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

<p>Abstract</p> <p>Background</p> <p>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, an...

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Main Authors: 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, Gaddini Andrea
Format: Article
Language:English
Published: BMC 2012-03-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/12/248
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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
Gaddini Andrea
author_facet 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
Gaddini Andrea
author_sort Priebe Stefan
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>
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spelling doaj.art-75f207e09fd94d4e9917fc8b9f218d942022-12-21T20:00:45ZengBMCBMC Public Health1471-24582012-03-0112124810.1186/1471-2458-12-248Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countriesPriebe StefanMatanov AleksandraSchor RuthStraßmayr ChristaBarros HenriqueBarry Margaret MDíaz-Olalla JoséGabor EdinaGreacen TimHolcnerová PetraKluge UlrikeLorant VincentMoskalewicz JacekSchene Aart HMacassa GloriaGaddini Andrea<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>http://www.biomedcentral.com/1471-2458/12/248MarginalisationMental health careHealth care systemsGood practiceAutonomy
spellingShingle 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
Gaddini Andrea
Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries
BMC Public Health
Marginalisation
Mental health care
Health care systems
Good practice
Autonomy
title Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries
title_full Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries
title_fullStr Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries
title_full_unstemmed Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries
title_short Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries
title_sort good practice in mental health care for socially marginalised groups in europe a qualitative study of expert views in 14 countries
topic Marginalisation
Mental health care
Health care systems
Good practice
Autonomy
url http://www.biomedcentral.com/1471-2458/12/248
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