An overview of systematic reviews on mental healthcare for refugees and asylum seekers

ID: 

OS05.3

Session: 

Oral session: Global health and equity (1)

Date: 

Tuesday 22 October 2019 - 14:00 to 15:30

Location: 

All authors in correct order:

Uphoff E1, Purgato M2, Barbui C2, Churchill R1
1 Cochrane Common Mental Disorders, Centre for Reviews and Dissemination, University of York, UK
2 Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy
Presenting author and contact person

Presenting author:

Eleonora Uphoff

Contact person:

Abstract text
Background: the Cochrane Global Mental Health network aims to support the production, dissemination, and implementation of systematic reviews relevant to mental health in low- and middle-income countries. As part of this work, we are synthesizing evidence from reviews on the effectiveness of mental health promotion, and the prevention and treatment of common mental disorders, for refugees, asylum seekers, and internally displaced persons. Not only are international migrants who were forced to leave their home likely to experience common mental disorders, the efficacy of psychological therapies may also differ from that of the general population. This overview will help identify priority research questions and inform the development of Cochrane Systematic Reviews on this topic.

Objectives:
1) to provide an overview of systematic reviews conducted on the promotion of mental health among refugees, asylum seekers, and internally displaced persons;
2) to provide an overview of systematic reviews conducted on the prevention of common mental disorders among refugees, asylum seekers, and internally displaced persons;
3) to map what systematic reviews have been conducted on the treatment of common mental disorders among refugees, asylum seekers, and internally displaced persons.

Methods: given the broad scope of our overview, we drew on guidance on Cochrane overviews of reviews, as well as guidance from the Campbell Collaboration on evidence and gap maps.

We included systematic reviews of refugees, asylum seekers, and internally displaced persons. All interventions to promote mental health, or to prevent or treat common mental disorders, were eligible for inclusion.

We followed MECIR standards on data collection, the selection of studies, and data extraction. We reported results as a narrative synthesis of the characteristics of included systematic reviews.

Results: we are in the process of conducting this overview, and plan to finish evidence synthesis by August 2019. We will be able to present the findings and our next steps at the Colloquium.

We will also discuss the broader remit of the Global Mental Health Satellite, and highlight opportunities for collaboration on reviews and priority setting exercises.

Patient or healthcare consumer involvement: we plan to use the findings from this overview to engage with stakeholders, including representatives of this patient population such as refugee charities and those from low- and middle-income countries, to prioritise topics for Cochrane Reviews in this area.