Table 2 Problems and service models generated from FGD and site visits
Problems | 1) Issues on health literacy and different cultural expectations | 2) Strong need for mental health service and family/social support | 3) Accessibility and appropriateness of health services and information |
|---|---|---|---|
i. Lack of Primary and Secondary care concepts and result in doctor shopping and non-discriminatory self-medication; | i. Lack of social support from community or family | i. High time and financial cost; | |
ii. Sending children with symptoms to school | i. Susceptible to mental health illness; | ii. Unfamiliarity with healthcare system and services; | |
iii. Unaware of mental health illness. | iii. Timing, channel and setting for healthcare services and information provision were important. | ||
Service models* | A) A nurse with social work training will become the health/social care coordinator to provide health services information and call upon migrants to follow-up on their health seeking experience every 6 months. | ||
B) Volunteers who are early migrants who have lived in Hong Kong for some time to be trained and form a support group to pay home visits to the migrants or providing them with health information. | D) Health workers or nurses organising peer education programmes with regular meeting for migrants screening behaviours for 1 year; | ||
C) Mental health “first aid” training and skills building workshops by psychologists or mental health nurses to provide training in self-esteem, emotional management and empowerment to increase the awareness on mental health problems; | |||