Adapting services to the needs of children and families with complex migration experiences: The Toulouse University Hospital’s intercultural consultation

2017 ◽  
Vol 54 (4) ◽  
pp. 445-465 ◽  
Gesine Sturm ◽  
Zohra Guerraoui ◽  
Sylvie Bonnet ◽  
Françoise Gouzvinski ◽  
Jean-Philippe Raynaud

This article presents the recently created intercultural consultation at the Medical and Psychological Health Care Service (CMP) of the University Hospital la Grave at Toulouse. The approach of the intercultural consultation was elaborated in response to the increasing diversity of children and families using the service in Toulouse. It is also based on local research that indicates the difficulties service providers encounter when trying to establish a solid therapeutic alliance with families with complex migration backgrounds who accumulate different disadvantaging factors. The intercultural consultation adapts existing models of culture-sensitive consultations in child mental health care in France and Canada to the local context in Toulouse. We describe the underlying principles of the intercultural consultation work, the therapeutic and mediation techniques used, and the way the work is integrated into the global service provision of the CMP. The process is illustrated with a case study followed by a discussion of the innovations.

2005 ◽  
Vol 20 (S2) ◽  
pp. s274-s278 ◽  
P. De Ponte ◽  
G. Hughes

AbstractAimTo describe principles and characteristics of mental health care in London.MethodBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.ResultsLondon experiences high levels of need and use of mental health services compared to England as a whole. Inpatient andcompulsory admissions are considerably higher than the national average. Despite having more psychiatric beds and mental health staff, London has higher bed occupancy rates and staffing shortages. At the same time there is a trend away from institutionalised care to care in the community.ConclusionMental health services in the UK are undergoing considerable reform. These changes will not remove the greater need formental health services in the capital, but national policy and funding lends support to cross-agency and pan-London work to tackle some of the problems characteristic of mental health in London. Whilst various issues of mental health care in London overlap with those in other European capitals, there also are some specific problems and features.

2001 ◽  
Vol 24 (3) ◽  
pp. 100
Margret Scheil

Individual Program Planning is an action research tool that facilitates consumer-oriented service provision. It is basedon four guiding principles to promote constructive interaction between consumers, significant others and services.Agreements for action are cooperatively developed in relation to the identification of issues. These are documented andmonitored in the form of ongoing meetings. The process supports coordination and accountability of activity betweenthose significant to treatment outcome across the continuum of care.

The Lancet ◽  
2012 ◽  
Vol 379 (9812) ◽  
pp. e16-e17 ◽  
Daniel Fatori ◽  
Sara Evans-Lacko ◽  
Isabel A Bordin ◽  
Cristiane de Paula

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