An integrated healthcare service for asylum seekers and refugees in the South-Eastern Region of Melbourne: Monash Health Refugee Health and Wellbeing
Jacquie McBride A , Andrew Block A B and Alana Russo A CA Refugee Health Program, Monash Health, 122 Thomas Street, Dandenong, Vic. 3175, Australia.
B Faculty of Medicine, Nursing and Health Sciences, Monash University, Vic. 3800, Australia.
C Corresponding author. Email: alana.russo@monashhealth.org
Australian Journal of Primary Health 23(4) 323-328 https://doi.org/10.1071/PY16092
Submitted: 29 July 2016 Accepted: 5 May 2017 Published: 31 July 2017
Abstract
Asylum seekers and refugees generally have poorer health than the broader Australian population. However, these groups experience a range of barriers to accessing universal health services. Generalist and specialist refugee health services have been established in Australia to improve the health of humanitarian migrant groups. This article describes a refugee health service established in a high-settlement region of Melbourne, Australia, and explores clients’ experiences with the service. Client feedback was captured through interviews (n = 18) and surveys (n = 159). Participants reported high levels of satisfaction with the service, and highlighted the value in having trusting relationships with staff, access to bicultural workers, onsite interpreting services and integrated care. The findings indicate that it is possible to engage asylum seekers and refugees through healthcare delivery that is responsive to the unique needs of this priority population.
Additional keywords: immigrant health, primary health, refugee, service models, vulnerable populations.
References
Asgary R, Segar N (2011) Barriers to health care access among refugee asylum seekers. Journal of Health Care for the Poor and Underserved 22, 506–522.| Barriers to health care access among refugee asylum seekers.Crossref | GoogleScholarGoogle Scholar |
Burnett A, Peel M (2001) Health needs of asylum seekers and refugees. British Medical Journal 322, 544–547.
| Health needs of asylum seekers and refugees.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M7pvVOhtw%3D%3D&md5=eeb0bdb5edf7770315e280d3abc71aa2CAS |
Cheng I-H, Russell GM, Bails M, Block A (2011) ‘An Evaluation of the Primary Healthcare Needs of Refugees in South East Metropolitan Melbourne.’ (Southern Academic Primary Care Research Unit: Melbourne, Vic., Australia)
City of Greater Dandenong (2014) Asylum seeker and refugee communities action plan 2014–17. (City of Greater Dandenong Council: Melbourne, Vic., Australia) Available at http://www.greaterdandenong.com/documents/25321/refugees-and-asylum-seekers [Verified 4 September 2015]
Clark C, Scott E, Boydell K, Goering P (1999) Effects of client interviewers on client-reported satisfaction with mental health services. Psychiatric Services 50, 961–963.
| Effects of client interviewers on client-reported satisfaction with mental health services.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MzjtFSgsQ%3D%3D&md5=1cf896a0fffed18d72d992e2bbee0f36CAS |
Clark A, Gilbert A, Rao D, Kerr L (2014) ‘Excuse me, do any of you ladies speak English?’ Perspectives of refugee women living in South Australia: barriers to accessing primary health care and achieving the Quality Use of Medicines. Australian Journal of Primary Health 20, 92–97.
| ‘Excuse me, do any of you ladies speak English?’ Perspectives of refugee women living in South Australia: barriers to accessing primary health care and achieving the Quality Use of Medicines.Crossref | GoogleScholarGoogle Scholar |
Coffey G, Kaplan I, Sampson R, Tucci M (2010) The meaning and mental health consequences of long-term immigration detention for people seeking asylum. Social Science & Medicine 70, 2070–2079.
| The meaning and mental health consequences of long-term immigration detention for people seeking asylum.Crossref | GoogleScholarGoogle Scholar |
Ellis BH, Kia-Keating M, Yusuf S, Lincoln A, Nur A (2007) Ethical research in refugee communities and the use of community participatory methods. Transcultural Psychiatry 44, 459–481.
| Ethical research in refugee communities and the use of community participatory methods.Crossref | GoogleScholarGoogle Scholar |
Finney Lamb CF, Smith M (2002) Problems refugees face when accessing health services. NSW Public Health Bulletin 13, 161–163.
| Problems refugees face when accessing health services.Crossref | GoogleScholarGoogle Scholar |
Gould G, Viney K, Greenwood M, Kramer J, Corben P (2010) A multidisciplinary primary healthcare clinic for newly arrived humanitarian entrants in regional NSW: model of service delivery and summary of preliminary findings. Australian and New Zealand Journal of Public Health 34, 326–329.
| A multidisciplinary primary healthcare clinic for newly arrived humanitarian entrants in regional NSW: model of service delivery and summary of preliminary findings.Crossref | GoogleScholarGoogle Scholar |
Harris MF, Telfer B (2001) The health needs of asylum seekers living in the community. The Medical Journal of Australia 175, 589–592.
Jacobsen K, Landau L (2003) The dual imperative in refugee research: some methodological and ethical considerations in social science research on forced migration. Disasters 27, 185–206.
| The dual imperative in refugee research: some methodological and ethical considerations in social science research on forced migration.Crossref | GoogleScholarGoogle Scholar |
Joshi C, Russell G, Cheng I-H, Kay M, Pottie K, Alston M, Smith M, Chan B, Vasi S, Lo W, Wahidi S, Harris M (2013) A narrative synthesis of the impact of primary health care delivery models for refugees in resettlement countries on access, quality and coordination. International Journal for Equity in Health 12, –88.
| A narrative synthesis of the impact of primary health care delivery models for refugees in resettlement countries on access, quality and coordination.Crossref | GoogleScholarGoogle Scholar |
Le Feuvre P (2001) How primary care services can incorporate refugee health care. Medicine, Conflict, and Survival 17, 131–136.
| How primary care services can incorporate refugee health care.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MvisVektw%3D%3D&md5=f098f77bd6aeaf12bf1ac1f046b04f81CAS |
Milosevic D, Cheng I-H, Smith M (2012) The NSW Refugee Health Service, improving refugee access to primary care. Australian Family Physician 41, 147–149.
Murray SB, Skull S (2005) Hurdles to health: immigrant and refugee care in Australia. Australian Health Review 29, 25–29.
| Hurdles to health: immigrant and refugee care in Australia.Crossref | GoogleScholarGoogle Scholar |
Murray RJ, Davis J, Burgner D (2009) The Australasian Society for Infectious Diseases guidelines for the diagnosis, management and prevention of infections in recently arrived refugees: an abridged outline. The Medical Journal of Australia 190, 421–425.
Omeri A, Lennings C, Raymond L (2006) Beyond asylum: implications for nursing and health care delivery for Afghan refugees in Australia. Journal of Transcultural Nursing 17, 30–39.
| Beyond asylum: implications for nursing and health care delivery for Afghan refugees in Australia.Crossref | GoogleScholarGoogle Scholar |
Parliament of Australia (2015) Migration and humanitarian programs. (Commonwealth of Australia: Canberra, ACT, Australia) Available at http://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/rp/BudgetReview201516/Migration [Verified 27 July 2016]
Russell G, Harris M, Cheng I-H, Kay M, Vasi S, Joshi C, Chan B, Lo W, Wahidi S, Advocat J, Pottie K, Smith M, Furler J (2013) ‘Coordinated Primary Health Care for Refugees: a Best Practice Framework for Australia.’ (Australian Primary Health Care Research Institute: Melbourne, Vic., Australia)
Silove D (2002) The asylum debacle in Australia: a challenge for psychiatry. The Australian and New Zealand Journal of Psychiatry 36, 290–296.
| The asylum debacle in Australia: a challenge for psychiatry.Crossref | GoogleScholarGoogle Scholar |
Silove D, Sinnerbrink I, Field A, Manicavasagar V, Steel Z (1997) Anxiety, depression and PTSD in asylum seekers: associations with pre-migration trauma and post-migration stressors. The British Journal of Psychiatry 170, 351–357.
| Anxiety, depression and PTSD in asylum seekers: associations with pre-migration trauma and post-migration stressors.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2szovFSgtQ%3D%3D&md5=6301412ed105df0828a51fa16389deb9CAS |
Spike EA, Mitchell S, Harris M (2011) Access to primary health care service by community-based asylum seekers. The Medical Journal of Australia 195, 188–191.
Steel Z, Silove D, Shakeh M, Alzuhairi B (2006) Impact of immigration detention and temporary protection on the mental health of refugees. The British Journal of Psychiatry 188, 58–64.
| Impact of immigration detention and temporary protection on the mental health of refugees.Crossref | GoogleScholarGoogle Scholar |
Tiong AC, Patel M, Gardiner J, Ryan R, Linton K, Walker K, Scopel J, Briggs B (2006) Health issues in newly arrived African refugees attending general practice clinics in Melbourne. The Medical Journal of Australia 185, 602–606.
Victorian Refugee Health Network (2015) Refugee health assessment tool. (Victorian Refugee Health Network: Melbourne, Vic., Australia) Available at http://refugeehealthnetwork.org.au/refugee-health-assessment-tool/ [Verified 29 July 2016]
Wong ST, Haggerty J (2013) Measuring patient experiences in health care: a review and classification of items and scales used in publicly available questionnaires. (Centre for Health Services and Policy Research, University of British Columbia: Vancouver, BC, Canada) Available at https://open.library.ubc.ca/cIRcle/collections/ubccommunityandpartnerspublicati/47136/items/1.0048528 [Verified 29 July 2016]