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Start Over Author "Straßmayr, Christa" Topic mental health care
4 results on '"Straßmayr, Christa"'

1. Mental health care for irregular migrants in Europe: Barriers and how they are overcome

Author

Straßmayr Christa, Matanov Aleksandra, Priebe Stefan, Barros Henrique, Canavan Reamonn, Díaz-Olalla José, Gabor Edina, Gaddini Andrea, Greacen Tim, Holcnerová Petra, Kluge Ulrike, Welbel Marta, Nicaise Pablo, Schene Aart H, Soares Joaquim JF, and Katschnig Heinz

Subjects
Irregular migrants, Mental health care, Access to care, Barriers to care, Legal entitlement, Overcoming barriers, Europe, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Irregular migrants (IMs) are exposed to a wide range of risk factors for developing mental health problems. However, little is known about whether and how they receive mental health care across European countries. The aims of this study were (1) to identify barriers to mental health care for IMs, and (2) to explore ways by which these barriers are overcome in practice. Methods Data from semi-structured interviews with 25 experts in the field of mental health care for IMs in the capital cities of 14 European countries were analysed using thematic analysis. Results Experts reported a range of barriers to mental health care for IMs. These include the absence of legal entitlements to health care in some countries or a lack of awareness of such entitlements, administrative obstacles, a shortage of culturally sensitive care, the complexity of the social needs of IMs, and their fear of being reported and deported. These barriers can be partly overcome by networks of committed professionals and supportive services. NGOs have become important initial points of contact for IMs, providing mental health care themselves or referring IMs to other suitable services. However, these services are often confronted with the ethical dilemma of either acting according to the legislation and institutional rules or providing care for humanitarian reasons, which involves the risk of acting illegally and providing care without authorisation. Conclusions Even in countries where access to health care is legally possible for IMs, various other barriers remain. Some of these are common to all migrants, whilst others are specific for IMs. Attempts at improving mental health care for IMs should consider barriers beyond legal entitlement, including communicating information about entitlement to mental health care professionals and patients, providing culturally sensitive care and ensuring sufficient resources.

Published
2012
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2. Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries

Author

Priebe Stefan, Matanov Aleksandra, Schor Ruth, Straßmayr Christa, Barros Henrique, Barry Margaret M, Díaz-Olalla José, Gabor Edina, Greacen Tim, Holcnerová Petra, Kluge Ulrike, Lorant Vincent, Moskalewicz Jacek, Schene Aart H, Macassa Gloria, and Gaddini Andrea

Subjects
Marginalisation, Mental health care, Health care systems, Good practice, Autonomy, Public aspects of medicine, RA1-1270
Abstract

Abstract 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.

Published
2012
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3. Standard comparison of local mental health care systems in eight European countries

Author

REFINEMENT Group, Gutierrez-Colosia, Mencia R., Salvador-Carulla, Luis, Salinas-Pérez, J. A., García-Alonso, C. R., Cid, J., Salazzari, D., Montagni, Ilaria, Tedeschi, V., Cetrano, G., Chevreul, Karine, Kalseth, Jorid, Hagmair, G., Strassmayr, Christa, Park , A. L., Sfectu, Raluca, Ala-Nikkola, Taina, González-Caballero , J. L., Rabbi, L., Kalseth, Birgitte, Amaddeo, Francesco, Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), [Gutiérrez-Colosía MR] PSICOST Research Association, Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain. [Salvador-Carulla L] Centre for Mental Health Research, Research School of Population Health College of Medicine, Biology and Environment, Australian National University, Research School of Population Health, Acton, Australia. [Salinas-Pérez JA] PSICOST Research Association, Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain. Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, Sevilla, Spain. [García-Alonso CR] Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, Sevilla, Spain. [Cid Colom J] Grup de Recerca en Salut Mental i Addiccions, (IDIBGI), Institut d’Assistència Sanitària, Salt, Spain. [Salazzari D] Section of Psychiatry, Department of Neurological, Biomedical and Movement Sciences, University of Verona, Italy, Institut d'Assistència Sanitària, Clinicum, Department of Psychiatry, and HUS Psychiatry

Subjects
Epidemiology, Serveis comunitaris de salut, disciplinas y actividades conductuales::servicios de salud mental [PSIQUIATRÍA Y PSICOLOGÍA], Efficiency, Organizational, Ambulatory Care Facilities, Care provision, 3124 Neurology and psychiatry, Residential Facilities, 0302 clinical medicine, RA0421 Public health. Hygiene. Preventive Medicine, Eficàcia organitzativa, main type of care, 030212 general & internal medicine, Socioeconomics, media_common, INSTRUMENT, Community-balanced care, Mental Disorders, Behavioral Disciplines and Activities::Mental Health Services [PSYCHIATRY AND PSYCHOLOGY], Health Services Administration::Organization and Administration::Efficiency::Efficiency, Organizational [HEALTH CARE], 3. Good health, Policy planning, Europe, Psychiatry and Mental health, Mental Health, Geography, INSTITUTIONS, Mental health care, instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::Servicios de Salud Comunitaria [ATENCIÓN DE SALUD], Adult, Mental Health Services, media_common.quotation_subject, administración de los servicios de salud::organización y administración::eficiencia::eficiencia organizacional [ATENCIÓN DE SALUD], Scarcity, 03 medical and health sciences, Mental Health System, Equipaments de salut mental, Humans, mental health care comparison, Public Health, Environmental and Occupational Health, Original Articles, SERVICES, Mental health, 030227 psychiatry, Context analysis, Long-term care, SIZE, Health Care Facilities, Manpower, and Services::Health Services::Community Health Services [HEALTH CARE], [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Abstract

Sistema de Salut Mental; Comparació d'atenció a la salut mental Mental Health System; Mental health care comparison Sistema de Salud Mental; Comparación de atención a la salud mental Aims: There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe. This study is part of the Seventh Framework programme REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care in Europe) project. Methods: A total of eight study areas from European countries with different systems of care (Austria, England, Finland, France, Italy, Norway, Romania, Spain) were analysed using a standard open-access classification system (Description and Evaluation of Services for Long Term Care in Europe, DESDE-LTC). All publicly funded services universally accessible to adults (≥18 years) with a psychiatric disorder were coded. Care availability, diversity and capacity were compared across these eight local MHS. Results: The comparison of MHS revealed more community-oriented delivery systems in the areas of England (Hampshire) and Southern European countries (Verona - Italy and Girona - Spain). Community-oriented systems with a higher proportion of hospital care were identified in Austria (Industrieviertel) and Scandinavian countries (Sør-Trøndelag in Norway and Helsinki-Uusimaa in Finland), while Loiret (France) was considered as a predominantly hospital-based system. The MHS in Suceava (Romania) was still in transition to community care. Conclusions: There is a significant variation in care availability and capacity across MHS of local areas in Europe. This information is relevant for understanding the process of implementation of community-oriented mental health care in local areas. Standard comparison of care provision in local areas is important for context analysis and policy planning. The REFINEMENT project has received funding from the European Commission under the Seventh Framework Programme (7FP) and lies within the Specific Programme ‘Cooperation’ – Theme ‘Health’: HEALTH.2010.3.2–1: Financing systems’ effect on quality of health care. Duration: 1 January 2011 to 31 December 2013. 7FP. Project number: 261459.

Published
2017

4. Good practice in mental health care for socially marginalized groups in Europe : a qualitative study in 14 countries

Author

Priebe, Stefan, Matanov, Alexandra, Holcnerova, Petra, Kluge, U, Lorant, V, Moskalewicz, J, Schene, AH, Macassa, Gloria, Gaddini, A, Schor, Ruth, Straßmayr, Christa, Barros, Henrique, Barry, Margaret M, Díaz-Olalla, José Manuel, Gabor, Edina, and Greacen, Tim

Subjects
Heal th care systems, Medicin och hälsovetenskap, Marginalisation, Good practice, Mental health care, Autonomy, Medical and Health Sciences
Abstract

Background:Socially marginalised groups tend to have higher rates of mental disorders than the general populationand can be difficult to engage in health care. Providing mental health care for these groups represents a particularchallenge, and evidence on good practice is required. Thisstudy explored the experiences and views of experts in 14European countries regarding mental health care for six socially marginalised groups: long-term unemployed; street sexworkers; 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 foreach of the six marginalised groups. Semi-structured interviews with case vignettes were conducted to exploreexperiences 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) establishingoutreach programmes to identify and engage with individuals with mental disorders; b) facilitating access to services thatprovide different aspects of health care, including mental health care, and thus reducing the need for further referrals; c)strengthening the collaboration and co-ordination betweendifferent services; and d) disseminating information onservices 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 formarginalised groups. Care may be improved through better service organisation, coordination and information.

Published
2012

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