Programa de Estudios Sociales en Salud, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile. ORCID: 0000-0001-6999-2421.
Programa de Estudios Sociales en Salud, Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile. Address: Avenida Las Condes 12461, Las Condes, Región Metropolitana de Santiago, Chile, 7590943. Email:
Medwave. 2022 Jan 20;22(1):e8520. doi: 10.5867/medwave.2022.01.002521.
Asylum and refuge in Chile h¬ave received limited attention in policymaking and academia, and there is scarce evidence on their mental health needs and outcomes. Studies on mental healthcare access for international migrants suggest systemic barriers linked to costs and coverage, administrative issues, and adequacy of services. Today, we see that asylum and refuge is an emerging topic in Chile, which opens up the challenges around the mental health of refugees and asylum seekers. This topic is gaining visibility due to increased asylum claims over the past ten years, making it an urgent topic at a policy level. An exploratory qualitative study was conducted in 2018 on the health and social needs of asylum seekers and refugees from Latin America in Chile. This study indicated a general lack of knowledge on the mental health needs of refugees and asylum seekers and Chile and a lack of training in mental health professionals to address specific needs. Consequently, the health needs of these people remain largely unaddressed in terms of the number of available services and the relevance and pertinence of the services delivered. As Chile is positioning itself as a receiving country of refugees and asylum seekers in Latin America and the Caribbean, there is an opportunity to "do better" and adequately address the mental health of these marginalized populations.
智利的庇护和难民问题在政策制定和学术界受到的关注有限，有关其心理健康需求和结果的证据也很少。关于国际移民获得精神卫生保健的研究表明，存在与费用和覆盖范围、行政问题以及服务充分性相关的系统性障碍。如今，我们看到庇护和难民问题在智利是一个新出现的议题，这凸显了难民和寻求庇护者的心理健康问题所面临的挑战。由于过去十年中庇护申请的增加，这个议题在政策层面上变得更加紧迫，因此受到了更多关注。2018 年，在智利对来自拉丁美洲的寻求庇护者和难民的健康和社会需求进行了一项探索性的定性研究。该研究表明，智利普遍缺乏对难民和寻求庇护者的心理健康需求的了解，精神卫生专业人员也缺乏处理具体需求的培训。因此，这些人在获得服务的数量以及服务的相关性和针对性方面的健康需求在很大程度上仍未得到满足。随着智利将自己定位为拉丁美洲和加勒比地区难民和寻求庇护者的接收国，有机会“做得更好”，充分解决这些边缘化群体的心理健康问题。
