Inequities in mental health and mental healthcare between international immigrants and locals in Chile : a narrative review

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Blukacz , A , Cabieses , B & Markkula , N 2020 , ' Inequities in mental health and mental healthcare between international immigrants and locals in Chile : a narrative review ' , International Journal for Equity in Health , vol. 19 , no. 1 , 197 . https://doi.org/10.1186/s12939-020-01312-2

Title: Inequities in mental health and mental healthcare between international immigrants and locals in Chile : a narrative review
Author: Blukacz, Alice; Cabieses, Baltica; Markkula, Niina
Contributor: University of Helsinki, HUS Psychiatry
Date: 2020-11-04
Language: eng
Number of pages: 15
Belongs to series: International Journal for Equity in Health
ISSN: 1475-9276
URI: http://hdl.handle.net/10138/322338
Abstract: Mental health in a context of international migration is a particularly pressing issue, as migration is recognised as a social determinant of physical and mental health. As Chile is increasingly becoming a receiving country of South-South migration, immigrants face mental health inequities, with regards to outcomes and access to care. In order to identify and synthetize mental healthcare inequities faced by international migrants with regards to locals in Chile, a narrative review of the literature on national mental healthcare policies in Chile and a narrative review of the literature on migrants' mental healthcare in Chile were conducted, with a focus on describing mental health outcomes, policy environment and persisting gaps and barriers for both topics. The existing literature on mental healthcare in Chile, both for the general population and for international migrants, following the social determinant of health framework and categorised in terms of i) Inequities in mental health outcomes; ii) Description of the mental health policy environment and iii) Identification of the main barriers to access mental healthcare. Despite incremental policy efforts to improve the reach of mental healthcare in Chile, persisting inequities are identified for both locals and international migrants: lack of funding and low prioritisation, exacerbation of social vulnerability in the context of a mixed health insurance system, and inadequacy of mental healthcare services. International migrants may experience specific layers of vulnerability linked to migration as a social determinant of health, nested in a system that exacerbates social vulnerability. Based on the findings, the article discusses how mental health is a privilege for migrant populations as well as locals experiencing layers of social vulnerability in the Chilean context. International migrants' access to comprehensive and culturally relevant mental healthcare in Chile and other countries is an urgent need in order to contribute to reducing social vulnerability and fostering mechanisms of social inclusion. International migration, social determinants of mental health, mental health inequities, social vulnerability, review.
Subject: PSYCHIATRIC-DISORDERS
SOCIAL DETERMINANTS
ACCULTURATION
SYSTEM
INCOME
SANTIAGO
CHILDREN
STRESS
REFORM
PLAN
3142 Public health care science, environmental and occupational health
3124 Neurology and psychiatry
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