359 Bridging the gap: access and utilization of Portuguese mental healthcare services by migrant children and adolescents

Abstract OP 14: Health Services 3, B302 (FCSH), September 3, 2025, 17:00 - 18:00 Background 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. Objectives 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. Methods 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. Results 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. Conclusions 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.