Title page
Contents
Acronyms 3
Executive summary 4
1. Introduction 8
2. Literature review 10
3. Aims and objectives 12
4. Methodology 13
4.1. Overview of pilot 13
4.2. Sampling approach and methodology 14
4.3. Limitations 18
5. Findings 21
5.1. How does the GMHAT operate in situ as part of the pre-departure health assessment checks? 21
5.2. What is the impact of introducing the GMHAT on case flow? 27
5.3. How useful is the GMHAT for LA caseworker referrals and GP health assessments? 28
6. Discussion 42
7. References 45
Appendix A: IOM health practitioner topic guide 49
Appendix B: Refugee feedback form 53
Appendix C: Local authority (LA) caseworker topic guide 54
Appendix D: GP topic guide 59
Appendix E: GP feedback form 64
Appendix F: Sample GMHAT report 67
Appendix G: Information sheet 68
Appendix H: GMHAT guidance for local authorities 71
Global Mental Health Assessment Tool (GMHAT) 71
Guidance notes 71
Appendix I: GMHAT guidance notes for GPs 73
Appendix J: GMHAT scoring system 75
Appendix K: GMHAT essential questions 76
Table 1. Methodological approach 13
Table 2. Age and gender of refugee participants 15
Table 3. Sample engagement with GMHAT reports 18
Table 4. Study limitations 19
Table 5. Summary of potential barriers 31
Table 6. Suggested improvements to the GMHAT 40