[Evaluation of a special project for treatment of psychiatrically ill Turkish migrants].
The in-patient treatment of migrants with psychiatric disorders causes particular difficulties. There is often a barrier of language and culture that raises problems for the diagnostic and therapeutic process. To solve these problems we developed a bilingual setting by integrating a Turkish psychologist who belongs to a counselling centre into our therapeutic team for at least once a week. This offers the possibility for a very qualified psychopathological assessment as the patient can talk to the Turkish psychologist in his native language and the Turkish psychologist can translate this and his own impression accurately also using the psychiatric language. All relevant themes can be discussed, including the possibility of continuing the therapy in the counceling centre. We investigated the impact of this kind of therapeutic approach on the duration of hospitalisation, remission in terms of psychopathology, rehabilitation level, ratio of readmission and contentment with therapy. The migrants were divided into two groups: Turkish migrants were treated in this special setting, non Turkish migrants were not treated in the manner described. There are shorter periods of hospital treatment for Turkish non-schizophrenic in-patients and Turkish schizophrenic patients achieve higher levels of rehabilitation. Turkish patients with all kinds of psychiatric diagnoses show lower ratios of readmission and express greater contentment with therapy. The psychopathological symptoms themselves, however, are not substantically reduced in this special setting.
Grube
M
M
Klinik für Psychiatrie und Psychotherapie, Frankfurt/M. psychiatrie@skfh.de
D000328:Adult; D000368:Aged; D004641:Emigration and Immigration; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D005858:Germany; D006801:Humans; D007902:Length of Stay; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy; D008875:Middle Aged; D019303:Multilingualism; D010348:Patient Care Team; D010359:Patient Readmission; D012559:Schizophrenia / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy; D014421:Turkey / Q000208:ethnology