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Mental health-care provision for marginalized groups across Europe: findings from the PROMO study
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- Priebe, Stefan (author)
- Queen Mary Univ London, Unit Social & Community Psychiat, London, England
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- Matanov, Aleksandra (author)
- Queen Mary Univ London, Unit Social & Community Psychiat, London, England
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- Barros, Henrique (author)
- Univ Porto, Dept Hyg & Epidemiol, Sch Med, P-4100 Oporto, Portugal
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- Canavan, Reamonn (author)
- Natl Univ Ireland, Hlth Promot Res Ctr, Galway, Ireland
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- Gabor, Edina (author)
- Natl Inst Hlth Dev, Budapest, Hungary
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- Greacen, Tim (author)
- Etab Publ Sante Maison Blanche, Lab Rech, Paris, France.
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- Holcnerova, Petra (author)
- Charles Univ Prague, Dept Psychiat, Fac Med 1, Prague, Czech Republic
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- Kluge, Ulrike (author)
- CCM, Univ Med Berlin, Charite, Clin Psychiat & Psychotherapy, Berlin, Germany
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- Nicaise, Pablo (author)
- Catholic Univ Louvain, Inst Hlth & Soc IRSS, B-1200 Brussels, Belgium
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- Moskalewicz, Jacek (author)
- Inst Psychiat & Neurol, Warsaw, Poland
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- Dıaz-Olalla, Jose´ Manuel (author)
- Madrid Salud, Madrid, Spain
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- Straßmayr, Christa (author)
- Ludwig Boltzmann Inst Social Psychiat, Vienna, Austria
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- Schene, Aart H. (author)
- Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands
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- Soares, Joaquim J. (author)
- Mittuniversitetet,Avdelningen för hälsovetenskap
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- Tulloch, Simon (author)
- Queen Mary Univ London, Unit Social & Community Psychiat, London, England
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- Gaddini, Andrea (author)
- Laziosanita ASP Publ Hlth Agcy, Rome, Italy
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(creator_code:org_t)
- 2012-02-07
- English.
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In: European Journal of Public Health. - : Oxford University Press (OUP). - 1101-1262 .- 1464-360X. ; 23:1, s. 97-103
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Western Countries; Prevalence; Homeless; People
Publication and Content Type
- ref (subject category)
- art (subject category)
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