Health services and the treatment of immigrants: data on service use, interpreting services and immigrant staff members in services across Europe

Kluge, Ulrike; Bogić, Marija; Devillé, W.; Greacen, Tim; Dauvrin, Marie; Dias, Sónia; Gaddini, Andrea; Jensen, Natasja Koitzsch; Ioannidi-Kapolou, E.; Mertaniemi, Ritva; Riera, R.; Sandhu, Sima; Sárváry, Attila; Soares, Joaquim; Stankūnas, Mindaugas; Straßmayr, Christa; Welbel, Marta; Heinz, Andreas; Priebe, Stefan

doi:10.1016/s0924-9338(12)75709-7

Cited by 61 publications

(42 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…First generation immigrants born in "European countries outside EU25 and Former Soviet Union" and in "the rest of the world" showed the highest rates of DP. A previous study showed higher rates of DP among immigrants from these regions (126).In these groups, higher rates of diseases and lower access to healthcare and treatment than the native population were shown previously (145,146). It is possible that these factors are associated with cultural differences leading to marginalisation and/or with pre-existing conditions, e.g., poor health and stressful life events.…”

Section: Study I and Ii: Risk Of Disability Pension In The General Pomentioning

confidence: 88%

“…Finally, access to healthcare and adequate treatment play a crucial role in preventing the disabling process resulting in DP (150). Adequate care, particularly in first generation immigrants might be hampered by language barriers and knowledge of the healthcare system (146). Finally, aspects of transcultural psychiatry have to be considered.…”

Section: Study I and Ii: Risk Of Disability Pension In The General Pomentioning

confidence: 99%

See 1 more Smart Citation

Trajectories of sickness absence, disability pension and unemployment in young immigrants with common mental disorders

Thiene

Mittendorfer‐Rutz

Rahman

et al. 2019

European Journal of Public Health

View full text Add to dashboard Cite

Background The aims were to elucidate if trajectories of labour market marginalization (LMM), measured as sickness absence (SA)/disability pension (DP) or unemployment, differed between young immigrants and natives before and after an incident diagnosis of a common mental disorder (CMD), and to investigate if educational level, psychiatric comorbidity and duration of residence in Sweden (in immigrants) had different associations with subsequent LMM in natives compared with immigrants. Methods A total of 28 971 young adults (19–30 years), with an incident CMD (inpatient or specialized outpatient healthcare due to CMDs or dispensed prescribed antidepressants during 2007) were included. Group-based trajectory models were utilized to identify trajectories of annual months of LMM 3 years before and 6 years after the diagnosis. The associations of risk factors with different trajectories were investigated by multinomial logistic regression, χ2-test and Nagelkerke R2 to measure the associations’ strength. Immigrants were categorized into Western and non-Western immigrants. Results Young natives and immigrants showed similar trajectories of SA/DP. A higher proportion of non-Western immigrants (20.5%) followed trajectories of high levels of unemployment (>2 annual months) compared with Western immigrants (15%) and natives (16.5%). Educational level and duration of residence in Sweden (in immigrants) discriminated trajectories of both SA/DP and unemployment, whereas psychiatric comorbidity only discriminated trajectories of SA/DP. Conclusions Differences in trajectories of unemployment between young natives and immigrants with an incident CMD were found. Educational level and psychiatric comorbidity provided information on differences between natives and immigrants and duration of residence gave information for subgroups of immigrants.

show abstract

Section: Study I and Ii: Risk Of Disability Pension In The General Pomentioning

confidence: 88%

Section: Study I and Ii: Risk Of Disability Pension In The General Pomentioning

confidence: 99%

Trajectories of sickness absence, disability pension and unemployment in young immigrants with common mental disorders

Thiene

Mittendorfer‐Rutz

Rahman

et al. 2019

European Journal of Public Health

View full text Add to dashboard Cite

show abstract

“…This is partly due to legal restrictions in the use of health services and barriers such as communication problems, poor health literacy, limited available care, and stigmatization associated with the use of mental health services (Kluge et al, 2012; Norredam, Mygind, & Krasnik, 2005). However, a study by Bozorgmehr and Razum (2015) shows that restricted access to health care is connected with higher health care costs.…”

Section: Introductionmentioning

confidence: 99%

Efficient identification of mental health problems in refugees in Germany: the Refugee Health Screener

Kaltenbach

Härdtner

Hermenau

et al. 2017

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: A substantial number of refugees present with mental disorders. This appears particularly acute in the currently increasing refugee populations in Europe. Although EU guidelines demand the identification and support of vulnerable individuals such as survivors of trauma, no adequately validated and comprehensive mental health screening instruments for refugees residing in Europe currently exist. Objective: We studied the feasibility, validity, and reliability of the Refugee Health Screener-15 (RHS-15) – a time-efficient and easy-to-implement screening developed by Hollifield et al. (2013) – as a self-rating and interview instrument. Methods: A sample of refugees from different countries (N = 86), representative of those who had arrived around the turn of the year 2015/2016 in Germany, filled in the RHS-15 on their own. A semi-structured clinical interview was later conducted with a random subsample (n = 56). Results: Fifty-two percent of the refugees examined screened positive in the RHS-15, thus indicating current mental health problems. The RHS-15 showed a good feasibility, reliability, and validity in both the self-rating and the interview version. It detected clinically relevant mental health problems when PTSD, depression, anxiety, or somatization problems were present. A shorter 13-item version proved to be equally valid. Conclusions: Together with previous research on the RHS in refugees living in the US, this suggests that the RHS is a time-efficient and accurate instrument that is able to detect common mental health problems in a wide range of refugees. Prospectively, the RHS could be used as an instrument for identifying vulnerable refugees, for example, by integrating it in the initial medical examination in the host community, thereby initiating support.

show abstract

“…In a study of 16 European countries, Kluge et al (2012) conducted structured interviews with health services located in areas with high immigrant populations (n = 240). In the analyses of the responses on the availability of data on service use by immigrant patients, the provision of interpreter services and immigrant staff members, the authors found that only 15% of services recorded any data on service use by immigrants.…”

Section: Mental Health Care Of Refugees and Asylum Seekersmentioning

confidence: 99%

Background paper on the needs of migrant, refugee and asylum seeker patients around the globe

Schouler‐Ocak

Wintrob

Moussaoui³

et al. 2016

International Journal of Culture and Mental Health

View full text Add to dashboard Cite

show abstract

Health services and the treatment of immigrants: data on service use, interpreting services and immigrant staff members in services across Europe

Abstract: For assessing and improving the quality of care provided for immigrants, there is a need to improve the availability of data on service use by immigrants in health services throughout Europe and to provide more consistent access to interpreting services.

Cited by 61 publications

References 26 publications

Trajectories of sickness absence, disability pension and unemployment in young immigrants with common mental disorders

Trajectories of sickness absence, disability pension and unemployment in young immigrants with common mental disorders

Efficient identification of mental health problems in refugees in Germany: the Refugee Health Screener

Background paper on the needs of migrant, refugee and asylum seeker patients around the globe

Contact Info

Product

Resources

About