Prevalence of Mental Health Screening and Associated Factors Among Refugees and Other Resettled Populations >= 14 Years of Age in Georgia, 2014-2017

摘要

Mental health screening (MHS) during the initial health assessment is recommended within 90 days of arrival to the U.S. Yet, MHS prevalence is not well understood. Screening prevalence [prevalence ratio (PR), adjusted prevalence ratio (adjPR)] and factors associated with MHS were assessed among refugees, Special Immigrant Visa holders, parolees, asylees, and victims of human trafficking >= 14 years old resettling in Georgia from 2014 to 2017. Of the 2019 individuals included, 55% received a MHS. Screening was more common among older individuals [reference: 13-22 years old; adjPR 23-35=1.20 (1.12-1.29), adjPR 36-49=1.14 (1.03-1.26), adjPR >= 50=1.27 (1.15-1.41)] and those without Medicaid [adjPR Medicaid vs. none=0.75 (0.63-0.89)]. MHS also differed by country of birth. Although MHS has increased within recent years, gaps exist within sub-populations and geographic regions. Efforts should focus on increasing MHS to ensure timely identification of concerns and linkage to services.