Inanspruchnahme ambulanter psychiatrischer Versorgung bei vietnamesischen Migranten der ersten Generation in Deutschland / Mental Health Care Utilization of First Generation Vietnamese Migrants in Germany

Author(s): Thi Minh Tam TA ; Andres H. NEUHAUS ; Ronald BURIAN ; Georg SCHOMERUS ; Anita VON POSER ; Albert DIEFENBACHER ; Birgitt RÖTTGER-RÖSSLER ; Michael DETTLING ; Eric HAHN

https://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370008

Zusammenfassung

Anliegen: Vietnamesische Migranten nehmen psychiatrische Versorgungsangebote vermindert in Anspruch.

Methoden: Die Inanspruchnahme eines muttersprachlich-vietnamesischen Versorgungsangebots wurde über 2,5 Jahre analysiert.

Ergebnisse: Es stellten sich zumeist vietnamesische Patientinnen der 1. Generation mit geringen Deutschkenntnissen vor. Im Verlauf zeigte sich eine Zunahme der erstmaligen Inanspruchnahme, insbesondere bei depressiven Störungen.

Schlussfolgerungen: Ein muttersprachliches Angebot mit aktiver Vernetzung in den Communities kann die Versorgung schwer erreichbarer Migrantengruppen verbessern.

Schlüsselwörter

Migration – vietnamesische Migranten – Inanspruchnahme – Migranten 1. Generation – muttersprachliche psychiatrische Versorgung

Abstract

Objective: Vietnamese migrants underutilize and are a “hard to reach group” within the existing mental health care system in Germany.

Methods: We analyzed migration related and clinical data for all first-time Vietnamese migrants seeking psychiatric help, within the first 30 months of a newly established outpatient clinic, offering culture-sensitive psychiatric treatment in native Vietnamese language.

Results: Most first time patients were female, first generation Vietnamese migrants with poor German language skills. Only 1 /3 of all patients had a psychiatric history, while this number was higher in patients with schizophrenia. Over time, more first time patients with depression were seeking psychiatric care, accompanied with an increase of non-professional referrals within the Vietnamese communities.

Conclusion: This first study on mental health care utilization in Vietnamese migrants in Germany points towards the fact that “migrants” cannot be considered as a homogeneous group. Mental health care utilization must be evaluated for specific migrant groups, and can be initially improved if offered in native language and when it is referred to by members of migrant communities.

Tags: Vietnam, Germany, First generation, Psychiatric healthcare, Access to mental health care, Schizophrenia, Depression, Transcultural approach

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