[Outcomes of prevention and treatment of adolescent psychiatric disorders in Turkish immigrants with reference to resources and risks].
Semi-structured bilingual interviews were conducted with 223 adolescents from Turkey and their parents in 77 volunteering immigrant families (field group) and in 40 outpatient families attending the adolescent service (CAP treatment group). Risks and resources for mental health were assessed in a qualitative approach based on contextual family theory, cohesion and adaptability according to Olson's Clinical Rating Scale. While adolescent psychiatric morbidity in the field group equalled an expected rate of 24%, families with psychologically healthy offspring significantly excelled in parental and child resources. Yet, resources did not separate symptomatic and non-symptomatic families (referring to child symptoms) as well as risks did. A parent without work constituted a risk factor of its own. Differentiating CRS from 3 to 4 steps of adequacy for child health (introducing a range of high cohesion or high rigidity alone as another step between normal and dysfunctional) led to classify 80% of non-symptomatic families as functional. Following our results, a resource oriented family therapy seems to be the most promising therapeutic approach. Social case management should be provided for at the same time.
Schepker
Renate
R
Westfälisches Institut für Kinder- und Jugendpsychiatrie, Psychotherapie und Heilpädagogik Hamm, Heithofer Allee 64, 59071 Hamm.
Toker
Mehmet
M
Eberding
Angela
A
D000293:Adolescent; D002648:Child; D004641:Emigration and Immigration; D005195:Family Relations; D005196:Family Therapy; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000208:ethnology* / Q000517:prevention & control / Q000628:therapy*; D010552:Personality Assessment; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D013598:Systems Theory; D014421:Turkey / Q000208:ethnology