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Structural and socio-cultural barriers to accessing mental healthcare among Syrian refugees and asylum seekers in Switzerland
Background: Due to their experiences of major stressful life events, including post-displacement stressors, refugees and asylum seekers are vulnerable to developing mental health problems. Yet, despite the availability of specialized mental health services in Western European host countries, refugees and asylum seekers display low mental healthcare utilization.
Objective: The aim of this study was to explore structural and socio-cultural barriers to accessing mental healthcare among Syrian refugees and asylum seekers in Switzerland.
Method: In this qualitative study, key-informant (KI) interviews with Syrian refugees and asylum seekers, Swiss healthcare providers and other stakeholders (e.g. refugee coordinators or leaders) were conducted in the German-speaking part of Switzerland. Participants were recruited using snowball sampling. Interviews were audiotaped and transcribed, and then analysed using thematic analysis, combining deductive and inductive coding.
Results: Findings show that Syrian refugees and asylum seekers face multiple structural and socio-cultural barriers, with socio-cultural barriers being perceived as more pronounced. Syrian key informants, healthcare providers, and other stakeholders identified language, gatekeeper-associated problems, lack of resources, lack of awareness, fear of stigma and a mismatch between the local health system and perceived needs of Syrian refugees and asylum seekers as key barriers to accessing care.
Conclusions: The results show that for Syrian refugees and asylum seekers in Switzerland several barriers exist. This is in line with previous findings. A possible solution for the current situation might be to increase the agility of the service system in general and to improve the willingness to embrace innovative paths, rather than adapting mental healthcare services regarding single barriers and needs of a new target population.
Journal Article
The Ethics and Politics of Asylum
Asylum has become a highly charged political issue across developed countries, raising a host of difficult ethical and political questions. What responsibilities do the world's richest countries have to refugees arriving at their borders? Are states justified in implementing measures to prevent the arrival of economic migrants if they also block entry for refugees? Is it legitimate to curtail the rights of asylum seekers to maximize the number of refugees receiving protection overall? This book draws upon political and ethical theory and an examination of the experiences of the United States, Germany, the United Kingdom and Australia to consider how to respond to the challenges of asylum. In addition to explaining why asylum has emerged as such a key political issue in recent years, it provides a compelling account of how states could move towards implementing morally defensible responses to refugees.
eBook
Policing Borders, Producing Boundaries. The Governmentality of Immigration in Dark Times
The governmentality of immigration has become a crucial issue of contemporary societies. Ironically, although globalization meant facilitated circulation of goods, it has also signified increased constraints on the mobility of men and women. This evolution has been characterized by the policing of physical borders and the production of racialized boundaries, primarily studied by the social sciences in North America and Western Europe. Anthropological studies highlight the renewed role of the nation-state to impose a surveillance apparatus of the frontiers and the territories, regimes of exception for the detention and deportation of illegal aliens, and a dramatic decline in the right to asylum, sometimes replaced by forms of discretionary humanitarianism. These logics are embodied in the everyday work of bureaucracies as well as in the experience of immigrants.
Journal Article
Governing through Uncertainty
This article addresses the question of how to theorize the relation between uncertainty and governmentality with regard to displacement and its consequences. It explores the experiences of asylum seekers in Turkey and the bureaucratic processes of refugee status determination, local dispersal, and third country resettlement, illustrating two main points throughout. First, 'protracted uncertainty', characterized by indefinite waiting, limited knowledge, and unpredictable legal status, is a central element of the experience of being an asylum seeker in Turkey. Second, this uncertainty serves to demobilize, contain, and criminalize asylum seekers through the production of protracted uncertainty, which in turn is normalized as a necessity of bureaucracy and/or security. The article invites readers to question the governmentalities of asylum and border regimes that not only discipline refugees' everyday movements but also determine the uncertainty of 'refugeeness'.
Journal Article
Asylum policy, boat people and political discourse : boats, votes and asylum in Australia and Italy
This book compares the policies of Australia and Italy towards boat people who have arrived in the two countries since the early 1990s. While the regular and varied inflow of immigrants arriving at national airports, ferry terminals and train stations is seldom witnessed by the public, the arrival of boat people is often played out in the media and consequently attracts disproportionate political and public attention. Both Australia and Italy faced similar dilemmas, but the nature of political debate on the issue, the types of strategies introduced, and the effects that policy changes had on boat people diverged considerably. This book argues that contrasting migration path dependencies, disparate political values within the Left, and varying international obligations best explain the different approaches taken by the two countries to boat people.
Book
Necropolitics and the Slow Violence of the Everyday: Asylum Seeker Welfare in the Postcolonial Present
This article responds to dual calls for researching and theorising everyday social phenomena in postcolonial studies on the one hand, and serious engagement with the postcolonial within the discipline of sociology on the other. It focuses on the everyday lives of asylum seekers living on asylum seeker welfare support in the UK. Asylum seekers offer a good case study for exploring the postcolonial everyday because they live in poverty and consequently experience daily harms at the hands of the state, despite the UK fulfilling its obligations to them under human rights law. The article proposes a conceptual framework drawing together sociologies of the everyday, necropolitics and slow violence in tracing how hierarchical conceptions of human worth impact on the everyday.
Journal Article