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Mental health-care provision for marginalized groups across Europe: findings from the PROMO study.
- Source :
- European Journal of Public Health; Feb2013, Vol. 23 Issue 1, p97-103, 7p
- Publication Year :
- 2013
-
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. [ABSTRACT FROM PUBLISHER]
- Subjects :
- POVERTY areas
COGNITION disorders
HEALTH services accessibility
INTERVIEWING
RESEARCH methodology
MEDICAL quality control
MEDICAL cooperation
MEDICAL specialties & specialists
MENTAL health services
SEX work
REFUGEES
RESEARCH
RESEARCH funding
UNEMPLOYMENT
CROSS-sectional method
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 11011262
- Volume :
- 23
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- European Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 85215260
- Full Text :
- https://doi.org/10.1093/eurpub/ckr214