Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers

Post-migration factors such as unemployment and discrimination are associated with negative mental health outcomes in people seeking sanctuary. State, legal, diaspora, and charity support can help, but can inadvertently victimise, medicalise, and stereotype sanctuary seekers. We use a critical publi...

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Main Authors: Sohail Jannesari, Sian Oram
Format: Article
Language:English
Published: Critical Public Health Network 2025-03-01
Series:Journal of Critical Public Health
Subjects:
Online Access:https://journalhosting.ucalgary.ca/index.php/jcph/article/view/78088
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author Sohail Jannesari
Sian Oram
author_facet Sohail Jannesari
Sian Oram
author_sort Sohail Jannesari
collection DOAJ
description Post-migration factors such as unemployment and discrimination are associated with negative mental health outcomes in people seeking sanctuary. State, legal, diaspora, and charity support can help, but can inadvertently victimise, medicalise, and stereotype sanctuary seekers. We use a critical public health lens and postcolonial theory to explore this support, drawing on 38 interviews with Iranian and Afghan sanctuary seekers, charity workers and diaspora members in the United Kingdom. We identify four themes: 1) ‘worthlessness in the eyes of the state’; 2) ‘the legal push for medicalisation’; 3) ‘a muted diaspora welcome’ and 4) ‘controlled charity spaces’. We argue that the meagreness of government support reinforces the public image of sanctuary seekers as parasitic and that institutional medicalisation of legal support undermines clients’ trust in lawyers. Diaspora networks, for many, provided a muted welcome at best, and at worst, exploitation. Charities struggled to provide spaces to form alternative social networks, but when they did, sanctuary seekers were often able to create cross-national communities of support. We urge governments to ensure the right to work, and charities to offer more opportunities for skill-building through paid or voluntary roles. We call also on lawyers to adopt cultural humility practices, and charities to facilitate the creation of sanctuary seeking communities.
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spelling doaj-art-d21db05b373e4dc2adda11a8d89db5562025-08-20T13:49:17ZengCritical Public Health NetworkJournal of Critical Public Health3033-39972025-03-012110.55016/ojs/jcph.v2i1.78088Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekersSohail Jannesari0Sian Oram1King's College London, UK; Imperial College London, UKKing's College London, UKPost-migration factors such as unemployment and discrimination are associated with negative mental health outcomes in people seeking sanctuary. State, legal, diaspora, and charity support can help, but can inadvertently victimise, medicalise, and stereotype sanctuary seekers. We use a critical public health lens and postcolonial theory to explore this support, drawing on 38 interviews with Iranian and Afghan sanctuary seekers, charity workers and diaspora members in the United Kingdom. We identify four themes: 1) ‘worthlessness in the eyes of the state’; 2) ‘the legal push for medicalisation’; 3) ‘a muted diaspora welcome’ and 4) ‘controlled charity spaces’. We argue that the meagreness of government support reinforces the public image of sanctuary seekers as parasitic and that institutional medicalisation of legal support undermines clients’ trust in lawyers. Diaspora networks, for many, provided a muted welcome at best, and at worst, exploitation. Charities struggled to provide spaces to form alternative social networks, but when they did, sanctuary seekers were often able to create cross-national communities of support. We urge governments to ensure the right to work, and charities to offer more opportunities for skill-building through paid or voluntary roles. We call also on lawyers to adopt cultural humility practices, and charities to facilitate the creation of sanctuary seeking communities.https://journalhosting.ucalgary.ca/index.php/jcph/article/view/78088AsylumRefugeesCharityPostcolonialismPublic HealthOrientalism
spellingShingle Sohail Jannesari
Sian Oram
Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers
Journal of Critical Public Health
Asylum
Refugees
Charity
Postcolonialism
Public Health
Orientalism
title Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers
title_full Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers
title_fullStr Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers
title_full_unstemmed Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers
title_short Understanding the mental health consequences of state, legal, diaspora, and charity support for sanctuary seekers
title_sort understanding the mental health consequences of state legal diaspora and charity support for sanctuary seekers
topic Asylum
Refugees
Charity
Postcolonialism
Public Health
Orientalism
url https://journalhosting.ucalgary.ca/index.php/jcph/article/view/78088
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