Contents Executive Summary 1 Introduction 3 The Greek context 5 Surviving the perilous journey to Greece  6 Systematic detention of irregular migrants and asylum seekers entering Greece  7 Unacceptable living conditions in Greek Detention Centers Lack of appropriate shelter and overcrowding Inadequate hygiene and sanitation  Inadequate distribution of food, personal hygiene items and clothing  Inadequate time outdoors  Family Separation  Degrading and abusive behaviour  Lack of information, interpreters, and legal counseling  9 9 10 11 11 12 14 15 Gaps in the provision of health care to migrants in detention  Ineffective screening at arrival  Limited access to health care while in detention  Lack of personnel  Inadequate response to medical emergencies  Lack of psychological care  16 16 16 17 17 18 Impact of detention on the mental health and well being of migrants and asylum seekers arriving in Greece Traumatic events  Uprooting The impact of detention  Anxiety and Depression 19 19 20 21 22 Unmet needs of vulnerable groups and individuals  Pregnant women, nursing mothers, and children  Persons with disabilities and chronic medical conditions  Unaccompanied minors 23 23 24 24 Conclusions and recommendations 27 Notes 29 3

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