Evidence map›Paper›PMID 41742090›Full record

ArticleBMC public health2026

Towards the development of actionable recommendations for improving mental healthcare access for migrants: a qualitative study in Munich, Germany.

Sophia Baierl, Zeliha Öcek, Caroline Jung-Sievers, Michaela Coenen

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sophia BaierlChair for Public Health and Health Services Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany. sophia.baierl@ibe.med.uni-muenchen.de.
Zeliha ÖcekChair for Public Health and Health Services Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany.
Caroline Jung-SieversChair for Public Health and Health Services Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany.
Michaela CoenenChair for Public Health and Health Services Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe experience of migration is often associated with stressors affecting mental health. Furthermore, migrants face barriers to accessing mental healthcare. This study aims to explore the determinants influencing mental healthcare access for migrants in Munich, Germany, and to serve as a starting point for developing recommendations for action.

methodsThe qualitative study examined the perspectives of migrants and health professionals. Former were derived from a secondary analysis of interview data collected in the SonarGlobal project in 2021. Semi-structured interviews with health professionals were conducted in 2023. Data from both groups were analysed iteratively using a shared coding structure for content analysis. Levesque et al.'s framework guided the analysis of healthcare access and was adapted by schematizing the results. The adapted framework served as the basis for developing action-oriented recommendations based on migrants' suggestions, refined and completed by health professionals' data. Recommendations for improving migrants' access to mental healthcare were organised thematically and then assigned to the levels of integrated care according to Valentijn et al.: micro, meso and macro.

resultsThe study included 24 migrants of SonarGlobal and seven health professionals. The dimensions of mental healthcare access encompassed: (1) perceiving mental health problems; (2) ability to seek mental healthcare, including knowledge about the new healthcare system and social support; (3) acceptability of mental health services, involving provider identity and gender; (4) availability and affordability of mental health services, including insurance coverage, bureaucratic processes, and capacity and geographical distribution of services; (5) appropriateness of mental health services with providers' and patients' understanding of mental healthcare, and providers' competence and capacity. Language exhibited a strong interplay across all dimensions. The analysis yielded 17 recommendations. Macro-level recommendations address discrimination and inequality. Meso-level recommendations included enhancing care capacity and coordination, training healthcare workers, and eliminating language barriers. Micro-level recommendations included activities to promote mental health.

conclusionsThe determinants of migrants' mental healthcare access are shaped by intersecting vulnerability mechanisms and systemic barriers. Improving access requires actions on micro, meso and macro level of care. This study's recommendations offer a starting point for developing comprehensive, evidence-based strategies to ensure equitable mental healthcare access for all.

Indexed as

Health Services AccessibilityMental Health ServicesTransients and MigrantsAdultFemaleGermanyHealth PersonnelHumansInterviews as TopicMaleQualitative ResearchAccess to healthcareBarriersDeterminantsIntegrated careMental healthMigrantsQualitative studyRecommendations for action

Identifiers

PMID41742090
PMCPMC13040945

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.