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Health services and the treatment of immigrants: data on service use, interpreting services and immigrant staff members in services across Europe U. Kluge, M. Bogic, W. Devillé, T. Greacen, M. Dauvrin, S. Dias, A. Gaddini, NK. Jensen, E. Ioannidi-Kapolou, R. Mertaniemi, R. Puipcinós i Riera, S. Sandhu, A. Sarvary, JFF. Soares, M. Stankunas, C. Straßmayr, M. Welbel, A. Heinz, S. Priebe ................................................................................. S56 The concept of “intercultural opening”: development of an assessment tool for the appraisal of its current implementation in the mental health care system S. Penka, U. Kluge, A. Vardar, T. Borde, D. Ingleby ............................................................................................... S63 Cross-cultural training in mental health care – challenges and experiences from Sweden and Germany S. Bäärnhielm, M. Mösko ....................................................................................................................................... S70 Teaching psychiatry and establishing psychosocial services – lessons from Afghanistan I. Missmahl, U. Kluge, Z. Bromand, A. Heinz ........................................................................................................ S76 Epilogue A. Kleinman ............................................................................................................................................................ S81 Proofs 00_contents.indd II 14/06/2012 14:47:27
Editorial © 2012 Elsevier Masson SAS. All rights reserved. European Psychiatry 27 (2012) / supplement n°2 / S1-S3 Mental health in different groups of migrants and ethnic minority within Europe and beyond: Regional and cross- national challenges and approaches in research, practice and training A. Heinz a , U. Kluge a a Department of Psychiatry & Psychotherapy, Charité Berlin, Germany Mental health and migration are two issues of increasing importance for health care systems and services regarding prevention, promotion and the quality of delivery of care. Immigration and emigration are as old as mankind, however, new forms of mobility [5,10], the effects and consequences of war and demographic changes (to name just a few) created a new quality of migration in recent years that affects European health care systems and services. A great variety of lifestyles, everyday realities and diverse cultural repertoires are interwoven and compete with each other. Migratory milieus and cross- cultural relationships create new spaces, in which individuals from different cultural backgrounds experience diversity and develop their identity and their conception of the self and their environment. The so called globalisation creates new challenges and demands and promotes new competences [24] – also in the health sector [20]. The number of migrants in the world has more than doubled since 1975, with most migrants living in Europe (56 million), Asia (50 million) and Northern America (41 millions) [8]. In Europe, approximately 27% of the population between 18 and 65 years of age are affected by at least one mental disorder, and roughly a quarter of these individuals are in treatment [23]. Mental disorders belong to the group of diseases with the highest proportion of “Disability Adjusted Life Years” (DAYLs), as demonstrated by the Global Burden of Disease Study conducted by the WHO [25]. The economic burden caused by mental diseases Proofs 68767 EUROPEAN PSYCHIATRY THE JOURNAL OF THE EUROPEAN PSYCHIATRIC ASSOCIATION ISSN 0924-9338 June 2012 Vol. 27 - Supplement n°2 pp. S1-S81 Migration and Mental Health S1 Editorial A. Heinz, U. Kluge S4 The willingness to participate in health research studies of individuals with Turkish migration backgrounds: barriers and resources. A qualitative analysis of focus groups D. Dingoyan, H. Schulz, M. Mösko S10 Socio-economic status and emotional distress of female Turkish immigrants and native German women living in Berlin MC. Aichberger, Z. Bromand, A. Heredia Montesinos, S. Temur-Erman, A. Mundt, A. Heinz, MA. Rapp, M. Schouler-Ocak S17 Mental health of Turkish woman in Germany: resilience and risk factors Z. Bromand, S. Temur-Erman, R. Yesil, A. Heredia Montesinos, MC. Aichberger, D. Kleiber, M. Schouler-Ocak, A. Heinz, MC. Kastrup, MA. Rapp S22 The infl uence of stigma on depression, overall psychological distress, and somatization among female Turkish migrants A. Heredia Montesinos, MA. Rapp, S. Temur- Erman, A. Heinz, U. Hegerl, M. Schouler-Ocak S27 Translation and adaptation of the Zung Self-Rating Depression Scale for application in the bilingual Azerbaijani population F. Mammadova, M. Sultanov, A. Hajiyeva, M. Aichberger, A. Heinz S32 Construction and interpretation of self-related function and dysfunction in Intercultural Psychiatry A. Heinz, F. Bermpohl, M. Frank S44 Explanatory models and concepts of West African Malian patients with psychotic Symptoms F. Napo, A. Heinz, A. Auckenthaler S50 How to express mental health problems: turkish immigrants in Berlin compared to native Germans in Berlin and Turks in Istanbul A. Vardar, U. Kluge, S. Penka S56 Health services and the treatment of immigrants: data on service use, interpreting services and immigrant staff members in services across Europe U. Kluge, M. Bogic, W. Devillé, T. Greacen, M. Dauvrin, S. Dias, A. Gaddini, NK. Jensen, E. Ioannidi-Kapolou, R. Mertaniemi, R. Puipcinós i Riera, S. Sandhu, A. Sarvary, JFF. Soares, M. Stankunas, C. Straßmayr, M. Welbel, A. Heinz, S. Priebe S63 The German concept of “intercultural opening” as an answer to challenges of migration - the development of an assessment tool for the appraisal of its current implementation in the mental health care system S. Penka, U. Kluge, A. Vardar, T. Borde, D. Ingleby S 70 Cross-cultural training in mental health care – challenges and experiences from Sweden and Germany S. Bäärnhielm, M. Mösko S75 Teaching psychiatry and establishing psychosocial services – lessons from Afghanistan I. Missmahl, U. Kluge, Z. Bromand, A. Heinz S80 Afterword A. Kleinman is the highest compared with other diseases [3]. Nevertheless, migrants and people suffering from mental health problems are among those subjects who experience the strongest barriers to access the health care systems in Europe [7] and the opening of mental health care institutions to migrants remains a widely neglected topic. Barriers preventing migrants to access the health care system are often attributed to cultural differences and misunderstandings. However, “culture” is a multifaceted term that is often (mis- )used as a putative politically correct expression of “ethnical differences”, thus reifying social differences and neglecting discrimination. Misinterpretation of social differences as cultural can therefore result in inappropriate culturalisation and lead to new stigmatisation and exclusion. On the other hand, clinical practice is often characterized by a lack of basic provisions to cope with cultural and social diversity, as indicated e.g. by the failure to provide translators in clinical settings. Therefore, we would like to emphasize that our use of the term “culture” does not refer to a homogenous, “ethnic” category but rather to diverse aspects of a web of meanings that embeds people in various contexts [9]. Individuals develop as well as participate in diverse systems that order the available knowledge and actions with meaning. Culture is thus constituted by actions in the social and physical world and can be named as just one aspect of differentiation besides historical, social and economical features. 01_Edito.indd S1 14/06/2012 14:48:47
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Page 9 and 10: studies [8,6,27]. Commonly suggeste
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Page 23 and 24: were then scrutinized independently
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patients (often with lower social s
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are listed by Turkish immigrants in
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[19] Schnegg M, Lang H. Die Analyse
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1. Introduction The number of immig
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on the availability of service usag
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Studies in some European countries
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© 2012 Elsevier Masson SAS. All ri
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our study, we composed an assessmen
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With regard to content, the pilot a
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Acknowledgments We are very gratefu
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cross- cultural mental health train
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3.3.2. German experiences Despite t
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[31] Mösko M, Gil- Martinez F, Sch
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2. Psychosocial care as a necessary
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* First Rank Symptoms according to
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Epilogue A. Kleinman Esther and Syd
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