Mental health of applicants and reception

• Pages: 19-38

EASO Mental health of applicants for international protection in Europe - 19

3.Mental health of applicants and reception

Summary

While reception facilities acrossEurope are overall trying their best toaccomodate the needs of all

applicants in their facilities, there seems to be annectotal evidence that some facilities are stretched in ter ms

of human resources and funds to cater for applicants in ne ed. Most EU+ countriesindicated to have a

somewhat functioning system in place when it comes to identifi cation, assessment, referral, specialised

support and case management of applicantswith special needs such asthosepresenting with mental health

concerns. However,it is also evident that a holistic, coordinated and timely response is still lacking in some

EU+ countries. A good number of applicants have suffered trauma either in their coun try of origin, during

transit or in the country of asylum.

Mental health, however, is not (yet) seen as a priority for many authorities eventhough it is evident from

the feedback received that when mental health concerns are negle cted, the consequences not only

negatively impact the affected applicant but the whole system. The initial symptoms further deteriorate,

aggressiveness increases in applicants with a low tolerance to violence and conflict, andthat has the

potential to affect all residents and staff alike. Integration into the reception facility, community or host

community becomes even more challenging. Misuse of medicatio n, substance abuse, suicidal behaviour are

consequences, as well as droppingout of asylum procedures. Applicants struggling eve n more toremember

key past events for their scheduled personalinterviews are other apparent consequences .

According to a report by the Fundamental Rights Agency (F RA) from 2017, most cases of trauma, torture

and/or drug abuse take place in countries of origin. Incidents do also occur , however, both in transit

countries and within the EU28.

Professionals working in the field of reception ask for a stronger focus on prevention compar ed to response.

Further, it was stressed that theworking environment needs to allow thefirst-line officers to provide

appropriate care to applicants in need. Sticking to a tight tim eline in terms of procedure combined with

targeted, relevant and clear information on the process are seen as important for allapplicants, but

especially for applicants with special needs. Legal advice and psychosocial support services are to be free

and streamlined. Accelerated procedures are seen as challenging since they do not allow for a proper

assessment of vulnerabilities. Applicants with mental health concerns whomay potentially hide their

problems for cultural or religiousreasons and findthemselves in accelerated procedures are particularly

affected.

28FRA, Current migration situation in the EU: Torture, trauma and its possible impact on drug use, February 2017.

‘Reception is so much more than just a bed!’

20 - EASO Mental health of applicants for international protection in Europe

According to respondents, while children, men and women migh t have different ways of showing mental

health concerns and will need a gender and age-appropriate respons e, it is also clear that in Europe more

support programmes for young, single men are needed.

3.1General Findings

Approximately 43 %of respondentsworking forreception authorities were specialised professionals such as

psychologists, psychiatrists or other health officers. Another 38 %hold managerial rolessuch asteam

leaders, coordinators and programmemanagers. The other respondents consider themselves first-line

reception officers and other support staff. Four of the respondents didnot answer this question or it was not

applicable. Mostrespondents areinvolved on a regular basis with the identification of vulnerable applicants

including those with a mental health concern. 86 %of respondents stated additional responsibilities (e.g.

information provision to applicants on services available, etc.). The actualor officialassessment and

identification of applicants and their relevant needs is conducte d only by 35 %of respondents, while

referringand managing casesis completed by approximately 48 %and 53 % respectively.

Interestingly, slightly over 50% shared that service provision in their respective EU+ countryi s being

outsourced to social workers from the public sector or vulnerability focal persons working with

international, local non-governmental organisations (NGOs) or contractors for the purpose of identification

and assessment or needs including case management. The outsourcingof services is important to note,

since this may add a layer of complexity. Not only in terms of division of roles and responsibilities but also in

terms of communication.

Therefore, clear and regular communicationbetween the tea ms involved who jointly care for the same

applicants is recommended. This isto ensure a holistic, timely and professional appro ach without duplicating

efforts andputting applicants in a position where they are re-traumatis ed by repeating their concerns to

multiple people on several occasions.