{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:14:29Z","timestamp":1790014469275,"version":"4.0.1"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Most asylum seekers experience stress, not only due to the reason for fleeing and their travel but also due to their compulsory stay in the asylum seeker center in the Netherlands and the asylum procedure. This often leads to self-medication and addiction which causes lower self-esteem and lower quality of life. Adverse life events, forced migration, and prolonged asylum procedures, in addition to the complexity of the acculturation process, can all contribute to higher levels of psychopathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>What are the threats to wellbeing in terms of mental health, psychosocial, and addiction problems, and what are the effective interventions for wellbeing for asylum seekers in asylum seeker centers in the Netherlands, reported in the literature?<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Following the descriptive nature of the research question and the need for identifying knowledge gaps, an overview of existing knowledge was created by executing a scoping review on influencing factors on the mental health of asylum seekers. The Neuman system model was used as a guiding framework to understand the complexity of the issues this population experience and to identify the stressors and the factors which cause the imbalance and also the disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The literature review resulted in 26 articles that met the criteria for inclusion. The threats included the influence of staying in the environment of an asylum seekers center, drug abuse among asylum seekers, health-care professionals and employees who do not detect or underestimate the underlying suffering of asylum seekers, and frequent relocations of asylum seekers. The two assessment instruments used were the Rapid-Assessment-Response method (RAR method) and the Health Information Assessment Tool Asylum Seeker tool (HIATUS tool). Finally, the five interventions were identified: therapy for asylum seekers diagnosed with post-traumatic stress disorder (PSTD), art therapy, education focused on prevention as intervention, cultural interview, and mindspring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The knowledge on identifying and reducing threats, assessment, and treatment interventions for asylum seekers living in an asylum seekers center found in the literature provided perspectives on improving their wellbeing. The great diversity of cultural aspects and continuous changes in the number and origin of refugees in the Dutch asylum seekers centers disrupted the continuity of care.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2022.829522","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T06:16:00Z","timestamp":1648793760000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Threats and Interventions on Wellbeing in Asylum Seekers in the Netherlands: A Scoping Review"],"prefix":"10.3389","volume":"13","author":[{"given":"Ferdy","family":"Pluck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roelof","family":"Ettema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Vermetten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,1]]},"reference":[{"key":"B1","volume-title":"Consulted From: Kerncijfers Asiel en Migratie","year":"2021"},{"key":"B2","unstructured":"2021"},{"key":"B3","unstructured":"Health of Refugees and Migrants2018"},{"key":"B4","unstructured":"BraamR\n            DupontH\n            VerbraeckH\n          Asielzoekers en middelengebruik; Een verkennend onderzoek naar middelengebruik en verslavingsproblematiek onder asielzoekers en een aanzet tot doelmatige voorlichting en interventie1999"},{"key":"B5","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1192\/apt.8.4.240","article-title":"Mental health of refugees and asylum seekers","volume":"8","author":"Tribe","year":"2002","journal-title":"Adv Psychiatr Treat."},{"key":"B6","doi-asserted-by":"publisher","first-page":"2018","DOI":"10.1007\/s13178-018-0364-7","article-title":"A qualitative exploration of the integration experiences of LGBTIQQ refugees who fled from the middle east, north Africa, and central and south Asia to Austria and the Netherlands","volume":"20","author":"Alessi","year":"2018","journal-title":"Sexual Res Soc Pol J NSRC."},{"key":"B7","unstructured":"Desperate Journeys - Refugees and migrants arriving in Europe and at Europe's borders - January \u2013 December 2018 - UNHCR2019"},{"key":"B8","unstructured":"GoldhillO\n          Photos: What Syrian Refugees Carry in Their Bags as They Leave Their Lives Behind2015"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.3389\/fpsyg.2018.01258","article-title":"Syrian adolescent refugees: how do they cope during their stay in refugee camps?","volume":"9","author":"Braun-Lewensohn","year":"2018","journal-title":"Front Psychol."},{"key":"B10","unstructured":"Central Agency for the reception of Asylum SeekersSociale Veiligheid Van Bewoners in Asielzoekerscentra2018"},{"key":"B11","doi-asserted-by":"publisher","first-page":"792","DOI":"10.1177\/1363461513503379","article-title":"Main topics in transcultural psychiatric research in the Netherlands during the past decade","volume":"50","author":"Laban","year":"2013","journal-title":"Transcult Psychiatr"},{"key":"B12","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1471-2458-4-7","article-title":"Health and health care utilisation among asylum seekers and refugees in the Netherlands: design of a study","volume":"4","author":"Gerritsen","year":"2004","journal-title":"BMC Public Health"},{"key":"B13","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1007\/s00127-005-0003-5","article-title":"Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands","volume":"41","author":"Gerritsen","year":"2005","journal-title":"Soc Psychiatr Psychiatr Epidemiol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1186\/1471-244X-12-114","article-title":"Mental health of asylum seekers: a cross-sectional study of psychiatric disorders","volume":"12","author":"Heeren","year":"2012","journal-title":"BMC Psychiatry."},{"key":"B15","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1186\/s12874-018-0611-x","article-title":"Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach","volume":"18","author":"Munn","year":"2018","journal-title":"BMC Med Res Methodol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int J Soc Res Methodol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation","volume":"2018","author":"Tricco","year":"2018","journal-title":"Ann Internal Med"},{"key":"B18","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.jclinepi.2013.05.013","article-title":"Systematic reviews of complex interventions: framing the review question","volume":"66","author":"Squires","year":"2013","journal-title":"J Clin Epidemiol."},{"key":"B19","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan \u2014 a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst Rev."},{"key":"B20","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1007\/BF02820685","article-title":"Critical appraisal checklist for qualitative research studies","volume":"67","author":"Treloar","year":"2000","journal-title":"Indian J Pediatrcs."},{"key":"B21","first-page":"3","article-title":"The Neuman systems model","volume-title":"The Neuman Systems Model","author":"Neuman","year":"2011"},{"key":"B22","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1177\/0894318412457060","article-title":"A beginner's guide to writing the nursing conceptual model-based theoretical rationale","volume":"25","author":"Gigliotti","year":"2012","journal-title":"Nurs Sci Quart."},{"key":"B23","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1111\/j.1365-2648.2006.03981.x","article-title":"Stressors in five client populations: Neuman systems model-based literature review","volume":"56","author":"Skalski","year":"2006","journal-title":"J Adv Nurs."},{"key":"B24","doi-asserted-by":"publisher","first-page":"219","DOI":"10.2307\/2136617","article-title":"An analysis of coping in a middle-aged community sample","volume":"21","author":"Folkman","year":"1980","journal-title":"J Health Soc Behav."},{"key":"B25","doi-asserted-by":"publisher","first-page":"36","DOI":"10.7146\/torture.v29i1.111205","article-title":"Expert medico-legal reports: the relationship between levels of consistency and judicial outcomes in asylum seekers in the Netherlands","volume":"29","author":"Aarts","year":"2019","journal-title":"Torture J."},{"key":"B26","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.drugpo.2004.06.002","article-title":"Killing time: drug and alcohol problems among asylum seekers in the Netherlands","volume":"16","author":"Dupont","year":"2005","journal-title":"Int J Drug Policy."},{"key":"B27","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/1471-2458-11-484","article-title":"Suicide death and hospital-treated suicidal behaviour in asylum seekers in the Netherlands: a national registry-based study","author":"Goosen","year":"2011","journal-title":"BMC Public Health."},{"key":"B28","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1023\/A:1007858116390","article-title":"Health problems among Latin-American and middle-eastern refugees in the Netherlands: relations with violence exposure and ongoing sociopsychological strain","volume":"13","author":"Hondius","year":"2000","journal-title":"J Trauma Stress."},{"key":"B29","first-page":"33","article-title":"Managing uncertainty; coping styles of refugees in western countries","volume":"2","author":"Kramer","year":"2004","journal-title":"Intervention."},{"key":"B30","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1007\/s00127-007-0240-x","article-title":"Prevalence and predictors of health service use among Iraqi asylum seekers in the Netherlands","volume":"42","author":"Laban","year":"2007","journal-title":"Soc Psychiatry Psychiatr Epidemiol."},{"key":"B31","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1186\/1471-244X-13-148","article-title":"Is legal status impacting outcomes of group therapy for posttraumatic stress disorder with male asylum seekers and refugees from Iran and Afghanistan?","volume":"13","author":"Dro\u017edek","year":"2013","journal-title":"BMC Psychiatry."},{"key":"B32","doi-asserted-by":"publisher","first-page":"86","DOI":"10.4103\/INTV.INTV_2_18","article-title":"Developing a culturally sensitive mental health intervention for asylum seekers in the Netherlands: a pilot study","volume":"16","author":"Slobodin","year":"2018","journal-title":"Intervention."},{"key":"B33","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1093\/ije\/dyt233","article-title":"Frequent relocations between asylum-seeker centres are associated with mental distress in asylum-seeking children: a longitudinal medical record study","volume":"43","author":"Goosen","year":"2013","journal-title":"Int J Epidemiol."},{"key":"B34","doi-asserted-by":"publisher","first-page":"1605281","DOI":"10.1080\/20008198.2019.1605281","article-title":"Undocumented asylum seekers with posttraumatic stress disorder in the Netherlands","volume":"10","author":"Lahuis","year":"2019","journal-title":"Eur J Psychotraumatol."},{"key":"B35","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1097\/01.nmd.0000185870.55678.82","article-title":"Unaccompanied adolescents seeking asylum","volume":"193","author":"Reijneveld","year":"2005","journal-title":"J Nerv Ment Dis."},{"key":"B36","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.jad.2020.01.077","article-title":"Severity profiles of posttraumatic stress, depression, anxiety, and somatization symptoms in treatment seeking traumatized refugees","volume":"266","author":"Jongedijk","year":"2020","journal-title":"J Affect Disord."},{"key":"B37","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1007\/s00431-018-3141-y","article-title":"Pediatrician-experienced barriers in the medical care for refugee children in the Netherlands","volume":"177","author":"Baauw","year":"2018","journal-title":"Eur J Pediatr."},{"key":"B38","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.bpobgyn.2015.08.016","article-title":"Maternal mortality and severe morbidity in a migration perspective","volume":"32","author":"Van den Akker","year":"2016","journal-title":"Best Practice Res Clin Obstetr Gynaecol."},{"key":"B39","doi-asserted-by":"publisher","first-page":"28698","DOI":"10.3402\/ejpt.v7.28698","article-title":"Growing from experience: an exploratory study of posttraumatic growth in adolescent refugees","volume":"7","author":"Sleijpen","year":"2016","journal-title":"Eur J Psychotraumatol."},{"key":"B40","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1007\/s10488-006-0046-2","article-title":"Factors associated with mental health service need and utilization among unaccompanied refugee adolescents","volume":"33","author":"Bean","year":"2006","journal-title":"Admin Pol Mental Health Mental Health Serv Res."},{"key":"B41","doi-asserted-by":"publisher","first-page":"894","DOI":"10.3390\/ijerph14080894","article-title":"How do countries' health information systems perform in assessing asylum seekers' health situation? Developing a health information assessment tool on asylum seekers (HIATUS) and piloting it in two European countries","volume":"14","author":"Bozorgmehr","year":"2017","journal-title":"Int J Environ Res Public Health."},{"key":"B42","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/1471-244X-14-90","article-title":"Course of post-traumatic stress disorder and health care utilisation among resettled refugees in the Netherlands","volume":"14","author":"Lamkaddem","year":"2014","journal-title":"BMC Psychiatry."},{"key":"B43","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1097\/WTF.0000000000000003","article-title":"Art therapy for mental health workers in areas affected by violence","volume":"12","author":"Meijer-Degen","year":"2014","journal-title":"Intervention."},{"key":"B44","first-page":"141","article-title":"Psycho-education and psychosocial support in the Netherlands; a program by and for refugees","volume":"3","author":"Uitterhaegen","year":"2005","journal-title":"Intervention"},{"key":"B45","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1177\/1363461509343087","article-title":"Recognizing cultural identity in mental health care: rethinking the cultural formulation of a somali patient","volume":"46","author":"Groen","year":"2009","journal-title":"Transcult Psychiatr."},{"key":"B46","volume-title":"Neuman Systems Model","author":"Neuman","year":"2002"},{"key":"B47","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1093\/jrs\/fex039","article-title":"Sleepless nights because of ethical dilemmas in mental health care for asylum seekers","volume":"31","author":"Kramer","year":"2017","journal-title":"J Refug Stud."},{"key":"B48","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1080\/0886571X.2018.1559118","article-title":"\u201cThere is no mother to take care of you.\u201d Views of unaccompanied children on healthcare, their mental health and rearing","volume":"36","author":"Zijlstra","year":"2018","journal-title":"Environ Resident Treatm Child Youth."},{"key":"B49","volume-title":"Immigrants and the Jinn","author":"Raschke","year":"2017"},{"key":"B50","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1016\/j.puhe.2013.04.004","article-title":"The first contacts between healthcare providers and newly-arrived asylum seekers: a qualitative study about which issues need to be addressed","volume":"127","author":"Suurmond","year":"2013","journal-title":"Public Health."},{"key":"B51","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1177\/1363461509344306","article-title":"Use of the cultural formulation with refugees","volume":"46","author":"Rohlof","year":"2009","journal-title":"Transcult Psychiatry."},{"key":"B52","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1111\/j.1744-6163.2010.00270.x","article-title":"Health and social needs of traumatized refugees and asylum seekers: an exploratory study","volume":"47","author":"Strijk","year":"2010","journal-title":"Perspect Psychiatr Care."},{"key":"B53","volume-title":"Handboek culturele psychiatrie en psychotherapie (Tweede geheel herziene druk)","author":"Jong","year":"2020"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2022.829522\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T06:16:22Z","timestamp":1648793782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2022.829522\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":53,"alternative-id":["10.3389\/fpsyt.2022.829522"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2022.829522","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,1]]},"article-number":"829522"}}