Abstract
BackgroundThe process of seeking asylum and the related organisational conditions in the host country may adversely affect the children's mental health. The objective of this study was to examine the mental health of children seeking asylum in relation to organisational factors of the asylum system including length of stay and number of relocations.MethodsThe population included all 260 parent-accompanied asylum-seeking children aged 4–16 years living in the asylum centres managed by the Danish Red Cross in October–December 2006. Mental health was evaluated using the Strengths and Difficulties Questionnaire. School teachers evaluated children aged 4–16; and the 11–16-year-olds completed the self-report version. To assess the association between organisational factors and mental health, binary logistic regression analyses were done using backwards elimination. We received responses for 246 children equivalent to 95% of the study population.ResultsUsing teachers' reports, we found that children who had been asylum-seeking for more than one year in Denmark had an increased risk of having mental difficulties (odds ratio 5.5, 95% CI 1.8–16.3); four or more relocations in the asylum system were also associated with a higher risk (3.0, 1.4–6.7). When the self-report data were included, the associations were even stronger.ConclusionProtracted stays at asylum centres and multiple relocations within the asylum system appear to have an adverse effect on asylum-seeking children's mental health. A limit to the duration of the children's stay in the asylum system should be ensured. Follow-up studies with inclusion of other conditions, such as parental mental health and the children's previous trauma, are needed to clarify the influence of the different factors and their interactions.
Highlights
The process of seeking asylum and the related organisational conditions in the host country may adversely affect the children's mental health
Protracted stays at asylum centres and multiple relocations within the asylum system appear to have an adverse effect on asylum-seeking children's mental health
The literature shows several environmental risk factors for mental illness in refugee children, such as number of transitions, time taken for immigration status to be determined, time spent in the host country, and cultural isolation [1,2,4,5]
Summary
The process of seeking asylum and the related organisational conditions in the host country may adversely affect the children's mental health. Mares et al had similar findings of very high levels of psychopathology in asylum-seeking children, of which much was attributable to traumatic experiences in detention [11]. Both studies were limited by small sample sizes of 20 children, and Mares et al used a non-standardised diagnostic tool and were restricted to a sample referred for clinical care; the strengths lie in the clinical assessment used in both studies. Data are scanty and to our knowledge the influence of different organisational factors of the asylum system on asylum seekers' mental health has been estimated only among adults [7,8,9,12,13]
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