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Migrants referring to the Bologna Transcultural Psychiatric Team: Reasons for drop-out

Author

Listed:
  • Ilaria Tarricone
  • Anna Rita Atti
  • Mauro Braca
  • Graziano Pompei
  • Michela Morri
  • Francesca Poggi
  • Saverio Melega
  • Elisa Stivanello
  • Lorenza Tonti
  • Maria Nolet
  • Domenico Berardi

Abstract

Background : Recent immigrants face various difficulties in adjusting to western countries and show a high prevalence of mental disorders. Access to a culturally appropriate community mental health centre (CMHC) is crucial for immigrants (Bhui et al., 2007). The Bologna West Transcultural Psychiatric Team (BoTPT, Tarricone et al., 2009) is one of the first projects in Italy that prioritizes cultural competence care. This paper aims to evaluate the effectiveness of this service and to describe what characteristics of patient and psychiatric intervention are related to ‘drop-out’. Method : All migrants who consecutively attended the BoTPT between 1 July 1999 and 30 June 2008 were included and evaluated at first contact and again six months later. Results : After six months we followed up 162 patients; 32 (17.9%) of these had interrupted treatment. Non-Asian origin, a recent history of migration and not receiving social intervention were the strongest predictors of drop-out cases. Conclusion : Psychiatric consultation services to migrants could be made more effective by enhancing: (a) cultural competence, through cultural mediator involvement; and (b) social support from the first psychiatric contact. These two characteristics of psychiatric consultation could be developed from resources ordinarily present in the context of a CMHC and could then become a cost-effective strategy for addressing mental health needs among first-generation immigrants.

Suggested Citation

  • Ilaria Tarricone & Anna Rita Atti & Mauro Braca & Graziano Pompei & Michela Morri & Francesca Poggi & Saverio Melega & Elisa Stivanello & Lorenza Tonti & Maria Nolet & Domenico Berardi, 2011. "Migrants referring to the Bologna Transcultural Psychiatric Team: Reasons for drop-out," International Journal of Social Psychiatry, , vol. 57(6), pages 627-630, November.
    • Handle: RePEc:sae:socpsy:v:57:y:2011:i:6:p:627-630
    DOI: 10.1177/0020764010382368
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    References listed on IDEAS

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    1. Morgan, Craig & Mallett, Rosemarie & Hutchinson, Gerard & Leff, Julian, 2004. "Negative pathways to psychiatric care and ethnicity: the bridge between social science and psychiatry," Social Science & Medicine, Elsevier, vol. 58(4), pages 739-752, February.
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    Cited by:

    1. Mauro Braca & Domenico Berardi & Elisa Mencacci & Martino Belvederi Murri & Stefano Mimmi & Fabio Allegri & Fausto Mazzi & Marco Menchetti & Ilaria Tarricone, 2014. "Understanding psychopathology in migrants: A mixed categorical-dimensional approach," International Journal of Social Psychiatry, , vol. 60(3), pages 243-253, May.

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