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首页> 外文期刊>The International journal of social psychiatry >Migrant pathways to community mental health centres in Italy
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Migrant pathways to community mental health centres in Italy

机译：前往意大利社区心理健康中心的移民途径

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Background: Many studies indicate that migrants in western countries have limited access to and low utilization of community mental health centres (CMHCs) despite the high prevalence of mental disorders. Aims: We aimed to compare migrant pathways to care across four CMHCs located in different Italian provinces and to identify pathway to care predictors. Methods: Migrants attending the four CMHCs between 1 July 1999 and 31 December 2007 were included in the study. Data were gathered retrospectively from clinical data sets and chart review. Results: Five hundred and eleven (511) migrants attended the four CMHCs, 61% were referred by GPs or other health services and 39% followed non-medical pathways to care (self-referral or through social and voluntary organizations), with important site variations. Younger age and being married were predictors of medical pathways to care; lacking a residence permit and having a diagnosis of substance abuse were related to non-medical pathways. Conclusions: Pathways to CMHCs are complex and influenced by many factors. Non-medical pathways to care seem to be frequent among migrants in Italy. More attention should be paid to developing psychiatric consultation liaison models that also encompass the social services and voluntary organizations.
机译：背景：许多研究表明，尽管精神疾病的患病率很高，但西方国家的移民进入社区精神卫生中心的机会有限且利用率低。目的：我们旨在比较位于意大利不同省份的四个CMHC的移民护理途径，并确定通往护理预测者的途径。方法：研究纳入了1999年7月1日至2007年12月31日期间参加这四个CMHC的移民。从临床数据集和图表审查中回顾性收集数据。结果：五百一十一（511）名移民参加了四个CMHC，其中61％由全科医生或其他卫生服务机构转介，39％遵循非医疗途径（自我推荐或通过社会和志愿组织）进行护理，且地点重要变化。年龄较小和已婚是医疗途径的预测因素。缺乏居留证和诊断为滥用药物与非医疗途径有关。结论：CMHCs的途径很复杂，并受许多因素影响。在意大利的移民中，非医疗护理途径似乎很常见。应该更加注意发展精神科咨询联络模式，该模式也应包括社会服务机构和志愿组织。

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