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This qualitative study examines migrant families’ perceptions and experiences of accessing and using mental health services, focusing on barriers, facilitators, utilization patterns, and support sources. Five focus groups with 30 participants used thematic analysis. Findings highlight bureaucratic delays, economic and geographic constraints, and language barriers, with emergency departments as a common entry point, while NGOs, schools, community networks, and translation apps help. Conclusions call for reducing administrative obstacles, improving cultural sensitivity, and strengthening community-supported primary care.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/359-bridging-the-gap-access-and-utilization-of-portuguese-mental-healthcare-services-by-migrant-children-and-adolescents/448879/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/359-bridging-the-gap-access-and-utilization-of-portuguese-mental-healthcare-services-by-migrant-children-and-adolescents/448879.png","ImageObject",300,407,{"name":92,"@type":93},"นรินทร์","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What barriers to mental health services did migrant families report in Portugal?","Question",{"text":112,"@type":113},"They reported bureaucratic delays obtaining user numbers, economic constraints, geographic challenges, and language barriers. Emergency departments often became the primary entry point when primary care was difficult to access.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What facilitators and support sources were identified as helping access and use?",{"text":117,"@type":113},"Formal support from NGOs and schools, informal community networks, and the use of translation apps were described as key facilitators. Participants also stressed the need for clearer information and culturally sensitive practices.",{"name":119,"@type":110,"acceptedAnswer":120},"What policy and system changes are recommended by the study’s conclusions?",{"text":121,"@type":113},"The study emphasizes addressing administrative obstacles, promoting cultural sensitivity, and integrating community-based support mechanisms. Policy should enhance primary care responsiveness and collaboration with NGOs and schools to improve inclusivity and equity.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},448879,1790796386,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},2336475104957,"https://ap-avatar.wpscdn.com/avatar/22000c4c6bd8a5076e1?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787554080175789136","2nd World Congress on Migration, Ethnicity, Race & Health Abstract Book vi41  \n1National School of Public Health, NOVA University of Lisbon, Lisbon, Portugal 2Department of Pediatrics, Hospital Santa Maria, Unidade Local de Saúde de Santa Maria, Lisbon, Portugal  \n3Child and Adolescent Psychiatry Department, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal  \n4Public Health Research Centre, CHRC, REAL, CCAL, NOVA University of Lisbon, Lisbon, Portugal  \nOP 14: Health Services 3, B302 (FCSH), September 3, 2025, 17:00  \n- 18:00  \nBackground: Migration is a complex social determinant of health, with profound impacts on the mental well-being of children and adolescents. Globally, migrant populations face increased vulnerability to mental health issues due to factors such as family separation, cultural dissonance, socioeconomic instability, and trauma. In Portugal, where migration rates have surged, migrant children and adolescents often encounter systemic barriers that hinder equitable access to healthcare. Despite this challenge, little is known about the experiences of migrant families within the Portuguese mental health system.  \nObjectives: This study explores the perceptions and experiences of migrant families regarding access and use of mental health services for children and adolescents in Portugal, highlighting barriers, facilitators, patterns of service utilization, and sources of support.  \nMethods: A qualitative, exploratory approach was employed through five focus groups comprising 30 participants from diverse cultural backgrounds. Participants were recruited via non-governmental organisations (NGOs) . Discussions were audio-recorded, transcribed, and examined using thematic analysis.  \nResults: Migrant families reported significant barriers to accessing mental health services, including bureaucratic delays in obtaining healthcare user numbers, economic constraints, geographic challenges, and language barriers. Emergency departments often served as the primary entry point to mental healthcare due to difficulties in accessing primary care. Formal support from NGOs and schools, informal community networks, and the use of translation apps were identified as key facilitators. Participants also emphasized the need for culturally sensitive healthcare practices and clearer information about the Portuguese healthcare system.  \nConclusions: Systemic barriers hinder equitable access to mental health services for migrant children and adolescents in Portugal. Addressing bureaucratic obstacles, promoting cultural sensitivity, and integrating community-based support mechanisms are crucial for improving healthcare access and outcomes for migrant populations. Policy interventions should focus on enhancing primary care responsiveness and fostering collaboration with NGOs and schools to create a more inclusive and equitable healthcare system.  \nAbstract citation ID: ckaf180.113  \n359 Bridging the gap: access and utilization of Portuguese mental healthcare services by migrant children and adolescents  \nRafael Inácio1,2, Rita Gonc¸alves1,3, Joana Pires1,4, Maria  \nJ. Marques1,4, So􀀁 nia Dias1,4","cbCairK54IWGz4oJ","https://ap.wps.com/l/cbCairK54IWGz4oJ","pdf",55068,"English","# Background\n# Objectives\n# Methods\n# Results\n# Conclusions","[{\"question\":\"What barriers to mental health services did migrant families report in Portugal?\",\"answer\":\"They reported bureaucratic delays obtaining user numbers, economic constraints, geographic challenges, and language barriers. Emergency departments often became the primary entry point when primary care was difficult to access.\"},{\"question\":\"What facilitators and support sources were identified as helping access and use?\",\"answer\":\"Formal support from NGOs and schools, informal community networks, and the use of translation apps were described as key facilitators. Participants also stressed the need for clearer information and culturally sensitive practices.\"},{\"question\":\"What policy and system changes are recommended by the study’s conclusions?\",\"answer\":\"The study emphasizes addressing administrative obstacles, promoting cultural sensitivity, and integrating community-based support mechanisms. Policy should enhance primary care responsiveness and collaboration with NGOs and schools to improve inclusivity and equity.\"}]","359 Bridging the gap - access and utilization of Portuguese mental healthcare services by migrant children and adolescents | PDF",1790728924]