Mental health in refugees and asylum seekers (MEHIRA): study design and methodology of a prospective multicentre randomized controlled trail investigating ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-22

AUTHORS

Kerem Böge, Carine Karnouk, Eric Hahn, Frank Schneider, Ute Habel, Tobias Banaschewski, Andreas Meyer-Lindenberg, Hans Joachim Salize, Inge Kamp-Becker, Frank Padberg, Alkomiet Hasan, Peter Falkai, Michael A. Rapp, Paul L. Plener, Thomas Stamm, Nehal Elnahrawy, Klaus Lieb, Andreas Heinz, Malek Bajbouj

ABSTRACT

The sudden arrival of culturally diverse asylum seekers and refugees into Germany has created a strong demand for recognizing and appropriately treating those suffering from mental health issues. Due to many systemic, organizational, cultural and socio-linguistic barriers, psychiatric treatment of refugees is posing a major challenge to Germany's mental health care system. Thus, there is a need for alternative models that allow for increased access to adequate, effective and efficient culturally sensitive mental health care services. Here, we describe the Mental Health in Refugees and Asylum Seekers (MEHIRA) project, a multicentre randomized controlled trial investigating a stepped collaborative care model (SCCM) for providing mental health treatment in this vulnerable population. The proposed SCCM aims to decrease the aforementioned barriers. Adult and adolescent participants will be screened for depressive symptoms and matched to appropriate psychological interventions, including group-level interventions (START intervention, Empowerment/Gender-sensitive/Peer to peer), and other innovative, digital treatment approaches (Smartphone application). The therapeutic effect of the SCCM will be compared to TAU (treatment-as-usual). All interventions have been designed to be culturally sensitive, and offered in two different languages: Arabic and Farsi. The outcome of this study may contribute significantly to future clinical and legal guidelines in developing parallel and efficient new structures of treatment. Collected data will inform primary and secondary mental health care providers with recommendations concerning the design and implementation of effective treatment models and programmes. Guidelines and recommendations may also potentially be adopted by other host countries, developing countries and also in humanitarian aid programmes. More... »

PAGES

1-12

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00406-019-00991-5

DOI

http://dx.doi.org/10.1007/s00406-019-00991-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112305191

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30796528


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