The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective

People fleeing war and violence often face complex asylum procedures in host countries which have been described as ‘exhausting by design’. This study explored service providers' perspectives on how the UK asylum process gives rise to exhaustion, and the ways in which exhaustion affects the men...

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Main Authors: Tianne Haggar, Hanna Kienzler
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:SSM - Mental Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666560325000726
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author Tianne Haggar
Hanna Kienzler
author_facet Tianne Haggar
Hanna Kienzler
author_sort Tianne Haggar
collection DOAJ
description People fleeing war and violence often face complex asylum procedures in host countries which have been described as ‘exhausting by design’. This study explored service providers' perspectives on how the UK asylum process gives rise to exhaustion, and the ways in which exhaustion affects the mental health of people seeking asylum. Eighteen semi-structured interviews were conducted with individuals providing social, legal, medical or mental health services to people seeking asylum in the UK. Results demonstrate that the UK asylum process seemingly exhausts those seeking asylum through the intersection of policies and practices that create conditions of hostility, discrimination and deprivation. The resultant exhaustion contributes to, and is exacerbated by, poor mental health, creating a vicious cycle of psychological harm. Based on these findings, we argue that the ‘politics of exhaustion’ embedded within the UK asylum process is a form of structural violence that harms mental health and wellbeing by fundamentally undermining the resilience of people seeking asylum to cope with continued adversity in the UK.
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spelling doaj-art-ab4c63c8ce604cef866fe57a87d786cd2025-08-20T02:06:08ZengElsevierSSM - Mental Health2666-56032025-06-01710046010.1016/j.ssmmh.2025.100460The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspectiveTianne Haggar0Hanna Kienzler1The Policy Institute, King's College London, 22 Kingsway, London, WC2B 6LE, United Kingdom; Corresponding author. The Policy Institute, 22 Kingsway, London, WC2B 6LE, United Kingdom.Centre for Society and Mental Health, King's College London, 30 Aldwych, London, WC2B 4BG, United KingdomPeople fleeing war and violence often face complex asylum procedures in host countries which have been described as ‘exhausting by design’. This study explored service providers' perspectives on how the UK asylum process gives rise to exhaustion, and the ways in which exhaustion affects the mental health of people seeking asylum. Eighteen semi-structured interviews were conducted with individuals providing social, legal, medical or mental health services to people seeking asylum in the UK. Results demonstrate that the UK asylum process seemingly exhausts those seeking asylum through the intersection of policies and practices that create conditions of hostility, discrimination and deprivation. The resultant exhaustion contributes to, and is exacerbated by, poor mental health, creating a vicious cycle of psychological harm. Based on these findings, we argue that the ‘politics of exhaustion’ embedded within the UK asylum process is a form of structural violence that harms mental health and wellbeing by fundamentally undermining the resilience of people seeking asylum to cope with continued adversity in the UK.http://www.sciencedirect.com/science/article/pii/S2666560325000726AsylumPeople seeking asylumMental healthExhaustionStructural violenceMigration
spellingShingle Tianne Haggar
Hanna Kienzler
The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective
SSM - Mental Health
Asylum
People seeking asylum
Mental health
Exhaustion
Structural violence
Migration
title The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective
title_full The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective
title_fullStr The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective
title_full_unstemmed The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective
title_short The politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective
title_sort politics of exhaustion and its impact on mental health among people seeking asylum in the uk a service provider perspective
topic Asylum
People seeking asylum
Mental health
Exhaustion
Structural violence
Migration
url http://www.sciencedirect.com/science/article/pii/S2666560325000726
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