The voice of refugee clients in psychiatric health care : -  Occupational justice, occupational therapy, and a better quality of life.

Abstract: Background: Finland faced a large inflow of refugees during 2015-2016. That forced the professionals from different fields to reflect on services they produce. Occupational therapy and research among the mental health care of refugees is limited. In order to improve and strengthen services for refugees, we need to listen to their needs. Aim: This study aimed to investigate how adult refugees experience the Finnish mental health services, and what kind of self-perceived well-being elements do adult refugees find as important towards better quality of life. Method: This qualitative grounded theory study consists of six refugee interviews. The data were analysed by qualitative content analysis and the Participatory Occupational Justice Framework was used as a framework for the presentation of the data. Results: The Finnish mental health interventions are mostly available and based on discussion and medication. Information and supporting environment, occupational and social participation, self- direction, and time use are the base of the experienced well-being. The results show that occupational therapy can offer tools for the mental health work among refugees, bring important information of the person´s occupational history, needs, roles, and habits, and it should be taken alongside traditional therapies.