A Central Clearing Clinic to Provide Mental Health Services for Refugees in Germany

Frontiers in Public Health

Sibylle-Maria Winter¹  Anja Haberlandner¹  Dimitris Repantis²  Carlos Ajami²  Isabella Heuser²  Max Benedikt Burger²  Eric Hahn²  Jihad Alabdullah²  Malek Bajbouj²  Stefanie Schreiter³  Ulrike Kluge³  Armin Hoyer³  Patricia Panneck³  Andreas Heinz³  Igor Sutej³  Marion Aichberger³  Joachim Seybold⁴ 

[1] Department of Child and Adolescent Psychiatry, Campus Virchow Klinikum, Charité – Universitätsmedizin Berlin, Berlin, Germany;Department of Psychiatry, Campus Benjamin Franklin, Charité – Universitätsmedizin Berlin, Berlin, Germany;Department of Psychiatry, Campus Mitte, Charité – Universitätsmedizin Berlin, Berlin, Germany;Medical Directorate, Charité – Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany;

关键词: refugees;    mental health;    posttraumatic stress disorder;    affective disorder;    stress;    migration health;   

DOI  :  10.3389/fpubh.2021.635474

来源: DOAJ

【 摘 要 】

Objective: To determine migration related distress pattern in refugees and feasibility of a de novo established, central low-threshold outpatient clinic serving more than 80,000 newly arrived refugees in the metropole of Berlin.Methods: In an observational cohort study the relative prevalence of major psychiatric disorders by age, place of living within berlin, language and region of origin were assessed in a refugee cohort from 63 nationalities speaking 36 languages.Findings: Within 18 months, a total of 3,096 cases with a mean age of 29.7 years (11.7) have been referred from all 12 districts and 165 of 182 subdistricts of Berlin to the CCC. 33.7% of the patients were female. The three most frequent diagnoses were unipolar depression (40.4%), posttraumatic stress disorder (24.3%), and adjustment disorder (19.6%).Conclusion: The present data gives insight into the distribution of mental disorders in a large sample of refugees and provides evidence that a CCC is an effective service to quickly and broadly provide psychiatric consultations and thus to overcome classical barriers refugees usually experience in the host communities. In Berlin, Germany, and Europe treatment resources for this population should focus on stress and trauma related disorders.

【 授权许可】

Unknown