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Sociodemographic profile and mental health needs of referrals to an Irish psychiatric service: a transcultural perspective

Published online by Cambridge University Press:  13 June 2014

Mohamed Ahmed*
Affiliation:
Brothers of Charity Services, Galway &, Dept of Psychiatry, National University of Ireland, Galway, Ireland
Brendan Dineen
Affiliation:
Health Research Board & Department of General Practice, National University of Ireland, Galway
Sinead O'Brien
Affiliation:
Mercy University Hospital, Cork
Philip A Carney
Affiliation:
Department of Psychiatry, National University of Ireland, Galway, Ireland
*
*Correspondence E-mail: [email protected]

Abstract

Objectives: This study describes the social, demographic and clinical characteristics of all the new referrals in a mental health catchment area. This study aims to compare Irish and non-Irish service users in terms of their mental health needs and service utilization.

Method: Case notes were reviewed retrospectively to investigate demographic, clinical and service utilization parameters among new referrals to the psychiatric services in Galway, Ireland over a six-month period.

Results: One hundred and fifty-four new referrals, of whom 41 were non-Irish, presented over a six-month period. Results showed no difference between Irish and non-Irish service users in terms of socio-demographic variables. Alcohol problems and subsequent need for detoxification and counselling were significantly higher among service users from the new EU accession states with a significant impact on the duration of their hospital stay and the need for intensive psychiatric care.

Conclusions: There is an urgent need for enhanced resources for the delivery of mental healthcare to immigrants. Service utilisation and mental health needs are not explained merely by illness-related aspects in immigrant service users. Social and cultural factors have to be recognised in order to prevent disadvantages in psychiatric care.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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References

1.Silove, D, Steel, Z, Watters, C. Policies of deterrence and the mental health of asylum seekers. J Am Med Assoc 2000; 284: 604–11CrossRefGoogle ScholarPubMed
2.Joppke, C. Why liberal states accept unwanted immigration. World Politics 1998; 50: 266293.CrossRefGoogle Scholar
3.Office of the Refugee Applications Commissioner (2007). Annual Report; Government Stationary Office, Dublin.Google Scholar
4.Census Report (2006). Central Statistics Office; Government Stationary Office, Dublin.Google Scholar
5.Annual Report (2006). Galway Chamber of Commerce and Industry, Galway.Google Scholar
6.A Vision for Change (2006). Report of the expert group on mental health policy: 40-41. Government Stationary Office, Dublin.Google Scholar
7.Kleinman, AM. Depression, somatization and the new cross-cultural psychiatry. Soc Sci Med 1977; 11: 310.CrossRefGoogle ScholarPubMed
8.Kennedy, N, Jerrard-Dunne, P, Gill, M, Webb, M. Characteristics and treatment of asylum seekers reviewed by psychiatrists in an Irish inner city area. Ir J Psych Med 2002; 19:47.CrossRefGoogle Scholar
9.MacFarlane, A, editor. Participation of ethnic minority communities in primary care service design, planning and delivery; proceedings of the ethnic minority Conference (2007). National University of Ireland, Galway.Google Scholar
10.Summerfield, D. Asylum-seekers, refugees and mental health services in the UK. Psychiatr Bull 2001; 25: 161–2.CrossRefGoogle Scholar
11.Summerfield, D. Mental health of refugees. Br J Psychiatry 2003; 183: 457458.CrossRefGoogle ScholarPubMed
12.Kahn, RS, Wise, PH, Kennedy, BP, Kawachi, I. State income inequality, household income, and maternal mental and physical health: cross sectional national survey. Br Med J 2000; 321: 1311–1.CrossRefGoogle ScholarPubMed
13. Health Services Executive-Western Area, Mental health Services; 2006; http://www.whb.ie/OurServices/MentalHealth. (Accessed 12 January 2007).Google Scholar
14. SPSS (Statistical Package for the Social Sciences). SPSS for Windows Version 14 – Release 14.0.1, 2005: Chicago, SPSS, Inc.Google Scholar
15.Hollifield, J. The emerging migration state. Int Migr Rev 2004; 38: 885912CrossRefGoogle Scholar
16.Rehm, J, Rehn, N, Room, R, Monteiro, M, Gmel, G, Jernigan, D, et al.The global distribution of average volume of alcohol consumption and patterns of drinking. Eur Addict Res 2003; 9: 147156.CrossRefGoogle ScholarPubMed
17.Van Velsen, C, Gorst-Unsworth, C, Turner, SW. Survivors of torture and organised violence: demography and diagnosis. J Traumatic Stress 1996; 9: 181–93.CrossRefGoogle ScholarPubMed
18.Maginn, S, Boardman, AP, Craig, TKJ, Haddad, M, Heath, G, Stott, J. The detection of psychological problems by general practitioners – influence of ethnicity and other demographic variables. Soc Psychiatry Psychiatr Epidemiol 2004; 39: 464471.CrossRefGoogle ScholarPubMed