Background: Recognizing and appropriately treating mental health issues among new immigrants and refugees in primary care poses challenging due to variations in language and culture and due to specific stressors connected with migration and resettlement. We aimed to recognize risks and techniques within the method of mental health assessment and also to treatment and prevention of common mental health issues for immigrants in primary care.
Methods: We looked and compiled literature on prevalence and risks for common mental health issues associated with migration, the result of cultural influences on health insurance and illness, and clinical ways of improve mental healthcare for immigrants and refugees. Publications were selected based on relevance, utilization of recent data and quality in consultation with experts in immigrant and refugee mental health.
Results: The migration trajectory could be split into three components: premigration, migration and postmigration resettlement. Each phase is connected with specific risks and exposures. The prevalence of specific kinds of mental health issues is affected by the character from the migration experience, when it comes to adversity experienced before, after and during resettlement. Specific challenges in migrant mental health include communication difficulties due to language and cultural variations the result of cultural shaping of signs and symptoms and illness conduct on diagnosis, coping and treatment variations in family structure and process affecting adaptation, acculturation and intergenerational conflict and facets of acceptance through the receiving society affecting employment, social status and integration. These problems can be handled through specific inquiry, using trained interpreters and culture brokers, conferences with families, and consultation with community organizations.
Interpretation: Systematic inquiry into patients’ migration trajectory and subsequent follow-on culturally appropriate indicators of social, vocational and family functioning with time allows clinicians to acknowledge problems in adaptation and undertake mental health promotion, disease prevention or treatment interventions inside a timely way.