Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T01:17:35.888Z Has data issue: false hasContentIssue false
  • English
  • Français

Needs and care of migrants considered as severely mentally ill – cross-sectional and longitudinal studies of a Swedish sample

Published online by Cambridge University Press:  16 April 2020

H. Arvidsson  and
S. Hultsjö
H. Arvidsson*
Affiliation:
Department of Psychology, University of Gothenburg, Lilla Komperöd 203 44494Ucklum, Sweden
S. Hultsjö
Affiliation:
Department of Psychiatry, Ryhov County Hospital, 55185Jönköping, Sweden
*
*Corresponding author. Tel.: +46705680547. E-mail address:[email protected] (H. Arvidsson).
Get access

Abstract

Purpose

Higher incidence of mental illnesses and less access to care is previously reported concerning migrants but few studies focus on the needs and care of migrant groups in psychiatry. The aim of this study was to compare differences in needs and care between migrant and nonmigrant groups of severely and persistently mentally ill (SMI) after the 1995 Swedish mental health care reform.

Methods

In a Swedish area, inventories were made in 2001 and 2006 of persons considered as SMI. These persons were interviewed and their needs were assessed. In a cross-sectional study in 2006, needs and care were compared between migrants and nonmigrants. In a longitudinal study, migrants and nonmigrants interviewed in both 2001 and 2006 were compared concerning the development of needs and care.

Results

The needs of the migrant group were less taken care of. In 2006, there were more unmet needs in this group concerning accommodation, physical health, psychological distress, basic education and economy.

Conclusion

The improvement of groups considered as SMI concerning functional disability and efforts of care found in the actual area did not seem to include the migrant group, at least not to the same degree.

Keywords

MigrantsNeedsSeverely mentally illHealth care
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 8 , December 2009 , pp. 533 - 539
Copyright
Copyright © Elsevier Masson SAS 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC: APA; (DSM-IV) 1994.Google Scholar
Arvidsson, HThe development of needs in a group of severely mentally ill. A 10-year follow-up study after the 1995 Swedish mental health care reform. Soc Psychiatry Psychiatr Epidemiol 2008;43:705–713CrossRefGoogle Scholar
Arvidsson, H Severely and persistently mentally ill-a changing group. Ten years after the 1995 Swedish mental health reform. Nord J Psychiatry (in press).Google Scholar
Arvidsson, HTest-retest reliability of the Swedish version of the Camberwell Assessment of Needs. Nord J Psychiatry 2003;57:279–283CrossRefGoogle Scholar
Becker, TKilian, RPsychiatric services for people with severe mental illness across Western Europe: what can be generalized from current knowledge about differences in provision, costs and outcome of mental health care?. Acta Psychiatr Scand Suppl 2006;429:9–16CrossRefGoogle Scholar
Cantor-Graae, ESelten, JPSchizophrenia and migration: a meta-analysis and review. Am J Psychiatry 2005;162:12–24CrossRefGoogle ScholarPubMed
Cantor-Graae, EZolkowska, KMc Neil, TIncreased risk of psychotic disorder among immigrants in Malmö: a 3-year first-contact study. Psychol Med 2005;35:1155–1163CrossRefGoogle ScholarPubMed
Fearon, PKirkbride, JBMorgan, CDazzan, PMorgan, KLloyd, Tet al.Incidence of schizophrenia and other psychoses in ethnic minority groups: result from the MRC AESOP study. Psychol Med 2006;36:1541–1550CrossRefGoogle Scholar
Foisson, PServais, LRejas, M-CLedoux, YPelc, IMinner, PPsychosis, migration and social environment: an age-and-gender controlled study. Eur Psychiatry 2004;19:338–343CrossRefGoogle Scholar
Hansson, LBjörkman, TSvensson, BThe assessment of needs in psychiatric patients. Interrater-reliability of the Swedish version of the Camberwell Assessment of Needs, instrument and results from a cross-sectional study. Acta Psychiatr Scand 1995;92:285–293CrossRefGoogle ScholarPubMed
Hjern, AHaglund, BPersson, GRosén, MIs there equity in access to health services for ethnic minorities in Sweden?. Eur J Public Health 2001;11:147–152CrossRefGoogle ScholarPubMed
Hjern, AWicks, SDalman, CSocial adversity contributes to a high morbidity in psychosis in immigrants – a national cohort study in two generations of Swedish residents. Psychol Med 2004;34:1025–1033CrossRefGoogle ScholarPubMed
Hultsjö, SHjelm, KImmigrants in emergency care: Swedish health care staff's experiences. Int Nurs Rev 2005;52:276–285CrossRefGoogle ScholarPubMed
Hultsjö, SBerterö, CHjelm, KPerception of psychiatric care among foreign- and Swedish-born people with psychotic disorders. J Adv Nurs 2007;60:279–288Google ScholarPubMed
Jones, SHThornicroft, GCoffey, MDunn, GAA brief mental health outcome scale reliability and validity of the Global Assessment of Functioning (GAF). Br J Psychiatry 1995;166:654–659CrossRefGoogle Scholar
Kapborg, IBerterö, CUsing an interpreter in qualitative interviews: does it threaten validity?. Nurs Inq 2002;9:52–56CrossRefGoogle Scholar
Lay, BLauber, CRössler, WAre immigrants at a disadvantage in psychiatric inpatient care?. Acta Psychiatr Scand 2005;111:358–366CrossRefGoogle Scholar
Leão, TSSundquist, JJohansson, LMSundquist, KIncidence of mental disorders in second-generation immigrants in sweden: a four-year cohort study. Ethn Health 2005; 243–256CrossRefGoogle Scholar
Lindert, JSchouler-Ocak, MHeinz, APriebe, SMental health, health care utilisation of migrants in Europe. Eur Psychiatry 2008;23:14–20CrossRefGoogle ScholarPubMed
Markström, U The Swedish mental health reform-among bureaucrats, users and pioneers (in Swedish, summary in English). Doctoral dissertation, Umeå University 2003; Boréa, Umeå, Sweden.Google Scholar
McCrone, PLeese, MThornicroft, GSchene, AKnudsen, HCVázquez-Barquero, JLet al.Reliability of Camberwell Assessment of Need – European version: Epsilon study. Br J Psychiatry 2000;177(Suppl. 39):34–40CrossRefGoogle Scholar
National Board on Health and Welfare. The first thousand days of the Swedish mental health care reform. The National Board on Health and Welfare, Stockholm;1998:4.Google Scholar
National Board on Health and Welfare.Welfare and freedom of Choice? Final report from the evaluation of the 1995 psychiatric care reform. The National Board on Health and Welfare, Stockholm;1999:1.Google Scholar
Ozolins, LHjelm, KNurses experiences of problematic situations with migrants in emergency care in Sweden. Clin Eff Nurs 2003;7:84–93CrossRefGoogle Scholar
Phelan, MSlade, MThornicroft, GDunn, GHolloway, FWykes, TPet al.The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mentally illness. Br J Psychiatry 1995;167:589–595CrossRefGoogle Scholar
Ruggeri, MLeese, MThornicroft, GBisoffi, GTansella, MDefinitions and prevalence of severe and persistent mental illness. Br J Psychiatry 2000;167:589–595Google Scholar
Schinnar, APRothbard, ABKanter, RJung, YSAn empirical literature review of definitions of severe and persistent mental illness. Am J Psychiatry 1990;147:1602–1608Google ScholarPubMed
Slade, MPowell, RStrathdee, GCurrent approaches to identifying the severely mentally ill. Soc Psychiatry Psychiatr Epidemiol 1996;32:177–184CrossRefGoogle Scholar
Stefansson, C.-G.Hansson, LMental health care reform in Sweden 1995. Acta Psychiatr Scand 2001;104:82–88 supplementumCrossRefGoogle Scholar
Sundquist, KGölin, FSundquist, JUrbanisation and incidence of psychosis. Follow-up study of 4.4 million women and men in Sweden. Br J Psychiatry 2004;184:293–298CrossRefGoogle ScholarPubMed
Tinghög, PHemmingsson, TLundberg, ITo what extent may the association between immigrant status and mental illness be explained by socioeconomic factors?. Soc Psychiatry Psychiatr Epidemiol 2007;42:990–996CrossRefGoogle ScholarPubMed
Tselmin, SKorenblum, WReimann, MBornstein, SRSchwaz, PEThe health status of Russian-speaking immigrants in Germany. Horm Metab Res 2007;39:858–861CrossRefGoogle ScholarPubMed
Vatnaland, TVatnaland, SFriis, SOpjordsmoen, SAre GAF scores reliable in routine clinical use?. Acta Psychiatr Scand 2007;115:326–343CrossRefGoogle ScholarPubMed
Veen, NSelten, JPHoek, HWFeller, Wvan der Graaf, YKahn, RUse of illicit substances in psychosis incidence cohort: a comparison among different ethnic groups in the Netherlands. Acta Psychiatr Scand 2002;105:440–443CrossRefGoogle ScholarPubMed
Veling, WSelten, JPVeen, NLaan, WBlom, DJHoek, WHIncidence of schizophrenia among ethnic minorities in the Netherlands. A four years first-contact study. Schizophr Res 2006;86:189–193CrossRefGoogle ScholarPubMed
Wennström, ESörbom, DWiesel, FAFactor structure in the Camberwell Assessment of Need. Br J Psychiatry 2006;185:505–510CrossRefGoogle Scholar
Wittig, ULindert, JMerbach, MBrähler, EMental health of patients from different cultures in Germany. Eur Psychiatry 2008;23:28–35CrossRefGoogle ScholarPubMed
World Health Organisation. ICD-10. International classification of diseases and health related problems. Tenth revision. Geneva: 1996.Google Scholar
World Health Organisation. The World Health Report 2001. Mental health: new understanding, new hope. Geneva: 2001.Google Scholar
Submit a response

Comments

No Comments have been published for this article.