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Mental health-care provision for marginalized groups across Europe: findings from the PROMO study
Queen Mary Univ London, Unit Social & Community Psychiat, London, England.
Queen Mary Univ London, Unit Social & Community Psychiat, London, England.
Univ Porto, Dept Hyg & Epidemiol, Sch Med, P-4100 Oporto, Portugal.
Natl Univ Ireland, Hlth Promot Res Ctr, Galway, Ireland.
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2013 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 23, no 1, 97-103 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2013. Vol. 23, no 1, 97-103 p.
Keyword [en]
Western Countries; Prevalence; Homeless; People
National Category
Medical and Health Sciences
URN: urn:nbn:se:miun:diva-15874DOI: 10.1093/eurpub/ckr214ISI: 000314126700021ScopusID: 2-s2.0-84876524054OAI: diva2:502804
Available from: 2013-04-04 Created: 2012-02-14 Last updated: 2013-05-15Bibliographically approved

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