Mental health-care provision for marginalized groups across Europe: findings from the PROMO study
(2012) The European Journal of Public Health — Vol. 23, n° 1, p. 97-103 (2013)
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- Abstract
- 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.
- Affiliations
Queen Mary University of London, London, UK Unit for Social and Community Psychiatry University of Porto Medical School, Porto, Portugal Department of Hygiene and Epidemiology National University of Ireland, Galway, Ireland Health Promotion Research Centre National Institute for Health Development, Budapest, Hungary National Institute for Health Development Etablissement public de sante´ Maison Blanche, Paris, France Laboratoire de recherche, Charles University, Prague, Czech Republic Department of Psychiatry, 1st Faculty of Medicine University Medicine Berlin, CCM, Berlin, Germany Clinic for Psychiatry and Psychotherapy, Charite Institute of Psychiatry and Neurology, Warsaw, Poland Institute of Psychiatry and Neurology Madrid Salud, Madrid, Spain Madrid Salud Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria Ludwig Boltzmann Institute for Social Psychiatry University of Amsterdam, Amsterdam, The Netherlands Academic Medical Center Karolinska Institute, Stockholm, Sweden Department of Public Health Sciences Public Health Agency, Lazio Region, Rome, Italy Laziosanita` ASP
Citations
Priebe, S., Matanov, A., Barros, H., Canavan, R., Gabor, E., Greacen, T., Holcnerová, P., Kluge, U., Nicaise, P., Moskalewicz, J., Díaz-Olalla, J. M., Straßmayr, C., Schene, A. H., Soares, J. J. F., Tulloch, S., & Gaddini, A. (2012). Mental health-care provision for marginalized groups across Europe: findings from the PROMO study. The European Journal of Public Health, 23(1), 97-103. https://doi.org/10.1093/eurpub/ckr214 (Original work published 2013)