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.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:miun-15874 |
| Date | January 2013 |
| Creators | Priebe, Stefan, Matanov, Aleksandra, Barros, Henrique, Canavan, Reamonn, Gabor, Edina, Greacen, Tim, Holcnerova, Petra, Kluge, Ulrike, Nicaise, Pablo, Moskalewicz, Jacek, Dıaz-Olalla, Jose´ Manuel, Straßmayr, Christa, Schene, Aart H., Soares, Joaquim J., Tulloch, Simon, Gaddini, Andrea |
| Publisher | Mittuniversitetet, Avdelningen för hälsovetenskap, Queen Mary Univ London, Unit Social & Community Psychiat, London, England, Queen Mary Univ London, Unit Social & Community Psychiat, London, England, Univ Porto, Dept Hyg & Epidemiol, Sch Med, P-4100 Oporto, Portugal, Natl Univ Ireland, Hlth Promot Res Ctr, Galway, Ireland, Natl Inst Hlth Dev, Budapest, Hungary, Etab Publ Sante Maison Blanche, Lab Rech, Paris, France., Charles Univ Prague, Dept Psychiat, Fac Med 1, Prague, Czech Republic, CCM, Univ Med Berlin, Charite, Clin Psychiat & Psychotherapy, Berlin, Germany, Catholic Univ Louvain, Inst Hlth & Soc IRSS, B-1200 Brussels, Belgium, Inst Psychiat & Neurol, Warsaw, Poland, Madrid Salud, Madrid, Spain, Ludwig Boltzmann Inst Social Psychiat, Vienna, Austria, Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands, Queen Mary Univ London, Unit Social & Community Psychiat, London, England, Laziosanita ASP Publ Hlth Agcy, Rome, Italy |
| Source Sets | DiVA Archive at Upsalla University |
| Language | English |
| Detected Language | English |
| Type | Article in journal, info:eu-repo/semantics/article, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | European Journal of Public Health, 1101-1262, 2013, 23:1, s. 97-103 |
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