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2019-09-27Zeitschriftenartikel DOI: 10.3389/fpsyt.2019.00688
Implementing a Need-Adapted Stepped-Care Model for Mental Health of Refugees: Preliminary Data of the State-Funded Project “RefuKey”
dc.contributor.authorTrilesnik, Beata
dc.contributor.authorAltunoz, Umut
dc.contributor.authorWesolowski, Janina
dc.contributor.authorEckhoff, Leonard
dc.contributor.authorOzkan, Ibrahim
dc.contributor.authorLoos, Karin
dc.contributor.authorPenteker, Gisela
dc.contributor.authorGraef-Calliess, Iris Tatjana
dc.date.accessioned2019-11-27T07:47:22Z
dc.date.available2019-11-27T07:47:22Z
dc.date.issued2019-09-27none
dc.date.updated2019-09-27T14:37:48Z
dc.identifier.urihttp://edoc.hu-berlin.de/18452/21572
dc.description.abstractIntroduction: Refugees have been shown to be a rather vulnerable population with increased psychiatric morbidity and lack of access to adequate mental health care. By expanding regional psychosocial and psychiatric-psychotherapeutic care structures and adapting psychiatric routine care to refugees’ needs, the state-funded project “refuKey” based in Lower Saxony, Germany, pursues to ease access to mental health care and increase service quality for refugees. A stepped-care treatment model along with intercultural opening of mental health care services is proposed. Methods: The project is subject to a four-part evaluation study. The first part investigates the state of psychiatric routine care for refugees in Lower Saxony by requesting data from all psychiatric clinics, participating and non-participating ones, regarding the numbers of refugee patients, their diagnoses, settings of treatment, etc. The second part explores experiences and work satisfaction of mental health care professionals treating refugees in refuKey cooperation clinics. The third part consists of interviews and focus group discussions with experts regarding challenges in mental health care of refugees and expectations for improvement through refuKey. The fourth part compares mental health parameters like depression, anxiety, traumatization, somatization, psychoticism, quality of life, as well as “pathways-to-care” of refuKey-treated refugees before and after treatment and, in a follow-up, to a non-refuKey-treated refugee control group. Results: RefuKey-treated refugees reported many mental health problems and estimated their mental health burden as high. The symptoms decreased significantly over the course of treatment. Mental health in the refuKey sample was strongly linked to post-migration stressors. Discussion: The state of mental health care for refugees is discussed. Implications for the improvement and the need for adaptation of routine mental health care services are drawn.eng
dc.language.isoengnone
dc.publisherHumboldt-Universität zu Berlin
dc.rights(CC BY 4.0) Attribution 4.0 Internationalger
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectmental healtheng
dc.subjectpost-migration living difficultieseng
dc.subjectrefugeeseng
dc.subjectstepped-care modeleng
dc.subjectintercultural openingeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleImplementing a Need-Adapted Stepped-Care Model for Mental Health of Refugees: Preliminary Data of the State-Funded Project “RefuKey”none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:11-110-18452/21572-5
dc.identifier.doi10.3389/fpsyt.2019.00688none
dc.identifier.doihttp://dx.doi.org/10.18452/20838
dc.type.versionpublishedVersionnone
local.edoc.container-titleFrontiers in psychiatrynone
local.edoc.pages13none
local.edoc.type-nameZeitschriftenartikel
local.edoc.institutionLebenswissenschaftliche Fakultätnone
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-publisher-nameFrontiers Media S.A.none
local.edoc.container-publisher-placeLausannenone
local.edoc.container-volume10none
dc.description.versionPeer Reviewednone
local.edoc.container-articlenumber688
dc.identifier.eissn1664-0640

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