L'action du service de la santé mentale pour les enfants et adolescents de l'Université Psychiatrique d'Athènes aux Îles Elloiness de la Mer Égée / Meeting the mental health needs of children and adolescents in the outling Aegean Islands in Greece in the University of Athens

Le Service de la Santé Mentale pour les enfants et les adolescents, qui fait partie de la Clinique Psychiatrique de l'Université d'Athènes, en collaboration avec l'Organisation à but non lucratif qui se nomme « Renaissance et Progrès » et son Equipe Médical Mobile participe à l'intervention pour la promotion des soins de santé primaires aux îles périphériques et isolées de la mer d'Égée en Grèce. Les îles périphériques et isolées sont 33 et sont résidées par 55000 habitats de tous âges, parmi eux environs 5000 enfants et ados. Dans les îles qui se trouvent à la frontière de la mer d'Egée, existe des Centres de Santé qui ou il y a des médecins qui font leur internat sans spécialité et parfois avec eux il y a une infirmière, mais ils sont insuffisants pour répondre aux besoins des résidents. Au niveau psychologique, sociale et soins psychiatrique d'enfant il n'y a aucun soin. Les enfants et leurs familles sont obligés de voyager aux grandes îles qui sont proches, ou à la Capitale où ils peuvent faire de consultation psychologique et avoir un diagnostic mais ne peuvent pas avoir un traitement

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Psychopathology and mental health service utilization by immigrants' children and their families.

To investigate the psychopathology of immigrants' children and psychiatric service utilization by the immigrant families, data were collected from the files of all 35 immigrant children seen over a 3-year period at the Community Mental Health Centre of the Athens University Psychiatric Department. Immigrant children were matched by age, gender and intake date with 70 Greek children. Data concerned information about the child's place of birth, current living conditions, parents' country of origin, social and economic situation, occupations and educational status, social insurance, psychiatric history, referral source, diagnostic and therapeutic services rendered, number of sessions and outcome. Utilization of services was assessed 6 months after intake. No significant differences were found regarding family's structure and parents' psychopathology. However, immigrant families had significantly worse economic situations, lower status jobs, worse housing and were usually uninsured. No significant differences were observed regarding service utilization parameters, except concerning 'cooperation with other services' No differences were found regarding frequency or type of psychiatric diagnosis. However, 91% of the immigrant group received a psychosocial diagnosis as opposed to 49% of the Greek group. Immigrant children did not present more serious or diverse psychopathology than did Greek children. Immigrant families had equal levels of service utilization as Greek families. However, it was apparent that immigrant families did not apply for help as readily as their Greek counterparts.