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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
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2021, Number 4

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Salud Mental 2021; 44 (4)

Psychosocial and mental health during the COVID-19 lockdown: A rapid qualitative study in migrant shelters at the Mexico-United States border

Bojórquez I, Odgers-Ortiz O, Olivas-Hernández OL
Full text How to cite this article

Language: English
References: 33
Page: 167-175
PDF size: 160.23 Kb.


Key words:

Mental health, immigrants, psychosocial support systems, Mexico.

ABSTRACT

Introduction. Migrants could be at increased risk of the psychosocial and mental health consequences of the COVID-19 pandemic. Research is needed to assess their needs and the most useful interventions in this regard. Objective. To describe the mental health consequences of the pandemic and lockdown measures among migrants living in shelters in Tijuana, Mexico, during the COVID-19 pandemic, barriers to mental healthcare during this period, and the key elements of psychosocial support provided by civil society organizations (CSOs), as described by shelters’ staff. Method. In April-May 2020, we conducted a rapid qualitative study through interviews with persons providing services at eight migrant shelters, complementing the information with data from an ongoing ethnographic project. We situated the results within the levels of the United Nations’ Inter-Agency Standing Committee (IASC) pyramid of psychosocial and mental health support. Results. In addition to fear of contagion and economic insecurity, migrants experienced emotional distress associated with hardening migration policies, and the difficulties of having to find shelter in place in non-private spaces. Some CSOs continued or adapted previous psychosocial support activities, helping migrants navigate these issues, but other activities stopped amidst physical distancing measures and because of limited resources. Migrants themselves implemented some group activities. There was a surge of civil society initiatives of online support, but some shelters laeked the technological and other resources to benefit from them. Discussion and conclusion. Migrants require a tailor made response to their mental health needs in the COVID-19 pandemic, such as the one provided by CSOs.


REFERENCES

  1. Abubakar, I., Aldridge, R. W., Devakumar, D., Orcutt, M., Burns, R., Barreto, M. L., ... UCL-Lancet Commission on Migration and Health. (2018). The UCL-Lancet Commission on Migration and Health: the health of a world on the move. Lancet, 392(10164), 2606-2654. doi: 10.1016/S0140-6736(18)32114-7

  2. Berenzon Gorn, S., Saavedra Solano, N., Medina-Mora Icaza, M. E., Aparicio Basaurí, V., & Galván Reyes, J. (2013). Evaluation of the mental health system in Mexico: where is it headed?. Revista Panamericana de Salud Pública, 33(4), 252-258. doi: 10.1590/s1020-49892013000400003

  3. Bojorquez, I., Infante, C., Vieitez, I. M., Larrea, S., & Santoro, C. (2020). Migrants in transit and asylum seekers in Mexico: An epidemiological analysis of the COVID-19 pandemic. medRxiv, 1-20. doi: 10.1101/2020.05.08.20095604

  4. Bojorquez-Chapela, I., Flórez-García, V., Calderón-Villarreal, A., & Fernández- Niño, J. A. (2020). Health policies for international migrants: A comparison between Mexico and Colombia. Health Policy OPEN, 1, 100003. doi: 10.1016/j. hpopen.2020.100003

  5. Bulik, K. J. D., & Colucci, E. (2019). Refugees, resettlement experiences and mental health: a systematic review of case studies. Jornal Brasileiro de Psiquiatria, 68(2), 121-132. doi: 10.1590/0047-2085000000235

  6. Columbia University Mailman School of Public Health (2020). Public Health Experts Urge U.S. Officials to Withdraw Order Enabling Mass Expulsion of Asylum Seekers. Retrieved from https://www.publichealth.columbia.edu/public-healthnow/ news/public-health-experts-urge-us-officials-withdraw-order-enablingmass- expulsion-asylum-seekers Coubès, M. L., Velasco, L., & Contreras, O. F. (2020). Poblaciones vulnerables ante

  7. COVID-19. El Colegio de la Frontera Norte, CONACyT. Retrieved from https:// www.colef.mx/estudiosdeelcolef/migrantes-en-albergues-en-las-ciudadesfronterizas- del-norte-de-mexico/

  8. Del Monte, J. A., & Irwin, R. M. (2020). Personas migrantes en Tijuana frente al COVID-19: Impactos y consecuencias de las medidas sanitarias desde la perspectiva de los actores. El Colegio de la Frontera Norte, CONACyT. Retrieved from https://www.colef.mx/estudiosdeelcolef/personas-migrantesen- tijuana-frente-al-covid-19-impactos-y-consecuencias-de-las-medidassanitarias- desde-la-perspectiva-de-los-actores/

  9. Farmer, P. (2004). An Anthropology of Structural Violence. Current Anthropology, 45(3), 305-325. doi: 10.1086/382250

  10. Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet, 365(9467), 1309-1314. doi: 10.1016/S0140-6736(05)61027-6

  11. Giorguli-Saucedo, S. E., García-Guerrero, V. M., & Masferrer, C. (2016). A migration system in the making: Demographic dynamics and migration policies in North America and the Northern Triangle of Central-America. Mexico City: El Colegio de México, Center for Demographic, Urban and Environmental Studies.

  12. Guadagno, L. (2020). Migrants and the COVID-19 pandemic: An initial analysis. In Migration Research Series N° 60. Geneva, Switzerland: International Organization for Migration.

  13. Haas, B. M. (2017). Citizens-in-waiting, deportees-in-waiting: Power, temporality and suffering in the US asylum system. Ethos, 45(1), 75-97. doi: 10.1111/ etho.12150

  14. Holmes, E. A., OʼConnor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., ... Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry, 7(6), 547-560. doi: 10.1016/S2215-0366(20)30168-1

  15. Inter-Agency Standing Committee (IASC). (2007). Guía del IASC sobre salud mental y apoyo psicosocial en emergencias humanitarias y catástrofes. Ginebra: IASC.

  16. International Organization for Migration (IOM). (2019). Manual on Community- Based Mental Health and Psychosocial Support in Emergencies and Displacement. Geneva: IOM.

  17. IOM - Research and Epidemiology Unit. (2020). COVID-19 response in resourcelimited settings with reference to migrant and mobile populations. Evidence Brief No. 1. Retrieved from https://migrationhealthresearch.iom.int/sites/ healthresearch/files/migration-health/covid-19_response_in_resource-limited_ settings_with_reference_to_migrant_and_mobile_populations_0.pdf

  18. Júnior, J. G., de Sales, J. P., Moreira, M. M., Pinheiro, W. R., Lima, C. K. T., & Neto, M. L. R. (2020). A crisis within the crisis: The mental health situation of refugees in the world during the 2019 coronavirus (2019-nCoV) outbreak. Psychiatry Research, 288, 113000. doi: 10.1016/j.psychres.2020.113000

  19. Keller, A., Joscelyne, A., Granski, M., & Rosenfeld, B. (2017). Pre-Migration Trauma Exposure and Mental Health Functioning among Central American Migrants Arriving at the US Border. PLoS One, 12(1), e0168692. doi: 10.1371/journal. pone.0168692

  20. Leyva Flores, R., Infante Xibillé, C., & Quintino Pérez, F. (2016). Migrantes en tránsito por México: Situación de salud, riesgos y acceso a servicios de salud. Cuernavaca, México: Instituto Nacional de Salud Pública.

  21. Lindert, J., von Ehrenstein, O. S., Priebe, S., Mielck, A., & Brähler, E. (2009). Depression and anxiety in labor migrants and refugees ‒ A systematic review and meta-analysis. Social Science & Medicine, 69(2), 246-257. doi: 10.1016/j. socscimed.2009.04.032

  22. Mukhtar, S. (2020). Psychological health during the coronavirus disease 2019 pandemic outbreak. International Journal of Social Psychiatry, 66(5), 512-516. doi: 10.1177/0020764020925835

  23. Niemi, M., Manhica, H., Gunnarsson, D., Ståhle, G., Larsson, S., & Saboonchi, F. (2019). A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers. International Journal of Environmental Research and Public Health, 16(20). doi: 10.3390/ ijerph16204027

  24. Odgers-Ortiz, O., & Olivas-Hernández, O. L. (2019). Les «caravanes de migrants»: Figées dans la mobilité. La Lettre mensuelle de l’Iheal-Creda, (27). Retrieved from http://www.iheal.univ-paris3.fr/fr/edito/les-%C2%AB-caravanes-demigrants-% C2%BB-fig%C3%A9es-dans-la-mobilit%C3%A9

  25. Organización Internacional para las Migraciones (OIM). (2018). Guía para la atención psicosocial a personas migrantes en Mesoamérica. Costa Rica: OIM. Retrieved from https://rosanjose.iom.int/site/sites/default/files/guia_atencion_ psicosocial.pdf

  26. Rodriguez Chávez, E. (2016). Migración centroamericana en tránsito irregular por México: Nuevas cifras y tendencias. Jalisco, Mexico: Centro de Investigaciones y Estudios Superiores en Antropología Social.

  27. Taylor, B., Henshall, C., Kenyon, S., Litchfield, I., & Greenfield, S. (2018). Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis. BMJ Open, 8(10), e019993. doi: 10.1136/bmjopen-2017-019993

  28. Teti, M., Schatz, E., & Liebenberg, L. (2020). Methods in the Time of COVID-19: The Vital Role of Qualitative Inquiries. International Journal of Qualitative Methods, 19, 1-5. doi: 10.1177/1609406920920962

  29. Thomas, F. C., Roberts, B., Luitel, N. P., Upadhaya, N., & Tol, W. A. (2011). Resilience of refugees displaced in the developing world: a qualitative analysis of strengths and struggles of urban refugees in Nepal. Conflict and Health, 5(1), 20. doi: 10.1186/1752-1505-5-20

  30. Tippens, J. A. (2017). Urban Congolese refugees in Kenya: The contingencies of coping and resilience in a context marked by structural vulnerability. Qualitative Health Research, 27(7), 1090-1103. doi: 10.1177/1049732316665348

  31. Torre Cantalapiedra, E. C. (2020). Destino y asentamiento en México de los migrantes y refugiados centroamericanos. Trace.e Travaux et recherches dans les Amériques du Centre, (77), 122-145.

  32. Wickramage, K., Gostin, L. O., Friedman, E., Prakongsai, P., Suphanchaimat, R., Hui, C., ... Harper, D. R. (2018). Missing: Where Are the Migrants in Pandemic Influenza Preparedness Plans? Health Hum Rights, 20(1), 251-258. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/30008567

  33. World Health Organization [WHO]. (2014). Mental health: a state of well-being. Retrieved from https://www.who.int/features/factfiles/mental_health/en/




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Salud Mental. 2021;44