Health System Responsiveness to the Mental Health Needs of Forcibly Displaced Persons

  • Daniela C. FuhrEmail author
  • Bayard Roberts
  • Aniek Woodward
  • Egbert Sondorp
  • Marit Sijbrandij
  • Anne de Graaff
  • Dina Balabanova


Health system responsiveness is a key measure to be considered during the assessment of health system functioning and performance and is widely used. However, research lacks short on providing a framework to assess the responsiveness of the health system to the mental health needs of forcibly displaced persons. In this chapter, a new conceptual framework is presented, guiding the assessment of health system responsiveness to the mental health needs of refugees. Methodological tools such as rapid appraisal methodology are being introduced guiding the assessment of key health system constructs, including responsiveness. The suggested conceptual framework and its methods are applied to Syrian refugees residing in the Netherlands, and initial findings are presented and discussed.


Mental health Health systems Refugees Responsiveness 



Mental health and psychosocial support


Non-governmental organisations


Syrian Refugees Mental Health Care Systems


World Health Organization



The STRENGTHS project is funded under Horizon 2020—the Framework Programme for Research and Innovation (2014–2020). The content of this chapter reflects only the authors’ views, and the European Community is not liable for any use that may be made of the information contained therein.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Daniela C. Fuhr
    • 1
    Email author
  • Bayard Roberts
    • 1
  • Aniek Woodward
    • 2
  • Egbert Sondorp
    • 2
  • Marit Sijbrandij
    • 3
  • Anne de Graaff
    • 3
  • Dina Balabanova
    • 4
  1. 1.Department of Health Services Research and Policy, Faculty of Public Health and PolicyLondon School of Hygiene and Tropical MedicineLondonUK
  2. 2.KIT Royal Tropical InstituteAmsterdamThe Netherlands
  3. 3.Clinical Psychology, Faculty of Behavioural and Movement SciencesVU AmsterdamAmsterdamThe Netherlands
  4. 4.Department of Global Health and Development, Faculty of Public Health and PolicyLondon School of Hygiene and Tropical MedicineLondonUK

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