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Does Integrated Care Affect Healthcare Utilization in Multi-problem Refugees?
- Source :
-
Journal of immigrant and minority health [J Immigr Minor Health] 2015 Oct; Vol. 17 (5), pp. 1444-50. - Publication Year :
- 2015
-
Abstract
- A history of trauma is common in refugee populations and appropriate treatment is frequently avoided. Using a convenience sample of 64 patients in a Somali primary care clinic, a culture and trauma specific intervention was developed to address retention into appropriate treatment. One goal of the intervention was to improve the rate of engagement in psychotherapy after a mental health referral and to test the effect of psychotherapy on health care utilization using a staged primary care clinical tool. Forty-eight percent of patients given a mental health referral engaged in psychotherapy. Patients engaging in psychotherapy had higher baseline utilization and over 12 months trended towards less emergency room use and more primary care. Our findings suggest that the intervention improved referral and retention in mental health therapy for East African refugee women.
- Subjects :
- Adult
Africa, Eastern
Aged
Female
Humans
Middle Aged
Patient Compliance ethnology
Psychotherapy organization & administration
Referral and Consultation organization & administration
Somalia
Trust
Young Adult
Mental Health ethnology
Patient Acceptance of Health Care ethnology
Primary Health Care organization & administration
Refugees psychology
Warfare
Subjects
Details
- Language :
- English
- ISSN :
- 1557-1920
- Volume :
- 17
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of immigrant and minority health
- Publication Type :
- Academic Journal
- Accession number :
- 25150558
- Full Text :
- https://doi.org/10.1007/s10903-014-0088-6