Mental health-care provision for marginalized groups across europe: findings from the promo study
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2012-02-07Author
Priebe, S.
Matanov, A.
Barros, H.
Canavan, R.
Gabor, E.
Greacen, T.
Holcnerova, P.
Kluge, U.
Nicaise, P.
Moskalewicz, J.
Diaz-Olalla, J. M.
Strassmayr, C.
Schene, A. H.
Soares, J. J. F.
Tulloch, S.
Gaddini, A.
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Priebe, S. Matanov, A.; Barros, H.; Canavan, R.; Gabor, E.; Greacen, T.; Holcnerova, P.; Kluge, U.; Nicaise, P.; Moskalewicz, J.; Diaz-Olalla, J. M.; Strassmayr, C.; Schene, A. H.; Soares, J. J. F.; Tulloch, S.; Gaddini, A. (2012). Mental health-care provision for marginalized groups across europe: findings from the promo study. The European Journal of Public Health 23 (1), 97-103
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Abstract
Background: Providing mental health care to socially marginalized groups is a challenge. There is limited evidence on what form of mental health-care generic (i.e. not targeting a specific social group) and group-specific services provide to socially marginalized groups in Europe. Aim: To describe the characteristics of services providing mental health care for people with mental disorders from socially marginalized groups in European capitals. Methods: In two highly deprived areas in different European capital cities, services providing some form of mental health care for six marginalized groups, i.e. homeless, street sex workers, asylum seekers/refugees, irregular migrants, travelling communities and long-term unemployed, were identified and contacted. Data were obtained on service characteristics, staff and programmes. Results: In 8 capital cities, 516 out of 575 identified services were assessed (90%); 297 services were generic (18-79 per city) and 219 group-specific (13-50). All cities had group-specific services for the homeless, street sex workers and asylum seekers/refugees. Generic services provided more health-care programmes. Group-specific services provided more outreach programmes and social care. There was a substantial overlap in the programmes provided by the two types of services. Conclusions: In deprived areas of European capitals, a considerable number of services provide mental health care to socially marginalized groups. Access to these services often remains difficult. Group-specific services have been widely established, but their role overlaps with that of generic services. More research and conceptual clarity on the function of group-specific services are required.