Policy paper of the Committee on Ethics and Task Force on Migration and Mental Health: Migration and mental health of migrants, refugees, asylum seekers - Ethical dilemmas and concerns

dc.authorid0000-0002-0429-8460
dc.authorid0000-0002-1592-7656
dc.authorid0000-0003-1438-583X
dc.contributor.authorSchouler-Ocak, Meryam
dc.contributor.authorBaarnhielm, Sofie
dc.contributor.authorTarricone, Ilaria
dc.contributor.authorAdorjan, Kristina
dc.contributor.authorSamochowiec, Jerzy
dc.contributor.authorChumakov, Egor
dc.contributor.authorBhugra, Dinesh
dc.date.accessioned2026-04-04T18:56:03Z
dc.date.available2026-04-04T18:56:03Z
dc.date.issued2025
dc.departmentİstanbul Bilgi Üniversitesi
dc.description.abstractBackground International migration is a complex phenomenon of global and historical relevance. It includes voluntary, forced, and workforce migration, shaped by diverse determinants. Push factors comprise war, persecution, and political instability, while pull factors include stability, economic opportunities, education, and favorable living conditions. Forced migration is frequently associated with displacement and a disproportionate burden of mental health disorders, which are urgent yet difficult to address due to structural, cultural, and legal barriers.Methods Evidence demonstrates that restricted health care access exacerbates psychiatric disorders, while treatment delays contribute to poorer outcomes. Barriers include administrative limitations, linguistic and cultural differences, stigma, and resource shortages. This policy paper was developed by the Committee on Ethics and the Task Force on Migration and Mental Health of the European Psychiatric Association (EPA). Relevant literature was reviewed and combined with the professional expertise of committee members. The draft was subsequently evaluated by the Publication Committee and the EPA Board, and revised accordingly.Results Ethical principles in refugee care are insufficiently implemented in many European countries. Core principles of medical ethics - beneficence, respect for autonomy, non-maleficence, and justice - as well as the obligation to advance psychiatric standards and apply psychiatric expertise for societal benefit, are inconsistently upheld.Conclusions The primary duty of physicians is to promote health and well-being through competent, timely, and compassionate care. The EPA therefore advocates coordinated strategies to mitigate the mental health consequences of war, displacement, and trauma, and to secure equitable access to psychiatric services for migrants and refugees.
dc.description.sponsorshipTask Force on Migration and Mental Health of the EPA
dc.description.sponsorshipThank you to all members of the Committee on Ethics and Task Force on Migration and Mental Health of the EPA.
dc.identifier.doi10.1192/j.eurpsy.2025.10092
dc.identifier.doi10.1192/j.eurpsy.2025.10092
dc.identifier.issn0924-9338
dc.identifier.issn1778-3585
dc.identifier.issue1
dc.identifier.pmid40977351
dc.identifier.scopus2-s2.0-105016802056
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1192/j.eurpsy.2025.10092
dc.identifier.urihttps://hdl.handle.net/11411/10650
dc.identifier.volume68
dc.identifier.wosWOS:001595179800001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCambridge Univ Press
dc.relation.ispartofEuropean Psychiatry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260402
dc.snmzKA_Scopus_20260402
dc.subjectEthical Principles And Dilemmas
dc.subjectMental Health
dc.subjectMigrants
dc.subjectRecommendations
dc.subjectRefugees
dc.titlePolicy paper of the Committee on Ethics and Task Force on Migration and Mental Health: Migration and mental health of migrants, refugees, asylum seekers - Ethical dilemmas and concerns
dc.typeReview Article

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