Mental health distress and access to support under asylum governance in Finland
Abstract
Background: Research on asylum seekers’ mental health often focuses on individual factors, with less attention paid to the role of structural factors, including legal and policy frameworks. This study examines how asylum seekers and reception system professionals make sense of the ways asylum governance shape mental health distress and access to support.
Methods: Qualitative semi-structured interviews were conducted individually with asylum seekers (N = 10) and either in focus groups or individually with professionals working in the Finnish asylum reception system (N = 25). An interpretive analytical approach drawing on meaning-making (Park, 2010) and structural violence (Galtung, 1969) was used to situate these experiences within legal and institutional conditions.
Results: Asylum seekers experienced mental health distress due to legal uncertainty, prolonged waiting, perceived exclusion from Finnish society, and experiences of unequal rights during the asylum process. Professionals highlighted tensions between support‑oriented work and restrictive legal and policy frameworks, describing constrained professional agency due to limited time, resources, and institutional mandates. Asylum legislation and processing timelines emerged as central structuring forces through which mental distress and support were understood and constrained.
Conclusions: The findings demonstrate that mental health meaning‑making in asylum contexts is deeply embedded in legal and institutional structures that can produce and sustain asylum seekers’ distress. By combining asylum seekers’ lived experiences with professionals’ perspectives on support provision, the study highlights how asylum governance operates as a form of structural constraint within reception services. Critically informed, macro‑level perspectives can inform more responsible and context‑sensitive decision‑making in asylum reception and public health policy, reducing the risk of structurally produced mental distress.
Key messages: • Asylum mental health should address legal and institutional frameworks, as governance structures produce distress, insecurity, and unequal access to support.
• Mental health meaning making operates through governance practices, with asylum legislation and procedural timelines shaping how distress is interpreted, negotiated, and acted upon.
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BibTeX
@article{mankinen2026mental,
title = {{Mental health distress and access to support under asylum governance in Finland}},
author = {K Mankinen and C Nordberg and AE Castaneda and L Somersalo-Cavén and A Klemettilä and O Snellman and N Skogberg},
journal = {The European Journal of Public Health},
year = {2026},
month = oct,
doi = {10.1093/eurpub/ckag169.1538},
url = {https://doi.org/10.1093/eurpub/ckag169.1538},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Mental health distress and access to support under asylum governance in Finland
AU - K Mankinen
AU - C Nordberg
AU - AE Castaneda
AU - L Somersalo-Cavén
AU - A Klemettilä
AU - O Snellman
AU - N Skogberg
PY - 2026
DA - 2026/10/01
JO - The European Journal of Public Health
DO - 10.1093/eurpub/ckag169.1538
UR - https://doi.org/10.1093/eurpub/ckag169.1538
AB - Background: Research on asylum seekers’ mental health often focuses on individual factors, with less attention paid to the role of structural factors, including legal and policy frameworks. This study examines how asylum seekers and reception system professionals make sense of the ways asylum governance shape mental health distress and access to support. Methods: Qualitative semi-structured interviews were conducted individually with asylum seekers (N = 10) and either in focus groups or individually with professionals working in the Finnish asylum reception system (N = 25). An interpretive analytical approach drawing on meaning-making (Park, 2010) and structural violence (Galtung, 1969) was used to situate these experiences within legal and institutional conditions. Results: Asylum seekers experienced mental health distress due to legal uncertainty, prolonged waiting, perceived exclusion from Finnish society, and experiences of unequal rights during the asylum process. Professionals highlighted tensions between support‑oriented work and restrictive legal and policy frameworks, describing constrained professional agency due to limited time, resources, and institutional mandates. Asylum legislation and processing timelines emerged as central structuring forces through which mental distress and support were understood and constrained. Conclusions: The findings demonstrate that mental health meaning‑making in asylum contexts is deeply embedded in legal and institutional structures that can produce and sustain asylum seekers’ distress. By combining asylum seekers’ lived experiences with professionals’ perspectives on support provision, the study highlights how asylum governance operates as a form of structural constraint within reception services. Critically informed, macro‑level perspectives can inform more responsible and context‑sensitive decision‑making in asylum reception and public health policy, reducing the risk of structurally produced mental distress. Key messages: • Asylum mental health should address legal and institutional frameworks, as governance structures produce distress, insecurity, and unequal access to support. • Mental health meaning making operates through governance practices, with asylum legislation and procedural timelines shaping how distress is interpreted, negotiated, and acted upon.
SN - 1101-1262
SN - 1464-360X
ER -