The mental health and psychosocial impact for Syrian refugees fleeing protracted conflict: an in-depth analysis of the stages of transition and health

Lead Research Organisation: University College London
Department Name: Institute for Global Health

Abstract

This PhD research will focus on refugees fleeing the Syrian conflict during three different stages of transition: refugees in informal and formal camps, urban refugees, new arrival refugees in transit; and in two countries: Greece and Lebanon. A transitory migrant population is defined as those who are either actively in transit, temporarily living in urbanised areas or informal camps, or residing in a semi-permanent refugee camp with the intention of ultimately settling in another host country. To date there is not substantive research or literature on this population, compared with literature on those in refugee camps or static populations fleeing conflict settings. Mixed methods approaches, including semi-structured interviews and field based assessment, would be used to collect refugee mental health (MH) narratives to assess the MH impacts of being in transition on a population already exposed to repeated traumas from protracted conflict. As well as collecting health narratives and situating these within the context of individual agency and resilience, the research would also place these narratives within a broader framework and assess refugee MH needs in displacement from conflict, the efficacy of humanitarian MH programmes, the impact of health systems and policy, and disaster risk reduction. Effective implementation of evidence-based research can have significant effect on improving mental health outcomes. This research will address the mental health of Syrian refugees, fleeing one of the largest humanitarian crises in our generation and will study interdisciplinary collaborations to more effectively address this most pressing of concerns in global public health.

Publications

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Studentship Projects

Project Reference Relationship Related To Start End Student Name
ES/P000592/1 01/10/2017 30/09/2027
1891875 Studentship ES/P000592/1 01/10/2017 15/12/2022 Miriam Orcutt
 
Description My initial findings from my PhD research on both mental health and forced migration, as well as on health system response to forced migration, have contributed to ongoing policy processes at international level (particularly within the UN system) via a series of policy events which I contributed to organising in the run up to the UN General Assembly high level meeting on universal health coverage (in September 2019) on this topic: To encourage improved health system response to migration and inclusion of migrants in universal health coverage: a. UN Global Compact for Migration Intervention, Morocco - December 2018 During a 'UCL-Lancet Commission on Migration and Health' official side event on 'Health: The Key to Migration's Role in Sustainable Development I made a panel intervention on universal health coverage and migration and was also a speaker at the main inter-governmental panel of the Global Compact for Migration, where I made an intervention focusing on migrants' right to health. b. Official side event at the World Health Assembly, Geneva, Switzerland - May 2019 The side event was a high-level panel discussion focused on Universal health coverage and migration in different national contexts. I co-organised this with the UCL-Lancet Commission on Migration and Health and the World Health Organisation and the findings from my research work therefore helped to inform the development of the programme. There were five ministers of health on the panel, and there were interventions made during the panel on the importance of the right to health for migrants and migrant-inclusion in universal health coverage. d. UN General Assembly Official side event, New York, USA - September 2019 I contributed to the organisation of this side event with the UCL-Lancet Commission on Migration and Health, WHO, IOM and member states, which focused on promoting equity in access to health services for migrants globally. I also inputted initial findings into the consultation processes of the UN High Level Meeting on universal health coverage, via advocacy processes at the UHC 2030 multi-stakeholder meeting and submitted 'Key Asks' to the UN High Level Meeting.
First Year Of Impact 2018
Sector Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice
Impact Types Policy & public services

 
Description Series of Workshops and Roundtables on Forced Migration and Health in the Eastern Mediterranean region 
Organisation American University of Beirut
Country Lebanon 
Sector Academic/University 
PI Contribution I was a co-organiser for a series of research-policy workshops and roundtables on forced migration and health in the Eastern Mediterranean region: 1) Beirut, Lebanon - Forced migration and health systems workshop and policy roundtable - February 2019. In collaboration with the American University of Beirut this regional research-policy event focused on regional migration health priorities and consolidating discussion and collaboration between migration health actors (academic, civil society, policy) around this priority theme. 2) Ankara, Turkey - Forced migration and mental health in the Middle East - November 2019. Co-organised with World Health Organisation Regional Office for Europe and WHO Turkey Country Office and addressing opportunities and challenges for responding to the mental health needs of forced migrants.
Collaborator Contribution The partners for collaboration on these events were co-organisers and facilitated strong country, regional and international engagement for each activity. They were the following: The UCL-Lancet Commission on Migration and Health - co-organiser for all events and particularly contributed to consolidating the regional and global partners around this topic The American University of Beirut (AUB) - co-organiser for the events in Lebanon: https://www.aub.edu.lb/fhs/news/Pages/UCL-LancetCommissionMigrationHealth.aspx The World Health Organisation Regional Office for Europe - co-organiser for the event in Turkey
Impact Ongoing collaboration with Lancet Migration (previously the UCL-Lancet Commission on Migration and Health) in creation of their regional hubs on migration and health. Other outputs: policy briefing on forced migration and health being produced with WHO Turkey country office. The collaborations were all multidisciplinary, with political science, social sciences, public health, medicine all collaborating. There were also collaborators who were operational actors and policy makers
Start Year 2019
 
Description Series of Workshops and Roundtables on Forced Migration and Health in the Eastern Mediterranean region 
Organisation World Health Organization (WHO)
Department Regional Office for Europe (WHO/Europe)
Country Global 
Sector Public 
PI Contribution I was a co-organiser for a series of research-policy workshops and roundtables on forced migration and health in the Eastern Mediterranean region: 1) Beirut, Lebanon - Forced migration and health systems workshop and policy roundtable - February 2019. In collaboration with the American University of Beirut this regional research-policy event focused on regional migration health priorities and consolidating discussion and collaboration between migration health actors (academic, civil society, policy) around this priority theme. 2) Ankara, Turkey - Forced migration and mental health in the Middle East - November 2019. Co-organised with World Health Organisation Regional Office for Europe and WHO Turkey Country Office and addressing opportunities and challenges for responding to the mental health needs of forced migrants.
Collaborator Contribution The partners for collaboration on these events were co-organisers and facilitated strong country, regional and international engagement for each activity. They were the following: The UCL-Lancet Commission on Migration and Health - co-organiser for all events and particularly contributed to consolidating the regional and global partners around this topic The American University of Beirut (AUB) - co-organiser for the events in Lebanon: https://www.aub.edu.lb/fhs/news/Pages/UCL-LancetCommissionMigrationHealth.aspx The World Health Organisation Regional Office for Europe - co-organiser for the event in Turkey
Impact Ongoing collaboration with Lancet Migration (previously the UCL-Lancet Commission on Migration and Health) in creation of their regional hubs on migration and health. Other outputs: policy briefing on forced migration and health being produced with WHO Turkey country office. The collaborations were all multidisciplinary, with political science, social sciences, public health, medicine all collaborating. There were also collaborators who were operational actors and policy makers
Start Year 2019
 
Description Arts based workshop on migrant access to healthcare in the UK 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact In collaboration with University College London, UCL-Lancet Commission on Migration and Health, St George's and the University of Nottingham and with support from UCL Grand Challenges, a day-long workshop was held to explore migrant access to healthcare in the UK. The aim of the workshop was to bridge the research and art spheres by bringing together academics, civil society, NGOs, artists, and migrants to create art around the themes of migration and access to healthcare. The workshop hosted 60 participants, with two-thirds from a migrant and/or refugee background. During the workshop, participants could choose two of four art stations, each led by an artist facilitator who curated an activity using a specific art method (e.g. painting, collage, or drawing) with a focus on a particular aspect of migration and health/wellbeing. This gave the participants the opportunity to explore, create and play with a few different art mediums throughout the day. The art from the workshop will be displayed at the Leave of Absence Gallery in London in early December 2019.
Year(s) Of Engagement Activity 2019