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

Autor:	Bajbouj M; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Panneck P; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany., Winter SM; Department of Child and Adolescent Psychiatry, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany., Ajami C; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Alabdullah J; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Benedikt Burger M; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Haberlandner A; Department of Child and Adolescent Psychiatry, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany., Hahn E; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Heinz A; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany., Heuser I; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Hoyer A; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany., Kluge U; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany., Aichberger M; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany., Repantis D; Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany., Schreiter S; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany., Seybold J; Medical Directorate, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany., Sutej I; Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2021 Feb 01; Vol. 9, pp. 635474. Date of Electronic Publication: 2021 Feb 01 (Print Publication: 2021).
DOI:	10.3389/fpubh.2021.635474
Abstrakt:	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. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Bajbouj, Panneck, Winter, Ajami, Alabdullah, Benedikt Burger, Haberlandner, Hahn, Heinz, Heuser, Hoyer, Kluge, Aichberger, Repantis, Schreiter, Seybold and Sutej.)
Databáze:	MEDLINE
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