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Research on mental disorders and their care in immigrant populations: a review of publications from Germany, Italy and the UK

Published online by Cambridge University Press:  16 April 2020

Dirk Claassen ,
Micol Ascoli ,
Tzeggai Berhe  and
Stefan Priebe
Dirk Claassen*
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary (University of London), Newham Centre for Mental Health, Glen Road, Plaistow, LondonE13 8SP, UK
Micol Ascoli
Affiliation:
Italian Institute of Transcultural Mental Health, Rome, Italy
Tzeggai Berhe
Affiliation:
Psychiatrische Klinik, Universität Ulm, Bezirkskrankenhaus Günzburg, Germany
Stefan Priebe
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary (University of London), Newham Centre for Mental Health, Glen Road, Plaistow, LondonE13 8SP, UK
*
*Corresponding author. E-mail address:dirk.claassen@elcmht.nhs.uk. (D. Claassen).
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Abstract

Objective

The review aims to identify the extent and nature of research on mental disorders and their care in immigrant populations in three major European countries with high levels of immigration, i.e. Germany, Italy, United Kingdom (UK).

Methods

Peer-reviewed publications on the subject from the three countries between 1996 and 2004 were analyzed. The research questions addressed, the methods used, and the results obtained were assessed.

Results

Thirteen papers reporting empirical studies were found from Germany, four from Italy and 95 from the UK. Studies addressed a range of research questions and most frequently assessed rates of service utilization in different immigrant groups. The most consistent finding is a higher rate of hospital admissions for Afro-Caribbean patients in the UK. Many studies had serious methodological shortcomings with low sample sizes and unspecified inclusion criteria.

Discussion

Despite large scale immigration in each of the three studied countries, the numbers of relevant research publications vary greatly with a relatively high level of empirical research in the UK. Possible reasons for this are a generally stronger culture of mental health service research and a higher number of researchers who are themselves from immigrant backgrounds in the UK.

Conclusion

Overall the evidence base to guide the development of mental health services for immigrant populations appears limited. Future research requires appropriate funding, should be of sufficient methodological quality and may benefit from collaboration across Europe.

Keywords

MigrationImmigrant groupsMental disordersMental health careHealth service research
Type
Review
Information
European Psychiatry , Volume 20 , Issue 8 , December 2005 , pp. 540 - 549
Copyright
Copyright © Elsevier SAS 2005

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