Der Stand der interkulturellen Öffnung in der psychosozialen Versorgung- Ergebnisse einer Studie in einem innerstädtischen Berliner Bezirk

Abstract

The need for intercultural opening of supply facilities for improving access and treatment of people with migration background is acknowledged in Germany. The purpose of the survey was to determine the current state of intercultural opening of psychosocial services in one Berlin district. 127 representatives of institutions were interviewed using a semi-structured assessment tool. The response rate was very high. The cross-cultural opening was implemented on a small scale. Staff as well as users with migration background were underrepresented. Varying and missing standardized documentation as well as problems in assessing users with migration background might be responsible for their low utilization rates. The use of professional interpreters was often not implemented. To judge the low level of implementation of cross-cultural opening in the psychosocial supply system in general, a review of responsible causes is required.

Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants - results from the Gutenberg health study

“…Similar reasons could account for the comparatively low rate of antidepressant treatment among Turkish migrants. These findings underscore the need for providing suitable and culturally sensitive psychosocial services to migrants [ 35 ].…”

Risk of psychosis in refugees: a literature review

“…At this point, the most needed intervention seems to be outreach programmes that target these susceptible patients and address the issues of language problems, cultural differences, poor health literacy and low rates of utilisation of psychiatric services. 22 , 34 , 35 , 36 , 37 , 38 Given the high susceptibility to psychotic disorders among refugees, preventive strategies that provide practical support for these patients should be developed and implemented. It is therefore crucial that clinicians and people working in a refugee setting are aware of early signs and symptoms and be sensitised to intercultural competence.…”

Rassismus und psychische Gesundheit

“…In den letzten Jahren haben die Forderungen nach einer interkulturellen Öffnung im deutschen Gesundheitswesen zugenommen und auch die Bemühungen zu deren Umsetzung sind verstärkt worden, um eine gleichberechtigte Teilhabe aller Gruppen und Communitys im System zu erreichen [67]. Allerdings ermöglicht dies nicht automatisch, diskriminierungs-und rassismusbedingte Ungleichheiten beim Zugang zu und in der Gesundheitsversorgung abzubauen.…”