Abstract:
AIM:To determine whether disparities exist in mental health care provision to immigrants and Italian citizens with severe mental illness in Bologna, Italy. METHODS:Records of prevalent cases on 31/12/2010 with severe mental illness and ≥1 contact with Community Mental Health Centers in 2011 were extracted from the mental health information system. Logistic and Poisson regressions were carried out to estimate the probability of receiving rehabilitation, residential or inpatient care, the intensity of outpatient treatments and the duration of hospitalisations and residential care for immigrant patients compared to Italians, adjusting for demographic and clinical covariates. RESULTS:The study population included 8602 Italian and 388 immigrant patients. Immigrants were significantly younger, more likely to be married and living with people other than their original family and had a shorter duration of contact with mental health services. The percentages of patients receiving psychosocial rehabilitation, admitted to hospital wards or to residential facilities were similar between Italians and immigrants. The number of interventions was higher for Italians. Admissions to acute wards or residential facilities were significantly longer for Italians. Moreover, immigrants received significantly more group rehabilitation interventions, while more social support individual interventions were provided to Italians. CONCLUSIONS:The probability of receiving any mental health intervention is similar between immigrants and Italians, but the number of interventions and the duration of admissions are lower for immigrants. Data from mental health information system should be integrated with qualitative data on unmet needs from the immigrants' perspective to inform mental health care programmes and policies.
journal_name
Epidemiol Psychiatr Scijournal_title
Epidemiology and psychiatric sciencesauthors
Rucci P,Piazza A,Perrone E,Tarricone I,Maisto R,Donegani I,Spigonardo V,Berardi D,Fantini MP,Fioritti Adoi
10.1017/S2045796014000250subject
Has Abstractpub_date
2015-08-01 00:00:00pages
342-52issue
4eissn
2045-7960issn
2045-7979pii
S2045796014000250journal_volume
24pub_type
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
pub_type: 社论
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journal_title:Epidemiology and psychiatric sciences
pub_type: 杂志文章
doi:10.1017/S2045796013000486
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journal_title:Epidemiology and psychiatric sciences
pub_type: 杂志文章
doi:10.1017/S204579601400050X
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journal_title:Epidemiology and psychiatric sciences
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doi:10.1017/S2045796018000446
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
pub_type: 信件
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journal_title:Epidemiology and psychiatric sciences
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journal_title:Epidemiology and psychiatric sciences
pub_type: 杂志文章,评审
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journal_title:Epidemiology and psychiatric sciences
pub_type: 杂志文章
doi:10.1017/s204579601100045x
更新日期:2011-12-01 00:00:00
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journal_title:Epidemiology and psychiatric sciences
pub_type: 传,历史文章,杂志文章
doi:10.1017/S2045796018000550
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