Table 6 Circumstances preventing psychiatrists and psychotherapists from more frequent psychiatric/psychotherapeutic treatment of refugees or asylum seekers
Barriers (based on coding framework) | Total (n = 410) | Psychotherapists (n = 244) | Psychiatrists (n = 166) |
|---|---|---|---|
n (%) | n (%) | n (%) | |
Lack of funding for treatment | 102 (24.9%) | 84 (20.5%) [82.4%] | 18 (4.4%) [17.6%] |
Lack of funding for interpreters | 88 (21.5%) | 57 (13.9%) [64.8%] | 31 (7.6%) [35.2%] |
Language | 62 (15.1%) | 36 (8.8%) [58.1%] | 26 (6.3%) [41.9%] |
No contact with the target population | 47 (11.5%) | 23 (5.6%) [48.9%] | 24 (5.9%) [51.1%] |
Capacity | 43 (10.5%) | 25 (6.1%) [58.1%] | 18 (4.4%) [41.9%] |
Expenditure of time for administration | 33 (8%) | 11 (2.7%) [33.3%] | 22 (5.6%) [66.6%] |
No own experience/qualification | 21 (5.1%) | 14 (3.4%) [66.6%] | 7 (1.7%) [33.3%] |
Therapist’s emotional distress too high | 19 (4.6%) | 13 (3.2%) [68.4%] | 6 (1.5%) [31.6%] |
Availability of interpreters | 19 (4.6%) | 6 (1.5%) [31.6%] | 13 (3.2%) [68.4%] |
Insecure residency status | 14 (3.4%) | 6 (1.5%) [42.9%] | 8 (2.0%) [57.1%] |
Cultural barriers | 12 (2.9%) | 6 (1.5%) [50%] | 6 (1.5%) [50%] |
Complexity of treatment | 12 (2.9%) | 5 (1.2%) [41.6%] | 7 (1.7%) [58.3%] |
Social problems of the patients | 11 (2.7%) | 5 (1.2%) [45.5%] | 6 (1.5%) [54.5%] |
Frequent relocation | 6 (1.5%) | 2 (< 1%) [33.3%] | 4 (< 1%) [66.6%] |
Lack of motivation (of providers) | 4 (< 1%) | 1 (< 1%) [25%] | 3 (< 1%) [75%] |
Other | 34 (8.3%) | 12 (2.9%) [35.3%] | 22 (5.4%) [64.7%] |
Sum | 526 | 305 | 221 |