Individuals of refugee background resettled in regional and rural Australia: A systematic review of mental health research.


Journal

The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903

Informations de publication

Date de publication:
Dec 2021
Historique:
revised: 21 06 2021
received: 03 11 2020
accepted: 20 07 2021
pubmed: 20 10 2021
medline: 15 12 2021
entrez: 19 10 2021
Statut: ppublish

Résumé

The Australian Government aims to increase the number of individuals on humanitarian resettlement visas allocated to regional locations to 50% by the year 2022. A significant issue with this, given the substantive body of research identifying that refugee populations face chronic mental health concerns during resettlement, is the lack of health-related research focusing on the resettlement of individuals of refugee background to rural and regional locations in Australia, especially in the area of mental health. To provide a foundation for rectifying this omission, this review is the first to synthesise mental health research focusing on individuals of refugee background specifically resettled to rural and regional locations in Australia. The review was conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Findings were synthesised using thematic analytic techniques. 14 relevant studies (3 quantitative, one mixed-method, 10 qualitative) were identified. Findings indicated that individuals of refugee background resettled in rural and regional Australia not only experienced higher levels of psychological distress than the general population but also had significant difficulty and limited options when accessing mental health services. Furthermore, resettlement in rural and regional locations increased the risk of experiencing many interrelated factors associated with adverse mental health outcomes and distress, including very limited access to support services, with the latter being identified as vital for well-being. This review highlights the disparity between the Australian Government's policies and plans regarding regional resettlement, what is happening on the ground, and identifies key gaps in research and practice which must be addressed.

Identifiants

pubmed: 34664749
doi: 10.1111/ajr.12785
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Pagination

850-864

Informations de copyright

© 2021 National Rural Health Alliance Ltd.

Références

United Nations High Commissioner for Refugees. Figures at a glance 2020. https://www.unhcr.org/en-au/figures-at-a-glance.html#:~:text=UNHCR%20personnel&text=As%20of%2031%20May%202020,and%20sub%20and%20field%20offices. Accessed August 10, 2020.
Stevens AJ. How can we meet the health needs of child refugees, asylum seekers and undocumented migrants? Arch Dis Child. 2020;105(2):191-196.
Liddell BJ, Nickerson A, Felmingham KL, et al. Complex posttraumatic stress disorder symptom profiles in traumatized refugees. J Trauma Stress. 2019;32(6):822-832.
Hynie M. The social determinants of refugee mental health in the post-migration context: A critical review. Can J Psychiatry. 2018;63(5):297-303.
Byrow Y, Pajak R, Specker P, Nickerson A. Perceptions of mental health and perceived barriers to mental health help-seeking amongst refugees: A systematic review. Clin Psychol Rev. 2020;75:101812.
Australian Government. 2018-19 humanitarian program outcomes: Department of home affairs. 2020. https://www.homeaffairs.gov.au/research-and-stats/files/australia-offshore-humanitarian-program-2018-19-glance.pdf. Accessed August 12, 2020.
Withers, G., & Powall, M. Immigration and the regions: taking regional Australia seriously. 2003. Retrieved from: https://apo.org.au/node/155196
Australian Government. Investing in Refugees, Investing in Australia: The Findings of a Review into Integration, Employment and Settlement Outcomes for Refugees and Humanitarian Entrants in Australia; 2019. https://www.homeaffairs.gov.au/reports-and-publications/reviews-and-inquiries/inquiries/review-integration-employment-settlement-outcomes-refugees-humanitarian-entrants. Accessed August 12, 2020.
McDonald-Wilmsen B, Gifford SM, Webster K, Wiseman J, Casey S. Resettling Refugees in Rural and Regional Australia: Learning from Recent Policy and Program Initiatives. Australian Journal of Public Administration. 2009;68 (1):97-111. http://dx.doi.org/10.1111/j.1467-8500.2008.00611.x
Jewson A, Lamaro G, Crisp BR, Hanna L, Taket A. Service providers' experiences and needs in working with refugees in the Geelong region: A qualitative study. Aust J Prim Health. 2015;21(2):233-238.
Correa-Velez I, Barnett AG, Gifford SM, Sackey D. Health status and use of health services among recently arrived men with refugee backgrounds: A comparative analysis of urban and regional settlement in South-east Queensland. Aust J Prim Health. 2011;17(1):66-71.
Vasey K, Manderson L. Regionalizing immigration, health and inequality: Iraqi refugees in Australia. Admin Sci. 2012;2(1):47-62.
Au M, Anandakumar AD, Preston R, Ray RA, Davis M. A model explaining refugee experiences of the Australian healthcare system: A systematic review of refugee perceptions. BMC Int Health Hum Rights. 2019;19(1):22.
Hamrah MS, Hoang H, Mond J, Pahlavanzade B, Charkazi A, Auckland S. The prevalence and correlates of symptoms of post-traumatic stress disorder (PTSD) among resettled Afghan refugees in a regional area of Australia. Journal of Mental Health. 2020;1-7. http://dx.doi.org/10.1080/09638237.2020.1739247
Smith L, Hoang H, Reynish T, et al. Factors shaping the lived experience of resettlement for former refugees in regional Australia. Int J Environ Res Public Health. 2020;17(2):18.
Hamrah MS, Hoang H, Mond J, Pahlavanzade B, Charkazi A, Auckland S. Occurrence and correlates of depressive symptoms among the resettled Afghan refugees in a regional area of Australia. Early Intervention in Psychiatry. 2021;15 (3):463-470. http://dx.doi.org/10.1111/eip.12957
National Rural Health Alliance. Mental Health in Rural and Remote Australia. 2017. https://www.ruralhealth.org.au/sites/default/files/publications/nrha-mental-health-factsheet-dec-2017.pdf. Accessed August 20, 2020.
Smith LA, Reynish T, Ha H, et al. The mental health of former refugees in regional Australia: A qualitative study. Aust J Rural Health. 2019;27(5):459-462.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA statement. Ann Intern Med. 2009;151(4):264-269.
Singh J. Critical appraisal skills programme. J Pharmacol Pharmacotherapeut. 2013;4(1):76.
Guyatt GH, Oxman AD, Vist GE, et al. GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-926.
Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. Synthesising qualitative and quantitative evidence: A review of possible methods. J Health Serv Res Policy. 2005;10(1):45-53.
Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8(1):45.
Edhlund B & McDougall A (2019) NVivo 12 essentials: Form & Kunskap AB
Australian Bureau of Statistics. Mental health statistics. 2015. https://www.abs.gov.au/ausstats/abs@.nsf/mf/4330.0. Accessed August 20, 2020.
Australian Multicultural Education Services (2011) Regional settlement report: An investigation of four regional settlement locations in Victoria. Retrieved from: http://library.bsl.org.au/jspui/bitstream/1/4634/1/AMES_Regional-settlement-analysis-of-four-settlement-locations-in-Victoria_AMES-2011.pdf. Accessed August 20, 2020.
Flanagan J. Dropped from the Moon: The Settlement Experiences of Refugee Communities in Tasmania. Anglicare Tasmania Incorporated; 2007. https://www.anglicare-tas.org.au/research/dropped_from_the_moon/. Accessed 10th May 2020.
Blankers EA. A New Generation: How Refugee Trauma Affects Parenting and Child Development. :Utrecht University; 2013.
Community Affairs References Committee (2018) Accessibility and quality of mental health services in rural and remote Australia. Retrieved from: https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/MentalHealthServices
Community Affairs References Committee. Accessibility and quality of mental health services in rural and remote Australia. Community Affairs References Committee; 2018. https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/MentalHealthServices. Accessed April 10, 2020.
Wilson, JS, & Thompson, AP (2007). The adjustment of African refugee resettlers in a regional Australian city. In Conference Name: Psychology Making and Impact (pp. 420-424). The Australian Psychological Society Ltd. Retrieved from: https://researchoutput.csu.edu.au/en/publications/the-adjustment-of-african-refugee-resettlers-in-a-regional-austra. Accessed May 10, 2020.
Joyce L, Liamputtong P. Acculturation stress and social support for young refugees in regional areas. Child Youth Serv Rev. 2017;77:18-26.
Immigration DO, Citizenship. Australia's humanitarian program: Information paper. National Communications Branch Canberra; 2011.
Vasey K. Place-Making, Provisional Return, and Well-Being: Iraqi Refugee Women in Australia. Refuge: Canada's Journal on Refugees. 1969;28 (1):25-36. http://dx.doi.org/10.25071/1920-7336.36086.
Sypek S, Clugston G, Phillips C. Critical health infrastructure for refugee resettlement in rural Australia: Case study of four rural towns. Aust J Rural Health. 2008;16(6):349-354.
Ross L, Harding C, Seal A, Duncan G. Improving the management and care of refugees in Australian hospitals: A descriptive study. Aust Health Rev. 2016;40(6):679-685.
Chen W, Wu S, Ling L, Renzaho AM. Impacts of social integration and loneliness on mental health of humanitarian migrants in Australia: Evidence from a longitudinal study. Aust N Z J Public Health. 2019;43(1):46-55.

Auteurs

Clare Hawkes (C)

College of Health and Human Sciences, Charles Darwin University, Darwin, Northern Territory, Australia.

Kimberley Norris (K)

School of Medicine (Psychology), University of Tasmania, Hobart, Tasmania, Australia.

Janine Joyce (J)

College of Health and Human Sciences, Charles Darwin University, Darwin, Northern Territory, Australia.

Douglas Paton (D)

College of Health and Human Sciences, Charles Darwin University, Darwin, Northern Territory, Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH