“They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation

This paper presents the findings of a novel post-hoc analysis of data collected by Doctors of the World UK (DOTW UK) between 2020 and 2022 from people seeking asylum housed in repurposed hotels and barracks in England. We analyzed qualitative and quantitative data on individuals’ mental and physical...

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Main Authors: Jenny Phillimore, Lin Fu, Lucy Jones, Laurence Lessard-Phillips, Briony Tatem
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1454548/full
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author Jenny Phillimore
Lin Fu
Lucy Jones
Laurence Lessard-Phillips
Briony Tatem
author_facet Jenny Phillimore
Lin Fu
Lucy Jones
Laurence Lessard-Phillips
Briony Tatem
author_sort Jenny Phillimore
collection DOAJ
description This paper presents the findings of a novel post-hoc analysis of data collected by Doctors of the World UK (DOTW UK) between 2020 and 2022 from people seeking asylum housed in repurposed hotels and barracks in England. We analyzed qualitative and quantitative data on individuals’ mental and physical health using a structural violence analytical framework. Institutional housing and associated poor living conditions were reported to contribute deteriorations in physical and mental health which collectively undermined wellbeing. Inactions around urgent and life-threatening health conditions were seen as placing individuals’ lives and long-term health at risk. Provision of housing does not currently meet people’s needs and actively undermines their mental and physical health. We conclude that approaches to accommodation provision need to be adapted to ensure individuals’ right to health is realized. We outline recommendations for policy and future research.
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spelling doaj-art-e02be7feb2ce4e0a8ab2a19c9e13e3802025-08-20T01:58:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.14545481454548“They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodationJenny Phillimore0Lin Fu1Lucy Jones2Laurence Lessard-Phillips3Briony Tatem4Department of Social Policy, Sociology and Criminology, University of Birmingham, Birmingham, United KingdomInstitute of Applied Health Research, University of Birmingham, Birmingham, United KingdomDoctors of the World UK, London, United KingdomDepartment of Social Policy, Sociology and Criminology, University of Birmingham, Birmingham, United KingdomDoctors of the World UK, London, United KingdomThis paper presents the findings of a novel post-hoc analysis of data collected by Doctors of the World UK (DOTW UK) between 2020 and 2022 from people seeking asylum housed in repurposed hotels and barracks in England. We analyzed qualitative and quantitative data on individuals’ mental and physical health using a structural violence analytical framework. Institutional housing and associated poor living conditions were reported to contribute deteriorations in physical and mental health which collectively undermined wellbeing. Inactions around urgent and life-threatening health conditions were seen as placing individuals’ lives and long-term health at risk. Provision of housing does not currently meet people’s needs and actively undermines their mental and physical health. We conclude that approaches to accommodation provision need to be adapted to ensure individuals’ right to health is realized. We outline recommendations for policy and future research.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1454548/fullinstitutional accommodationpeople seeking asylumstructural violencemental healthaccess to healthcare
spellingShingle Jenny Phillimore
Lin Fu
Lucy Jones
Laurence Lessard-Phillips
Briony Tatem
“They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation
Frontiers in Public Health
institutional accommodation
people seeking asylum
structural violence
mental health
access to healthcare
title “They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation
title_full “They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation
title_fullStr “They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation
title_full_unstemmed “They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation
title_short “They just left me”: people seeking asylum, mental and physical health, and structural violence in the UK’s institutional accommodation
title_sort they just left me people seeking asylum mental and physical health and structural violence in the uk s institutional accommodation
topic institutional accommodation
people seeking asylum
structural violence
mental health
access to healthcare
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1454548/full
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