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首页> 外文期刊>The International journal of social psychiatry >Migrants referring to the Bologna Transcultural Psychiatric Team: reasons for drop-out.
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Migrants referring to the Bologna Transcultural Psychiatric Team: reasons for drop-out.

机译：指博洛尼亚跨文化精神病学小组的移民：辍学的原因。

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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.
机译：背景：新移民在适应西方国家时面临各种困难，并且显示出很高的精神障碍患病率。获得文化上适当的社区心理健康中心（CMHC）对于移民至关重要（Bhui等，2007）。博洛尼亚西部跨文化精神病学小组（BoTPT，Tarricone等，2009）是意大利首批优先重视文化能力护理的项目之一。本文旨在评估这项服务的有效性，并描述患者和精神科干预的哪些特征与“辍学”有关。方法：纳入所有在1999年7月1日至2008年6月30日期间连续参加BoTPT的移民，并在首次联系时和六个月后再次进行评估。结果：六个月后，我们随访了162例患者。其中32例（17.9％）中断了治疗。非亚洲血统，近期移民史和未接受社会干预是辍学病例的最强预测因子。结论：可以通过以下方面提高向移民提供的精神科咨询服务的效率：（a）通过文化调解员的参与提高文化能力; （b）首次精神病接触者的社会支持。精神科咨询的这两个特征可以从CMHC中通常存在的资源中开发出来，然后可以成为满足第一代移民心理健康需求的具有成本效益的策略。

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