Migrant pathways to community mental health centres in Italy

Tarricone, Ilaria; Stivanello, Elisa; Ferrari, Silvia; Colombini, N.; Bolla, Emilio; Braca, Mauro; Giubbarelli, C.; Costantini, Chiara; Cazzamalli, Sara; Mimmi, Stefano; Tedesco, Dario; Menchetti, Marco; Rigatelli, Marco; Maso, E.; Balestrieri, Matteo; Vender, Simone; Berardi, Domenico

doi:10.1177/0020764011409523

Cited by 30 publications

(23 citation statements)

References 20 publications

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“…This result could be partly expected considering the diferences of patients' ages. It also supports previous research performed in our country [49]. No signiicant diferences were found between migrants and native Italians in relation to living accommodation, marital status and educational level.…”

Section: Sociodemographic Featuressupporting

confidence: 92%

“…First, these may depend on the fact that migrants may access psychiatric services when their mental distress is severe, requiring urgent and coercive measures [36,48]. Second, migrants' patern of access to psychiatric consultation in the ED may also be explained by the fact that in Italy, urgent care in this seting is ofered also to irregular/undocumented migrants, who are not allowed to atend the services of general practitioners (GPs) [49].…”

Section: Features Of Ed Referralmentioning

confidence: 99%

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Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

Gramaglia¹,

Gambaro²,

Bert³

et al. 2017

People's Movements in the 21st Century - Risks, Challenges and Benefits

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In recent decades, Italy has become a desirable destination for immigrants. In 2014, ive million people (8.2% of the population) were migrants (regular/irregular, documented/ undocumented). This study looks at psychiatric health, an important feature especially for irst-generation migrants and compares the new setlers with the native Italians. It should be noted that the organization of mental health services in Italy strongly relies on outpatient services, while the psychiatric wards, within the general hospitals, usually accommodate patients in acute phases of their disorder. Nonetheless, migrants' irst contact often happens in a psychiatry ward when they are in a severe and acute psychopathological condition. Research methods: Quantitative and qualitative; longitudinal research using oicial statistical and clinical data obtained from records of a public hospital as well as information obtained through professional interview. Results: In relation to mental health, we found that the migrant patients referred for psychiatric consultation to the emergency department (ED) seting were younger, less frequently treated by psychiatric outpatient services, more commonly going to the ED for self-injury and presenting with symptoms of substance abuse and alcohol-related disorders. The native Italian population was older, more frequently retired and/or invalid, more frequently already treated by psychiatric outpatient services for any kind of psychiatric symptoms.Conclusion: The comparison of the sociodemographic and clinical features of immigrants and Italians referred for psychiatric consultation in the ED highlighted some diferences.Implications are discussed in the light of the existing literature.

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Section: Sociodemographic Featuressupporting

confidence: 92%

Section: Features Of Ed Referralmentioning

confidence: 99%

Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

Gramaglia¹,

Gambaro²,

Bert³

et al. 2017

People's Movements in the 21st Century - Risks, Challenges and Benefits

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“…The migratory flow has mainly headed in the last decade to the Northern Italian regions, among which Emilia-Romagna region was one of the most open to newcomers that currently total 11.9% of the population (http://statistica.regione.emilia-romagna.it/servizi-online/ statistica-self-service/popolazione/popolazione-residentestraniera, accessed 1 December_2013). Despite these significant social and demographic changes, to our knowledge only few studies have been conducted on immigrants' mental health and service utilisation, some of which in Bologna (Tarricone et al 2009(Tarricone et al , 2011(Tarricone et al , 2012a(Tarricone et al , 2012bSpigonardo et al in press). In particular, differences in service use between Italians and immigrants have not been extensively investigated, with few exceptions (Gaddini et al 2008;Piazza et al 2010;Tarsitani et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Disparities in mental health care provision to immigrants with severe mental illness in Italy

Rucci

Piazza²,

Perrone

et al. 2014

Epidemiol Psychiatr Sci

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“…Moreover, it has been reported that access to mental health care for migrants can be particularly difficult, notwithstanding the high psychiatric morbidity that exists in this population [24-26]. …”

Section: Introductionmentioning

confidence: 99%

First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services

et al. 2014

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BackgroundIt has been frequently reported a higher incidence of psychotic disorders in immigrants than in native populations. There is, however, a lack of knowledge about risk factors which may explain this phenomenon. A better understanding of the causes of psychosis among first-generation migrants is highly needed, particularly in Italy, a country with a recent massive migration.Methods/DesignThe “Italian study on first-episode psychosis and migration (PEP-Ita)” is a prospective observational study over a two-year period (1 January 2012–31 December 2013) which will be carried out in 11 Italian mental health centres. All participating centres will collect data about all new cases of migrants with first-episode psychosis. The general purpose (“core”) of the PEP-Ita study is to explore the socio-demographic and clinical characteristics, and the pathways to care of a population of first-episode psychosis migrants in Italy. Secondary aims of the study will be: 1) to understand risk and protective factors for the development of psychotic disorders in migrants; 2) to evaluate the correlations between psychopathology of psychotic disorders in migrants and socio-demographic characteristics, migration history, life experiences; 3) to evaluate the clinical and social outcomes of first-episode psychoses in migrants.DiscussionThe results of the PEP-Ita study will allow a better understanding of risk factors for psychosis in first-generation migrants in Italy. Moreover, our results will contribute to the development of prevention programmes for psychosis and to the improvement of early intervention treatments for the migrant population in Italy.

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Migrant pathways to community mental health centres in Italy

Abstract: Pathways to CMHCs are complex and influenced by many factors. Non-medical pathways to care seem to be frequent among migrants in Italy. More attention should be paid to developing psychiatric consultation liaison models that also encompass the social services and voluntary organizations.

Cited by 30 publications

References 20 publications

Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

Disparities in mental health care provision to immigrants with severe mental illness in Italy

First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services

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