fullgeneral practitionerrefugeemental healthbarrierschallengesfacilitators
spellingShingle Samantha Marie Harris
Per-Einar Binder
Gro Mjeldheim Sandal
General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems
Frontiers in Psychology
general practitioner
refugee
mental health
barriers
challenges
facilitators
title General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems
title_full General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems
title_fullStr General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems
title_full_unstemmed General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems
title_short General Practitioners’ Experiences of Clinical Consultations With Refugees Suffering From Mental Health Problems
title_sort general practitioners experiences of clinical consultations with refugees suffering from mental health problems
topic general practitioner
refugee
mental health
barriers
challenges
facilitators
url https://www.frontiersin.org/article/10.3389/fpsyg.2020.00412/full
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