(PS5-95) Healthy on arrival: Utilization of mental health services and the role of the primary healthcare system among adult refugees in Germany

Abstract Text: Refugees experience high rates of mental health problems (MHP), yet their utilization of mental health services (MHS) remains low. With over 2.6 million refugees residing in Germany, this underutilization underscores a critical gap in the healthcare system’s ability to address their mental health needs. Primary care physicians (PCPs) are uniquely positioned to provide mental health support, particularly given the stigma surrounding mental health and the lack of awareness about available services. This study examines whether refugees perceive PCPs as competent sources of mental health support and explores alternative structures and access routes to MHS. An online survey of 760 participants revealed that refugees rate their mental well-being significantly lower than the host population, with over 59% experiencing psychological distress since arriving in Germany. Refugees were less likely to seek professional help compared to the host population. However, when prompted by a doctor, refugees were more willing to discuss mental health issues than when initiating the conversation independently. These findings suggest that refugees view the primary care system as a valuable source of mental health support, and a more proactive approach by PCPs could enhance refugees' access to and engagement with MHS.