Health care

The theme ‘health care’ gathers research that focuses on the health care for migrants, refugees, asylum applicants and people without legal residence papers.

ACCESS - Equitable substance use treatment for Migrants and ethnic minorities: a policy analysis

Description: Varying migrant and ethnic minorities (MEM) should be entitled to equitable substance use treatment (SUT) compared to non-MEM populations. In the absence of an established research domain, this study first aims at building a strong theoretical basis. This basis includes reflections on MEM substance user and provider experiences, the cultural competence discourse, MEM substance use prevalence from a social epidemiological perspective, MEM SUT need, demand and offer in the EU and Belgium. The empirical case studies whether and how Flemish substance use treatment policy aims at achieving access, removing barriers, creating responsive services and considering social determinants. This analysis is informed by an ecosocial and social recovery perspective. In concert with a parallel PhD study on MEM experiences (Aline Pouille), this project aims at treatment and policy recommendations.
Promoter(s): Tom Decorte, Wouter Vanderplasschen, Torsten Kolind
Researcher(s): Charlotte De Kock
Department / Research group: Institute for Social Drug Research - Department of Criminology, criminal law and social law
Faculty: Faculty of Law and Criminology

Considering ethnicity in forensic mental health care: experiences of migrant and ethnic minority service users and their service providers

Description: Persons from migrant and ethnic minority groups are relatively overrepresented in forensic mental health care, however, it remains unclear how they recover and desist from crime. The Good Lives Model, as a leading strengths-based rehabilitation framework, is regarded as a promising avenue. One could wonder though how forensic service users who identify themselves as MEM prioritize and conceptualize the Good Lives conceptions. In this study, we place MEM forensic service users’ perspectives on their rehabilitation needs and how these needs can be fulfilled (i.e. Good Lives conceptions) center stage. Additionally, we study forensic service providers’ needs towards MEM rehabilitation in forensic mental health services while identifying currently implemented promising practices. Next, these results will be validated by international experts in culturally sensitive mental health care and/or forensic mental health care, in order to formulate policy recommendations.
Promoter(s): Freya Vander Laenen, Stijn Van de Velde
Researcher(s): Marjolein De Pau
Department / Research group: Institute for International Research on Criminal Policy (IRCP) - Department Criminology, Criminal Law and Social Law
Faculty: Faculty of Law and Criminology

EdisTools: Developing training tools for explaining and reducing ethnic discrimination in the fields of education, health care, housing and labour

Description: EdisTools aims to get a better understanding of ethnic inequality and ethnic discrimination in the social domains of health, housing, education and work, so that (often well-intentioned or unconscious) processes that give rise to it can be addressed. EdisTools wants to develop both innovative, scientific knowledge and user-friendly training tools that service providers and organizations in these domains can use.
Promoter(s): Peter Stevens, Stijn Baert, Eva Derous, Piet Van Avermaet, Pieter-Paul Verhaeghe, Sara Willems, Fanny D’hondt, Stijn Schelfhout
Researcher(s): Fanny D'Hondt, Stijn Schelfhout
Department / Research group: Multidisciplinary research project

Equity and vulnerable populuations in primary health care

Description: One of the determinants of inequity in health within society, is the differential access to care and treatment of the patient within the health care system. This doctoral thesis focusses on vulnerable populations, their access to care, their experience of the care process and its outcomes. Following themes are dealt with: Do patients experience discrimination and are their certain groups that feel more discriminated? How do ethnic minorities score on indicators of access to care, the quality of the care process and their outcomes? Do patients with a specific disease burden receive appropriate care? How is the situation for particular vulnerable groups? These questions are answered by both quantitative and qualitative data. We made use of QUALICOPC-database (Quality and Costs of Primary Care in Europe). Also, new data was collected through in-depth interviews with Roma and questionnaires for detainees.
Promoter(s): Sara Willems, Ignaas Devisch
Researcher(s): Lise Hanssens
Department / Research group: Family Medicine and Primary Health Care
Faculty: Faculty of Medicine and Health Sciences

MATREMI – Mapping and enhancing substance use treatment for migrants & ethnic minorities

Description: The MATREMI project (2019) focused on two shortcomings in the current literature and policy regarding migrants and ethnic minorities (MEM) in substance use treatment (SUT). Firs, the MATREMI project contributed to the more adequate registration of the presence of MEM clients in drug treatment to inform policy making (objective 1) and secondly, gathered the existing Belgian literature (2009-2019) and promising practices (aimed at the reach and retention of and the accessibility for [potential] MEM clients in SUT) in a comprehensive guide for proffesionals (objective 2). The MATREMI project was subsidized by the Federal Science Policy (BELSPO) and builds on the findings from the ZEMIV (2008) and PADUMI (2017) research projects. This project resulted in policy recommendations.
Promoter(s): Tom Decorte, Wouter Vanderplasschen, Torsten Kolind
Researcher(s): Charlotte De Kock, Carla Marscia
Department / Research group: Institute for Social Drug Research - Department of Criminology, criminal law and social law
Faculty: Faculty of Law and Criminology

RECMIB - Substance use recovery of persons with a migration background: an analysis of lived experiences

Description: Research shows that persons with a migration background and ethnic minorities (MEM) are confronted with various risk factors that increase their vulnerability for problematic substance use and may hamper recovery. Despite the indications that recovery has a cultural dimension and that (substance use) treatment does not always seem to succeed in meeting the needs of MEM, there is hardly any research on personal recovery experiences and needs of MEM. This study therefor explores the recovery experiences of a diversity of MEM, to gain insight into their recovery resources, needs and barriers to recovery on a personal, social and community level. Based on the study findings, recommendations for policy and practice will be formulated, in association with Charlotte De Kock, in order to facilitate the development of recovery-oriented systems of care for MEM.
Promoter(s): Vanderplasschen Wouter, Freya Vander Laenen
Researcher(s): Aline Pouille
Department / Research group: Special Needs Education (Recovery and Addiction)
Faculty: Faculty of Psychology and Educational Sciences

Research project Evaluation Zanzu.be

Description: This project aims at an evidence-based evaluation of the multilingual (in 14 languages) website of Sensoa, the Flemish expertise centre for sexual health. The website (zanzu.be) has been designed for newcomers, asylum seekers and people without residence permit and also serves as support tool for professionals in counselling and training. The project addresses three major goals: (1) evaluating the multilingual website zanzu.be; (2) evaluating its current implementation strategy and (3) formulating specific recommendations to improve the quality of the website and its implementation. Drawing from a combination of research methods (context analysis, digital survey, interviews, video-taped interaction and subsequent benchmark sessions), this project envisions an evidence-based answer to a number of research questions relating to communication about sexual health with vulnerable migrants.
Promoter(s): Katrijn Maryns, Ellen Van Praet, July De Wilde
Researcher(s): Pauline Van Daele
Department / Research group: Department of Translation, Interpreting and Communication - MULTIPLES
Faculty: Faculty of Arts and Philosophy