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S68 S. Penka et al. / European Psychiatry 27 (2012) / supplement n°2 / S63-S69 Item Subpoints 1. Institution 1.1. General information about institution (function, profession of interviewee etc.) 1.2 Policy of institution (existing policy) 2. Staff 2.1. Number of staff in previous year (divided by salaried employees, freelancers, trainees etc.) 2.2 Information about staff with migration background (divided by salaried employees, freelancers, etc; country of origin) 2.3 J ob advertisements (in the last four years, migrants encouraged to apply, fi lled by migrant) 2.4 Occupational categories (number of staff per occupation, number of migrants per profession, number of employees without German citizenship) 3. Clients/ Patients general 3.1 Number of clients/ patients (number previous year, data base) 4. Clients/ Patients with 4.1 Utilisation by migrants (subjective assessment of claims made by migrants, reasons) migration background 4.2 Information about migration background (recording data relation to migration background, etc.) 4.3 Number of clients/ patients with migration background in previous year (number, data base) 5. Access 5.1 Access routes to institution (number of clients/ patients per each route, predominant routes by migrants 6. Aftercare 6.1 Aftercare (specialized aftercare protocols, inclusion of contacts with intercultural or migrant- specifi c facilities, description) 7. Migrant- specifi c offers 7.1 Migrant specifi c offers (existing migrant specifi c offers, description, reasons for (non- ) existing) 8. Facilities and services 8.1 Offer of facilities and services (Non- German newspapers in public areas; multilingual door plates, inscriptions etc. in and outside of institution; rooms for religious practices; provision of suitable food according to religion etc.) 9. Linguistic communication 9.1 Language skills of staff (number and names of foreign languages and mother tongue of staff divided by occupation) 9.2 Linguistic communication with Non- German speaking clients/ patients (percentage of clients / patients care / treatment in German language not being possible; frequency of communication with the help of use of gestures, persons accompanying client/ patient, use of native- speaking employees, use of professional interpreter etc.) 9.3 Interpreters (work with interpreters, frequency of involvement, fi nancing of interpreters, Reasons for non- involvement of interpreters etc.) 9.4 Cultural mediation (Provision of cultural mediation, description) 10. Continuing intercultural 10.1 Continuing education on intercultural subjects, intercultural competence and intercultural education, cultural team work (participation of employees in continuing education on these topics, encouragement competence and team- work by management to participate, employees regularly asked to participate etc.) 10.2 Intercultural competence (understanding of intercultural competence of interviewee, intercultural competence of staff etc.) 10.3 Intercultural team work (employees with migration background in charge of clients/ patients with migration background, existing tandem- .counseling etc.) 10.4 Case discussion (consideration of cultural and migration- specifi c aspects, frequency of taking into consideration, occupational groups taking part etc.) 10.5 Supervision (employees receiving supervision; frequency; occupational groups participating, consideration of subjects interaction with migrants etc.) 11. Survey of demand, demand 11.1 Quality control (employed measures, consideration of persons with migration planning background or migrant- specifi c topics, how) 12. Information 12.1 Information material and information paths (information leafl ets in various languages, client- / patient- information in various languages, multilingual website, outreach activities in migrant community structures etc.) 13. Empowerment/ 13.1 Contact person for migrants (existing contact point/ contact person for patients / clients in general, Participation support of specifi c migrant- issues etc.) of migrants 13.2 Self- help groups (support of patients/ clients in fi nding or founding self- help group, support of migrants etc.) 14. Cooperation 14.1 Cooperation with institutions (existing cooperation, with whom) 15. Intercultural opening 15.1 Management Level (support/ promotion of intercultural opening by management, management interested in improving care/ treatment of migrants, person with migration background employed at management level etc.) 16. Goals reached 16.1 Services utilized by persons with migration background to equal degree as other clients/ patients 17. Outlook 17.1 Estimation with regard to equal access to psychosocial care compared to indigenous Germans 17.2 Kind of interaction generally liken to see in psychosocial care Fig. 3. The fi nal assessment tool. Proofs
Acknowledgments We are very grateful to Prof. Dr. S. Gaitanides, Prof. Dr. D. Filsinger, Dr. M. Gavranidou, Dr. E. Koch, Prof. Dr. W. Machleidt, Prof. Dr. R. Schepker, Prof. Dr. U. Boos- Nünning, Prof. Dr. M. Zaumseil, Monika Wagner, Dr. H. Schröer, AKARSU e.V. Berlin for participating into our Delphi process. The study id funded by the VW-foundation (VW-AZ,84336) and supported by the German Federal of Education and Research (BMBF 01 ELO807). Confl ict of interest statement None. References [1] Anderson LM, Scrimshaw SC, Fullilove M T, Fielding J E, Normand J and the Task Force on Community Preventive Services. Culturally Competent Healthcare Systems- A Systematic Review. Am J Prev Med 2003;24(3S):68- 79. [2] Barwig K, Hinz- Rommel W (ed.), Interkulturelle Öffnung sozialer Dienste; Freiburg, 1995. [3] Betancourt JR, Green AR, Carrillo JE, Cultural Competence in Health Care: Emerging frameworks and practical approaches. FIELD REPORT. 2002. www.azdhs.gov/bhs/cchc.pdf [last access: 25.02.2012]. [4] Borde T, Interkulturelle Öffnung in der Gesundheitsversorgung: was heißt das? Impu!se, Newsletter zur Gesundheitsförderung 2009;62:2- 3. [5] Borde T, David M. Checkliste “Interkulturelle Öffnung von Krankenhäusern und anderen Versorgungseinrichtungen”. 2004, Berlin http://www.ashberlin.eu/hsl/freedocs/121/ChecklisteInterkulturelle OeffnungVersorgungseinrichtungen.pdf [last access: 18.01.2012]. [6] Bundesweiter Arbeitskreis Migration und öffentliche Gesundheit, Kompetente Versorgung von Migrantinnen und Migranten im Krankenhaus benötigt eine(n) Migrations- / Migranten/ - oder Integrationsbeauftragte, 2009. http://www.bundesregierung.de/Content/ DE/Artikel/IB/Anlagen/2009- 08- 26- bundesweiter- arbeitskreis.pdf?__ blob=publicationFile [last access: 18.01.2012]. [7] Cattacin S, Chimienti M et al., Difference Sensitivity in the Field of Migration and Health. National policies compared. 2007. Geneva: Working Paper No 1 of the Department of sociology of thhttp://www. unige.ch/ses/socio/publications/dernierespublications/wp1/WEB_working_paper_n1_complet.pdfe University of Geneva. [8] Chiarenza A, Robinson J, Spilker R, HPH TF MFCCH Task Force on Migrant- Friendly and Culturally Competent Health Care: Developing standards for assessing equity of access and quality of health care for migrants and other vulnerable groups. Workshop of the Task Force MFCCH, International HPH Conference, 2011, Turku,1st- 3rd June 2011 http://www.ausl.re.it/ HPH/FRONTEND/Home/DocumentViewer.aspx?document_id=1151 [last access: 06.02.2012]. [9] Die Bundesregierung, Der Nationale Integrationsplan. Neue Wege- neue Chancen. 2007 http://www.bundesregierung.de/Content/DE/Archiv16/ Artikel/2007/07/Anlage/2007- 10- 18- nationaler- integrationsplan.pdf?__ blob=publicationFile [last access: 18.01.2012]. [10] Goode TD. Promoting cultural and linguistic competency: selfassessment checklist for personnel providing primary health care services. 2004, Maryland: Georgetown University Center for Child and Human Development. http://www11.georgetown.edu/research/gucchd/nccc/ documents/Checklist%20PHC.pdf. [last access: 02.02.2012]. S. Penka et al. / European Psychiatry 27 (2012) / supplement n°2 / S63-S69 S69 [11] Häder M. Delphi- Befragungen. 2009, Wiesbaden: VS Verlag für Sozialwissenschaften. [12] Handschuck S, Schröer H. Interkulturelle Orientierung und Öffnung von Organisationen. Strategische Ansätze und Beispiele der Umsetzung. In: neue praxis, 2002;(2):511- 21. [13] Hinz- Rommel W. Interkulturelle Kompetenz- ein neues Anforderungsprofi l für die soziale Arbeit, Waxmann: Münster: New York; 1994 [14] Hinz- Rommel W. Interkulturelle Öffnung sozialer Dienste und Einrichtungen. Hindernisse und Ansatzpunkte. In: IZA- Zeitschrift für Migration und Soziale Arbeit, 1998/1, 36- 41. [15] Hinz- Rommel W, Checkliste: Interkulturelle Soziale Arbeit. http://www. ida- nrw.de/projekte- interkulturell- nrw/such_ja/12down_1/pdf/hinz_ rom.pdf [last access: 18.01.2012]. [16] Karl- Trummer U, Schulze B, Krajic K, Novak- Zezula S, Nowak P, Pelikan JM, SF_MFQQ. Short Form- Migrant Friendly Quality Questionnaire. Deutsche Fassung. 2006 www.mighealth.net/at/images/8/81/SF_ MFQQ2006.pdf [last access: 01.08.2011]. [17] Kiesel D. Jung, fremd, defi zitär und bereichernd. Zum interkulturellen Diskurs in den Erziehungswissenschaften. In: L Breidenstein, D Kiesel, J Walther (ed.) Migration, Konfl ikt und Mediation. Zum interkulturellen Diskurs in der Jugendarbeit. Frankfurt/ M ; 1998:103- 22. [18] Kimil A, Salman R. Sozialpsychiatrische Versorgungssituation von Migrantinnen und Migranten in der Region Hannover. 2007, Sozialpsychiatrische Schriften Band 2. http://www.hannover.de/data/ download/RH/Ges_Soz/sozpsych/sozpsych_Versorgung_Migranten_ RH.pdf [last access: 18.01.2012]. [19] Landeshauptstadt München Referat für Gesundheit und Umwelt (ed.). Interkulturelle Öffnung von Psychiatrischen Einrichtungen II. Dokumentation des Fachtages vom 17. November 2006 in München: Referat für Gesundheit und Umwelt; 2006. [20] Landschaftsverband Rheinland (ed). Tagungsdokumentation. Interkulturalität im Gemeindepsychiatrischen Verbund. Dokumentation der SPKoM- Fachtagung am 29.04.2008 in Köln- Deutz: Horion- Haus; 2008. [21] Linstone HA, Turoff M (ed.). The Delphi- Method: techniques and applications. London: Reading, Mass: Addison- Wesley Company; 1975. [22] Machleidt W. Die Sonnenberger Leitlinien- Transkulturelle Psychiatrie und Psychotherapie in Deutschland. In: Machleidt W, Salman R, Calliess I T (ed.), Die Sonnenberger Leitlinien. Integration von Migranten in Psychiatrie und Psychotherapie, 2006;21–35. [23] Mladovsky P. A framework for analyzing migrant health policies in Europe. Health Policy 2009;93(1):55–63. [24] Oberndörfer D. Zuwanderung nach Deutschland- eine Bilanz. In: Rat für Migration e.V. (Hrsg.) Politische Essays zu Migration und Integration, 2/2007. [25] Pavkovic G. Interkulturelle Kompetenz und Qualität in der Suchtkrankenhilfe. In: Salman R, Tuna S, Lessing A (ed.) Handbuch interkulturelle Suchthilfe. Modelle, Konzepte und Ansätze der Prävention, Beratung und Therapie. 1999;56- 63. [26] Priebe S, Hoffmann K. Sozialpsychiatrie und gemeindenahe Versorgung. In: Freyberger HJ, Schneider W, Stieglitz RD (ed.): Kompendium Psychiatrie, Psychotherapie, Psychosomatische Medizin. Basel, Karger, 2002;338- 48. [27] Schröer H. Interkulturelle Öffnung und Diversity Management- Konzepte und Strategien zur Arbeitsmarktintegration von Migrantinnen und Migranten. In: Zentralstelle für die Weiterbildung im Handwerk e.V. (ZWH) (ed.), 2002, Schriftenreihe IQ, Band 1. [28] Siegel C, Davis- Chambers E, Haugland G, Bank R, Aponte C, McCombs H. Performance measures of cultural competency in mental health organizations. Administration and Policy in Mental Health and Mental Health Services Research 2000;28(2),91- 106. [29] Ünal A, Checkliste für Interkulturalität. In: Landschaftsverband Rheinland (ed.) Interkulturalität im Gemeindepsychiatrischen Verbund. Dokumentation der SPKoM- Fachtagung am 29.04.2008 in Köln- Deutz, Horion- Haus. 2008. Köln. Proofs
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68767 EUROPEAN PSYCHIATRY THE JOURN
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Vol. 27, Supplement n°2, June 2012
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Editorial © 2012 Elsevier Masson S
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health of Turkish woman in Germany:
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studies [8,6,27]. Commonly suggeste
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lack of desire to obtain an educati
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the study should be emphasised [4,1
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clear is the picture regarding depr
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SD=15.9; t(183)= - 2.575; p=.011).
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as caring for children and taking c
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Page 23 and 24: were then scrutinized independently
Page 25 and 26: [6] Berry J, Kim U. Acculturation a
Page 27 and 28: A. Heredia Montesinos et al. / Euro
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Page 47 and 48: Acknowledgements This work was supp
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Page 61 and 62: 1. Introduction The number of immig
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