Higher levels of psychological distress, difficulties with medical cards, inappropriate use of health services and the particular vulnerability of women are among the issues identified in the first strategy on healthcare for ethnic minorities.
The report, published yesterday by the Eastern Regional Health Authority, says the growing numbers of people here from different ethnic backgrounds place "new and unprecedented demands on the health system" .
The strategy is aimed at improving the healthcare provided to some 200,000 people from over 100 countries now living in the eastern region,
Among the key areas identified is the development of an interpretation service. Inability to speak English is a "major barrier" for immigrants in need of healthcare. It leads to misunderstanding, confusion and ultimately poor health.
People from ethnic minorities "may experience a greater level of psychological distress" than the local population.
Higher levels of depression, post-traumatic stress and psychosis are compounded by the time asylum-seekers spend in direct provision, not being allowed to work and difficulties integrating here.
"Input of NGOs is crucial in aspects of mental health provision," says the report.
International experience indicates survivors of torture prefer using NGO services rather than statutory ones.
Speaking at the publication yesterday, Minister of State Mr Ivor Callely said the report was "an important step forward for our health services in adapting to Ireland as a multi-cultural society".
The strategy is costed at just under €2 million over the next two years.