Abstract
Introduction/Background: Asylum seekers in Dutch refugee Camps are often heavenly burdened with mental health problems triggered by the reason for fleeing and the circumstances during their travel to the Netherlands. This leads frequently to self-medication for relief and as a consequence to addiction, lower quality of life and social problems. In order to create an overview of existing knowledge of why so many asylum seekers experience psychiatric problems in Dutch refugee Camps, we reviewed the literature on influencing factors on mental health of asylum seekers with regard to the experience of the asylum seekers procedure and their stay in a refugee camp.
Depression, addiction and perceived loneliness are among the “wicked “ problems which can be defined as: Wicked problems are problems with many interdependent factors making them seem impossible to solve. Because the factors are often incomplete, in flux, and difficult to define, solving wicked problems requires a deep understanding of the stakeholders involved, and an innovative approach provided by design thinking (Buchanan, 1992).
Wicked problems create enormous cost in healthcare (Petrie & Peters, 2020). We advocate that all stakeholders within the system (policy-makers, providers, and patients) become comfortable with complexity as a determinant of health, and offer a tool for working with complexity, instead of trying to solve it. The movement to person-centered integrated care requires inter-organizational cooperation and service provision by domain-overarching networks and alliances. In the development to these networks, it is relevant to explore which accountability approaches are appropriate for local inter-organizational healthcare governance. Therefore, in a scoping review we studied the current state of knowledge and practice of accountability in healthcare in the Netherlands. Some leads were found in the literature which report on accountability in integrated care. There appears to be a rise in wicked problems in the web of accountability and changing contexts in healthcare delivery. However, there appears to be very little knowledge or even perspectives on accountability related to “wicked” problems and especially mental health problems.
In this workshop we share values, perspectives, knowledge and experiences on wicked problems in integrated and personalized care.
The target audience for this workshop consists of (PhD) students, researchers, educators, patients and professionals in health and social care.
World café: we have three rounds of discussion and 6 table discussions based on the Neuman Systems Model Assessment and Intervention Tool (Neuman & Fawcett, 2011)
All collected data will be collected and summarized by the organizing committee of this workshop. These will be shared with the participants and IFIC Academy with the intention of a yearly follow-up.
Buchanan, R. (1992). Wicked problems in design thinking. Design issues, 8(2), 5-21.
Petrie, S., & Peters, P. (2020). Untangling complexity as a health determinant: Wicked problems in healthcare. Health Science Inquiry, 11(1), 131-135.