Telepsychiatry - When Resources are Short

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
D. Mucic
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Video Conferencing ◽  
Pilot Project ◽  
Prefer Treatment ◽  
Rural And Remote Areas ◽  
Audio Video ◽  
Resource Shortage

“Telepsychiatry” refers to video conferencing (interactive audio-video link in real-time where patient and doctor can both see and hear each other at the same time). Limited access to clinicians that have similar cultural and ethnic background decrease speed and accuracy of diagnosis and treatment (especially psychotherapeutic intervention). One solution to this problem is to give refugees, migrants and asylum seekers access to ethnic specialists by using Telepsychiatry.4 stations have been established in Denmark during pilot project in periode 2005-2007. The equipment has been installed in two hospitals, one asylum seekers centre and one social rehabilitation institution.Participants were mentally ill refugees, migrants and asylum seekers. 61 participants were involved in the assessment and/or treatment through 318 telepsychiatry provided remote consultations. They received mental health care by video-conferencing from providers who spoke participants ‘own language, i.e. without the assistance of interpreters.All participants were asked to fulfil 10-items satisfaction questionnaire after the end of Telepsychiatry contact. The most of participants would prefer treatment via Telepsychiatry than via interpreter.Aside from cross cultural patient population, Telepsychiatry can be used in order to provide mental health care towards domestic population in rural and remote areas with resource shortage.

scholarly journals Mental Health and Service Use of Migrants in Contact with the Public Psychiatry System in Paris

2020 ◽  
Vol 17 (24) ◽  
pp. 9397
Author(s):  
Andrea Tortelli ◽  
Florence Perquier ◽  
Maria Melchior ◽  
François Lair ◽  
Fabien Encatassamy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Service Use ◽  
Pathways To Care ◽  
Treatment Level ◽  
Stable Housing ◽  
Increased Risk ◽  
Provision Of Care

Background: Migrants, and particularly asylum seekers, are at increased risk of psychiatric disorders in comparison with natives. At the same time, inequalities in access to mental health care are observed. Methods: In order to evaluate whether the Parisian public psychiatric system is optimally structured to meet the needs of this population, we examined data on mental health and service use considering three different levels: the global system treatment level, a psychiatric reception center, and mobile teams specializing in access to psychiatric care for asylum seekers. Results: We found higher treatment rates among migrants than among natives (p < 0.001) but inequalities in pathways to care: more mandatory admissions (OR = 1.36, 95% CI: 1.02–1.80) and fewer specialized consultations (OR = 0.56, 95% CI: 0.38–0.81). We observed a mismatch between increased need and provision of care among migrants without stable housing or seeking asylum. Conclusions: Inequalities in the provision of care for migrants are observed in the Parisian public psychiatric system, particularly for those experiencing poor social and economic conditions. There is a need to facilitate access to mental health care and develop more tailored interventions to reduce discontinuity of care.

scholarly journals Mental health of refugees in inner-London

2002 ◽  
Vol 26 (6) ◽  
pp. 222-224 ◽  
Author(s):  
D. Murphy ◽  
D. Ndegwa ◽  
A. Kanani ◽  
C. Rojas-Jaimes ◽  
A. Webster
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Service Providers

What follows is an attempt to describe the provision of mental health care for refugees (including asylum seekers). Our views are based on our work with refugees in inner-London and on consultation with service providers.

scholarly journals Sleepless Nights because of Ethical Dilemmas in Mental Health Care for Asylum Seekers

2017 ◽  
Vol 31 (4) ◽  
pp. 466-487 ◽  
Author(s):  
Sander A Kramer ◽  
Erik Olsman ◽  
Mariëtte H H Hoogsteder ◽  
Loes H M Van Willigen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Ethical Dilemmas

Working with Traumatized Immigrants with a ptsd Diagnosis

2017 ◽  
Vol 41 (S1) ◽  
pp. S17-S17
Author(s):  
I.T. Graef-Calliess
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Depressive Disorders ◽  
Transcultural Psychiatry ◽  
Traumatic Experiences ◽  
Study Results ◽  
Important Host ◽  
Competing Interest

Graef-Calliess Iris (Germany).Germany has always been an important host country for asylum seekers. Although recently an increasing number of investigations about mental health of specific migrant groups have been published in Germany, there is a paucity of research concerning mental health of traumatized asylum seekers. The aim of the presentation is to present study results which describe socio-demographics, types and frequency of traumatic experiences, psychiatric diagnoses, suicidality and time to access to mental health care in traumatized asylum seekers who applied to an outpatient department of a clinical center with high expertise in transcultural psychiatry and psychotherapy in Hannover, Germany. The study shows that most of the traumatized asylum seekers had experienced multiple pre-migratory traumatic events, had unfavorable post-migratory conditions, had PTSD and depressive disorders as diagnoses, and had high suicidality and late access to mental health care. This is indicative of the mental health situation of asylum seekers in Germany in general. Ways of dealing with this challenge for the mental health care system and options for clinical management will be presented.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Description of a culture-sensitive, low-threshold psychoeducation intervention for asylum seekers (Tea Garden)

2021 ◽  
Vol 3 (Special Issue) ◽  
Author(s):  
Ricarda Mewes ◽  
Julia Giesebrecht ◽  
Cornelia Weise ◽  
Freyja Grupp
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Asylum Seekers ◽  
Mental Health Problems ◽  
Lessons Learned ◽  
Psychological Resilience ◽  
Host Countries ◽  
Low Threshold ◽  
Tea Garden

Background Asylum seekers often suffer from high levels of mental distress. However, as a result of a lack of knowledge about mental health and health care, as well as cultural and language barriers, the utilization of mental health care in Western host countries is often difficult for these individuals. Reducing these barriers may thus be a crucial first step towards appropriate mental health care. Previous research showed that psychoeducation may be helpful in this regard. Method The current manuscript describes a short, low-threshold and transdiagnostic intervention named ‘Tea Garden (TG)’. The TG aims to increase specific knowledge about mental health problems and available treatments, and may improve psychological resilience and self-care. In this manuscript, we specifically focus on culturally sensitive facets, following the framework proposed by Heim and colleagues (2021, https://doi.org/10.32872/cpe.6351), and lessons learned from three independent pilot evaluations (Ns = 31; 61; 20). Results The TG was found to be feasible and quantitative results showed that it was helpful for male and female asylum seekers from different countries of origin (e.g., Afghanistan, Syria, Pakistan, Iraq) and with different educational levels. Interestingly, even asylum seekers who had already been in Germany or Austria for three or more years benefited from the TG. Conclusion The TG specifically aims to be culture-sensitive rather than culture-specific, to be transdiagnostic rather than focused on specific mental disorders, and to be suitable for asylum seekers who are still in the insecure process of applying for asylum. It may also be helpful for distressed asylum seekers who do not fulfill the criteria for a mental disorder, and for healthy asylum seekers who could use the knowledge gained in the TG to help others.

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