Abstract
This chapter explores how the clash between security and health concerns has manifested through two case studies in the UK and considers the impact of security policies on the mental health of asylum seekers and refugees. The first case study is among asylum seekers in detention, while the second focuses on the asylum process and struggles for housing, employment, and access to healthcare experienced by forced migrants in their everyday lives. Using the UK as a pertinent example, this chapter highlights the mechanisms by which mental health problems among forced migrants are created and exacerbated by policies intended to prioritise security concerns, both worsening the mental health status for these persons and further impeding access to necessary mental health services. Ironically, this prioritisation of security issues seems to have provided neither health benefits nor benefits to security. The system is thus in need of major reform, using an intersectoral approach enshrined in the right to health.
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Abbreviations
- AAR:
-
Adults at Risk policy
- BAME:
-
Black, Asian, and minority ethnic
- CAMHS:
-
Child and Adolescent Mental Health Services
- GP:
-
General practitioner
- IRC:
-
Immigrant Removal Centre
- NGO:
-
Non-governmental Organisation
- NHS:
-
National Health Service
- NICE:
-
National Institute for Health and Care Excellence
- PHE:
-
Public Health England
- PTSD:
-
Post-traumatic stress disorder
- UK:
-
United Kingdom
References
Abubakar, I., Aldridge, R. W., Devakumar, D., Orcutt, M., Burns, R., Barreto, M. L., et al. (2018). The UCL–Lancet Commission on migration and health: The health of a world on the move. The Lancet, 392, 2606–2654.
Aspinall, P. J. (2014). Hidden needs. Identifying key vulnerable groups in data collections: Vulnerable migrants, gypsies and travellers, homeless people, and sex workers. Centre for Health Services Studies, University of Kent. Retrieved from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/287805/vulnerable_groups_data_collections.pdf
Basedow, J., & Doyle, L. (2016). England’s forgotten refugees: Out of the fire and into the frying pan. Refugee Council. Retrieved from https://www.refugeecouncil.org.uk/wp-content/uploads/2019/03/England_s_Forgotten_Refugees_final.pdf
BMA. (2017). Locked up, locked out: Health and human rights in immigration detention. A report by the British Medical Association London.
Bozorgmehr, K., & Biddle, L. (2018). New UN compact for migration falls short on health. British Medical Journal, 363, k5327.
Bozorgmehr, K., & Jahn, R. (2019). Adverse health effects of restrictive migration policies: Building the evidence base to change practice. The Lancet Global Health, 7, e386–e387.
Carnet, P., Blanchard, C., & Apollonio, F. (2014). The move-on period: An ordeal for new refugees. London: British Red Cross.
Diggle, J., Butler, H., Musgrove, M., & Ward, R. (2017). Brick by brick: A review of mental health and housing. London: MIND.
Durcan, G., Stubbs, J., & Boardman, J. (2017). Immigration removal centres in England. A mental health needs analysis. London: Centre for Mental Health.
Fassil, Y., & Burnett, A. (2014). Commissioning mental health services for vulnerable adult migrants. Guidance for commissioners. MIND. Retrieved from https://www.mind.org.uk/media/1380137/Vulnerable-Migrants-guidance-for-commissioners-August-2014-FINAL.pdf
Garbaye, R., & Latour, V. (2016). Community and citizenship in the age of security: British policy discourse on diversity and counter-terrorism since 9/11. Revue Française de Civilisation Britannique, XXI, 867.
Gorst-Unsworth, C., & Goldenberg, E. (1998). Psychological sequelae of torture and organised violence suffered by refugees from Iraq. Trauma-related factors compared with social factors in exile. The British Journal of Psychiatry, 172, 90–94.
House of Commons Home Affairs Committee. (2018). Immigration policy: Basis for building consensus, 15 January 2018, HC 500 of session 2017–19 (p. 20). London: House of Commons.
House of Commons Home Affairs Select Committee. (2017). Asylum accomodation. Retrieved from https://publications.parliament.uk/pa/cm201617/cmselect/cmhaff/637/63702.htm
Huysmans, J. (2006). The politics of insecurity: Fear, migration and asylum in the EU. London: Routledge.
Huysmans, J., & Buonfino, A. (2008). Politics of exception and unease: Immigration, asylum and terrorism in parliamentary debates in the UK. Political Studies, 56, 766–788.
Independent. (2019). Home Office still using NHS patient data for immigration enforcement despite suggesting it would end practice. Retrieved from https://www.independent.co.uk/news/uk/home-news/home-office-nhs-data-sharing-immigration-enforcement-a8761396.html
Innes, A. J. (2010). When the threatened become the threat: The construction of asylum seekers in British media narratives. International Relations, 24, 456–477.
Joint Commissioning Panel for Mental Health. (2014). Guidance for commissioners of mental health services for people from black and minority ethnic communities. Retrieved from https://www.jcpmh.info/wp-content/uploads/jcpmh-bme-guide.pdf
Juárez, S. P., Honkaniemi, H., Dunlavy, A. C., Aldridge, R. W., Barreto, M. L., Katikireddi, S. V., et al. (2019). Effects of non-health-targeted policies on migrant health: A systematic review and meta-analysis. The Lancet Global Health, 7, e420–e435.
Lawlor, D., Sher, M., & Stateva, M. (2015). Review of mental health issues in immigration removal centres. London: Immigration & Border Policy Directorate, The Home Office.
Mental Health Taskforce. (2016). The five year forward view for mental health. Mental Health Taskforce to the NHS in England.
MIND. (2009a). A civilised society. Mental health provision for refugees and asylum-seekers in England and Wales. London: MIND.
MIND. (2009b). Improving mental health support for refugee communities – An advocacy approach. Retrieved from https://www.mind.org.uk/media/192447/Refugee_Report_1.pdf
MIND. (2017). Mental health commissioning with migrant communities. A guide for mental health service providers. Retrieved from https://www.mind.org.uk/media/14259589/mental-health-commissioning-with-migrant-communities.pdf
Mladovsky, P., Ingleby, D., Mckee, M., & Rechel, B. (2012). Good practices in migrant health: The European experience. Clinical Medicine, 12, 248–252.
NICE. (2005). Post-traumatic stress disorder: Management. Clinical guideline [CG26]. Retrieved from https://www.nice.org.uk/guidance/cg26
NICE. (2009). Depression in adults: Recognition and management. Clinical guideline. Retrieved from https://www.nice.org.uk/guidance/cg90/resources/depression-in-adults-recognition-and-management-pdf-975742638037
Paul, K. I., & Moser, K. (2009). Unemployment impairs mental health: Meta-analyses. Journal of Vocational Behavior, 74, 264–282.
Phillimore, J. (2011). Refugees, acculturation strategies, stress and integration. Journal of Social Policy, 40, 575–593.
Phillimore, J., Ergun, E., Goodson, L., & Hennessy, D. (2007). They do not understand the problem I have: Refugee well-being and mental health. York, UK: Joseph Rowntree Foundation.
Priebe, S., Giacco, D., & El-Nagib, R. (2016). Public health aspects of mental health among migrants and refugees: A review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Copenhagen, Denmark: WHO Regional Office for Europe; 2016 (Health Evidence Network (HEN) Synthesis Report 47).
Public Health England. (2017). Mental health: Migrant health guide. Retrieved from https://www.gov.uk/guidance/mental-health-migrant-health-guide#history
RCP. (2013). Position statement on detention of people with mental disorders in immigration removal centres. The Royal College of Psychiatrists. Retrieved from http://www.medicaljustice.org.uk/wp-content/uploads/2016/06/Appendix-A-The-Royal-College-of-Psychiatrists-Position-Statement-on-detention-of-people-with-mental-disorders-in-Immigration-Removal-Centres.pdf
Refugee Council. (2018). Refugee Council information. When is detention used? Retrieved from https://www.refugeecouncil.org.uk/wp-content/uploads/2019/03/Detention_in_the_Asylum_System_May_2018.pdf
Ruiz, I., & Vargas-Silva, C. (2018). Differences in labour market outcomes between natives, refugees and other migrants in the UK. Journal of Economic Geography, 18, 855–885.
Samimian-Darash, L., & Stalcup, M. (2017). Anthropology of security and security in anthropology: Cases of counterterrorism in the United States. Anthropological Theory, 17, 60–87.
Shaw, S. (2016). Review into the welfare in detention of vulnerable persons: A report to the Home Office by Stephen Shaw. CM 9186. London: HMSO.
Shaw, S. (2018). Assessment of government progress in implementing the report on the welfare in detention of vulnerable persons. CM 9661. London: HMSO.
Silove, D., Steel, Z., & Watters, C. (2000). Policies of deterrence and the mental health of asylum seekers. JAMA, 284, 604–611.
Smith, L. (2019). Mind the gap one year on. Continuation report on homelessness amongst newly recognised refugees. The No Accomodation Network. Retrieved from https://naccom.org.uk/wp-content/uploads/2019/06/NACCOM-Homelessnesss-Report_2019-06-18_DIGITAL.pdf
Taylor, R. (2018). House of lords library briefing. ‘Hostile environment’ policy. London.
The Guardian. (2017). Britain is one of worst places in western Europe for asylum seekers. Retrieved from https://www.theguardian.com/uk-news/2017/mar/01/britain-one-of-worst-places-western-europe-asylum-seekers
The Migration Observatory. (2019). Migration to the UK: Asylum and refugees. Retrieved from https://migrationobservatory.ox.ac.uk/resources/briefings/migration-to-the-uk-asylum/
Thielemann, E. R. (2003). Does policy matter? On governments’ attempts to control unwanted migration. LSE European Institute Working Paper No. 2003–2. Retrieved from http://www.lse.ac.uk/collections/europeanInstitute/workingpaperindex.htm
Thielemann, E. R. (2004). Why asylum policy harmonisation undermines refugee burden-sharing. European Journal of Migration and Law, 6, 47–65.
United Nations General Assembly. (2016). Report of the special rapporteur on the promotion and protection of human rights and fundamental freedoms while countering terrorism. Retrieved from https://documents-dds-ny.un.org/doc/UNDOC/GEN/N16/285/61/PDF/N1628561.pdf?OpenElement
Von Werthern, M., Robjant, K., Chui, Z., Schon, R., Ottisova, L., Mason, C., et al. (2018). The impact of immigration detention on mental health: A systematic review. BMC Psychiatry, 18, 382.
Ward, K., & Palmer, D. (2005). Mapping the provision of mental health services for asylum seekers and refugees in London: A report. ICAR. Retrieved from https://lemosandcrane.co.uk/resources/ICAR%20-%20Mapping%20the%20provision%20of%20mental%20health%20services%20for%20asylum%20seekers%20and%20refugees%20in%20London.pdf
Yuval-Davis, N., Wemyss, G., & Cassidy, K. (2018). Everyday bordering, belonging and the reorientation of British immigration legislation. Sociology, 52, 228–244.
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Mladovsky, P. (2020). Security over Health: The Effect of Security Policies on Migrant Mental Health in the UK. In: Bozorgmehr, K., Roberts, B., Razum, O., Biddle, L. (eds) Health Policy and Systems Responses to Forced Migration. Springer, Cham. https://doi.org/10.1007/978-3-030-33812-1_8
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