Mental Health and Service Use of Migrants in Contact with the Public Psychiatry System in Paris.
Int J Environ Res Public Health
; 17(24)2020 12 15.
Article
em En
| MEDLINE
| ID: mdl-33333905
ABSTRACT
BACKGROUND:
Migrants, and particularly asylum seekers, are at increased risk of psychiatric disorders in comparison with natives. At the same time, inequalities in access to mental health care are observed.METHODS:
In order to evaluate whether the Parisian public psychiatric system is optimally structured to meet the needs of this population, we examined data on mental health and service use considering three different levels the global system treatment level, a psychiatric reception center, and mobile teams specializing in access to psychiatric care for asylum seekers.RESULTS:
We found higher treatment rates among migrants than among natives (p < 0.001) but inequalities in pathways to care more mandatory admissions (OR = 1.36, 95% CI 1.02-1.80) and fewer specialized consultations (OR = 0.56, 95% CI 0.38-0.81). We observed a mismatch between increased need and provision of care among migrants without stable housing or seeking asylum.CONCLUSIONS:
Inequalities in the provision of care for migrants are observed in the Parisian public psychiatric system, particularly for those experiencing poor social and economic conditions. There is a need to facilitate access to mental health care and develop more tailored interventions to reduce discontinuity of care.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Psiquiatria
/
Saúde Mental
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int J Environ Res Public Health
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
França