Quality of mental health care for forcibly displaced children and adolescents in the WHO European region: A scoping review of barriers and facilitators

Dumke, Lars, Nagraj, Shobhana, Yusuf, Salma, Abukmail, Hanan, Cinar, Erva Nur, Razai, Mohammad S., Whyatt, Gemma, Hall, Jennifer, Breda, Joao, Giannaki, Anastasia, Scharpf, Florian, Behrendt, Malte, Schäfer, Ingo and Chatburn, Eleanor (2026) Quality of mental health care for forcibly displaced children and adolescents in the WHO European region: A scoping review of barriers and facilitators. European Child and Adolescent Psychiatry, 35 (1). pp. 75-90. ISSN 1018-8827

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Abstract

Forcibly displaced children and adolescents in the World Health Organization (WHO) European Region have high mental health needs, yet few manage to access mental health services, and those who do may encounter inadequate care. This scoping review aimed to identify and synthesize the available evidence on barriers and facilitators to quality mental health care for forcibly displaced children and adolescents in the WHO European Region. We applied the PRISMA guideline extension for scoping reviews, searching five scholarly databases and grey literature published between 2004 and 2025. A total of 7,327 records were screened, with 18 articles included. We used the WHO Quality Standards for Child and Youth Mental Health Services as an analytical framework to map the evidence. The identified studies represented only 7 out of 53 countries in the WHO European Region. Most studies employed qualitative research designs, with a lack of quantitative evidence using quality indicators. Available evidence revealed multiple, intersecting barriers to quality mental health care, including restrictive health care policies, service constraints and a lack of provider competence. Facilitators included the presence of community-based support, networks of interconnected services, task shifting and evidence-based scalable interventions. Major gaps remain in both the data and in the methods used to generate evidence for improving quality of mental health care for forcibly displaced children and adolescents in the WHO European Region. Our review highlighted the discrepancy between the care provided and the recommended WHO Quality Standards for Child and Youth Mental Health Services. There is a need for more targeted efforts to assess and improve the quality of mental health care for forcibly displaced children and adolescents.

Item Type:	Article
Uncontrolled Keywords:	access,barriers,children,mental health,migrants,quality,refugees,youth,pediatrics, perinatology, and child health,developmental and educational psychology,psychiatry and mental health,sdg 3 - good health and well-being,sdg 16 - peace, justice and strong institutions ,/dk/atira/pure/subjectarea/asjc/2700/2735
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	09 Mar 2026 16:31
Last Modified:	15 Mar 2026 07:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/102277
DOI:	10.1007/s00787-025-02833-3

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