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A video vignette study on the bias in asylum seekers getting admission to psychiatric health care in Flanders

Timo Van Canegem (UGent) , Melissa Ceuterick (UGent) , Veerle Buffel (UGent) and Piet Bracke (UGent)
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Abstract
There is a high prevalence of common mental disorders among asylum seekers due to an amalgam of stressors before, during and after migration. This vulnerable group, however, faces difficulties in accessing European mental health care (MHC) and is underrepresented in psychiatric care. Audit studies show that denial of access to services by gatekeepers is a common form of discrimination. Implicit negative attitudes of MHC providers may be partly responsible for this inequality. This project is therefore researching potential bias in the decision making process and treatment management of asylum seekers in the Flemish MHC sector, and more specifically in the granting of access to ambulatory and residential psychiatric health care. The objective is to understand which barriers to an adequate and culturally sensitive care are present in the current MHC system. Psychiatrists are crucial gatekeepers and are therefore selected as respondents. Their professional actions and decisions with respect to the patient will be analyzed statistically in a quantitative quasi-experimental design and assessed regarding their potential influence of the patient’s status as an asylum seeker. Randomly allocated video vignettes will depict a fictive intake conversation with a patient, performed by a professional actor. The use of video vignettes is a relatively new methodological tool to determine potential biases in the MHC sector on the basis of migration background. A steering committee of MHC experts helped developing the video vignettes to enhance their validity. All vignettes are identical apart from the patient’s different migration background, thereby removing any confounding factors from the social context of the consultation or other aspects of patients’ symptomatology or behavior. Ethnicity and asylum status are therefore the main manipulated independent variables.
Keywords
asylum seekers, common mental disorders, mental health care

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MLA
Van Canegem, Timo et al. “A Video Vignette Study on the Bias in Asylum Seekers Getting Admission to Psychiatric Health Care in Flanders.” 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : Abstracts. 2018. Print.
APA
Van Canegem, T., Ceuterick, M., Buffel, V., & Bracke, P. (2018). A video vignette study on the bias in asylum seekers getting admission to psychiatric health care in Flanders. 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : abstracts. Presented at the 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants.
Chicago author-date
Van Canegem, Timo, Melissa Ceuterick, Veerle Buffel, and Piet Bracke. 2018. “A Video Vignette Study on the Bias in Asylum Seekers Getting Admission to Psychiatric Health Care in Flanders.” In 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : Abstracts.
Chicago author-date (all authors)
Van Canegem, Timo, Melissa Ceuterick, Veerle Buffel, and Piet Bracke. 2018. “A Video Vignette Study on the Bias in Asylum Seekers Getting Admission to Psychiatric Health Care in Flanders.” In 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : Abstracts.
Vancouver
1.
Van Canegem T, Ceuterick M, Buffel V, Bracke P. A video vignette study on the bias in asylum seekers getting admission to psychiatric health care in Flanders. 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : abstracts. 2018.
IEEE
[1]
T. Van Canegem, M. Ceuterick, V. Buffel, and P. Bracke, “A video vignette study on the bias in asylum seekers getting admission to psychiatric health care in Flanders,” in 1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : abstracts, Ghent, 2018.
@inproceedings{8581936,
  abstract     = {There is a high prevalence of common mental disorders among asylum seekers due to an amalgam of stressors before, during and after migration. This vulnerable group, however, faces difficulties in accessing European mental health care (MHC) and is underrepresented in psychiatric care. Audit studies show that denial of access to services by gatekeepers is a common form of discrimination. Implicit negative attitudes of MHC providers may be partly responsible for this inequality.
This project is therefore researching potential bias in the decision making process and treatment management of asylum seekers in the Flemish MHC sector, and more specifically in the granting of access to ambulatory and residential psychiatric health care. The objective is to understand which barriers to an adequate and culturally sensitive care are present in the current MHC system.
Psychiatrists are crucial gatekeepers and are therefore selected as respondents. Their professional actions and decisions with respect to the patient will be analyzed statistically in a quantitative quasi-experimental design and assessed regarding their potential influence of the patient’s status as an asylum seeker. Randomly allocated video vignettes will depict a fictive intake conversation with a patient, performed by a professional actor. The use of video vignettes is a relatively new methodological tool to determine potential biases in the MHC sector on the basis of migration background. A steering committee of MHC experts helped developing the video vignettes to enhance their validity. All vignettes are identical apart from the patient’s different migration background, thereby removing any confounding  factors from the social context of the consultation or other aspects of patients’ symptomatology or behavior. Ethnicity and asylum status are therefore the main manipulated independent variables.
},
  author       = {Van Canegem, Timo and Ceuterick, Melissa and Buffel, Veerle and Bracke, Piet},
  booktitle    = {1st Annual CESSMIR Conference : Needs and Care Practices for Refugees and Migrants : abstracts},
  keywords     = {asylum seekers,common mental disorders,mental health care},
  language     = {eng},
  location     = {Ghent},
  pages        = {1},
  title        = {A video vignette study on the bias in asylum seekers getting admission to psychiatric health care in Flanders},
  year         = {2018},
}