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Good practice in mental health care for socially marginalised groups in Europe : a qualitative study of expert views in 14 countries

Priebe, Stefan (författare)
Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
Matanov, Alexandra (författare)
Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
Schor, Ruth (författare)
Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
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Straßmayr, Christa (författare)
Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria
Barros, Henrique (författare)
Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal
Barry, Margareth M (författare)
Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland
Díaz-Olalla, José Manuel (författare)
Madrid Salud, Madrid, Spain
Gabor, Edina (författare)
National Institute for Health Development, Budapest, Hungary
Greacen, Tim (författare)
Laboratoire de recherche, Etablissement Public de Santé Maison Blanche, Paris, France
Holcnerová, Petra (författare)
Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic
Kluge, Ulrike (författare)
Clinic for Psychiatry and Psychotherapy, Charité, University Medicine Berlin, Berlin, Germany
Lorant, Vincent (författare)
Institute of Health and Society (IRSS), Université Catholique de Louvain, Bruxelles, Belgium
Moskalewicz, Jasec (författare)
Institute of Psychiatry and Neurology, Warsaw, Poland
Schene, Aart H (författare)
Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Macassa, Gloria (författare)
Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden
Gaddini, Andrea (författare)
Laziosanità ASP - Public Health Agency, Lazio Region, Rome, Italy
Greacen, T (författare)
Moskalewicz, J (författare)
Gaddini, A (författare)
Strassmayr, C (författare)
Lorant, V (författare)
Macassa, G (författare)
Schor, R (författare)
Diaz-Olalla, JM (författare)
Holcnerova, P (författare)
Matanov, A (författare)
Barros, H (författare)
Schene, AH (författare)
Barry, MM (författare)
Gabor, E (författare)
Kluge, U (författare)
Priebe, S (författare)
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 (creator_code:org_t)
2012
2012
Engelska.
Ingår i: BMC Public Health. - 1471-2458 .- 1471-2458. ; 12, s. -Article Number: 248
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Socially marginalised groups tend to have higher rates of mental disorders than the general population and can be difficult to engage in health care. Providing mental health care for these groups represents a particular challenge, and evidence on good practice is required. This study explored the experiences and views of experts in 14 European countries regarding mental health care for six socially marginalised groups: long-term unemployed; street sex workers; homeless; refugees/asylum seekers; irregular migrants and members of the travelling communities.      Methods: Two highly deprived areas were selected in the capital cities of 14 countries, and experts were interviewed for each of the six marginalised groups. Semi-structured interviews with case vignettes were conducted to explore experiences of good practice and analysed using thematic analysis.      Results: In a total of 154 interviews, four components of good practice were identified across all six groups: a) establishing outreach programmes to identify and engage with individuals with mental disorders; b) facilitating access to services that provide different aspects of health care, including mental health care, and thus reducing the need for further referrals; c) strengthening the collaboration and co-ordination between different services; and d) disseminating information on services both to marginalised groups and to practitioners in the area.      Conclusions: Experts across Europe hold similar views on what constitutes good practice in mental health care for marginalised groups. Care may be improved through better service organisation, coordination and information.        

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

Marginalisation
Mental health care
Health care systems
Good practice
Autonomy

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