title: Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries.
abstract: BACKGROUND
  Socially marginalised groups tend to have higher rates of mental disorders than the general population and can be difficult to engage in health care. Providing mental health care for these groups represents a particular challenge, and evidence on good practice is required. This study explored the experiences and views of experts in 14 European countries regarding mental health care for six socially marginalised groups: long-term unemployed; street sex workers; homeless; refugees/asylum seekers; irregular migrants and members of the travelling communities.
  
  
  METHODS
  Two highly deprived areas were selected in the capital cities of 14 countries, and experts were interviewed for each of the six marginalised groups. Semi-structured interviews with case vignettes were conducted to explore experiences of good practice and analysed using thematic analysis.
  
  
  RESULTS
  In a total of 154 interviews, four components of good practice were identified across all six groups: a) establishing outreach programmes to identify and engage with individuals with mental disorders; b) facilitating access to services that provide different aspects of health care, including mental health care, and thus reducing the need for further referrals; c) strengthening the collaboration and co-ordination between different services; and d) disseminating information on services both to marginalised groups and to practitioners in the area.
  
  
  CONCLUSIONS
  Experts across Europe hold similar views on what constitutes good practice in mental health care for marginalised groups. Care may be improved through better service organisation, coordination and information.
authors.affiliation: Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK. s.priebe@qmul.ac.uk
authors.forename: Stefan
authors.initials: S
authors.lastname: Priebe
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Matanov
authors.forename: Ruth
authors.initials: R
authors.lastname: Schor
authors.forename: Christa
authors.initials: C
authors.lastname: Straßmayr
authors.forename: Henrique
authors.initials: H
authors.lastname: Barros
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Barry
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Díaz-Olalla
authors.forename: Edina
authors.initials: E
authors.lastname: Gabor
authors.forename: Tim
authors.initials: T
authors.lastname: Greacen
authors.forename: Petra
authors.initials: P
authors.lastname: Holcnerová
authors.forename: Ulrike
authors.initials: U
authors.lastname: Kluge
authors.forename: Vincent
authors.initials: V
authors.lastname: Lorant
authors.forename: Jacek
authors.initials: J
authors.lastname: Moskalewicz
authors.forename: Aart H
authors.initials: AH
authors.lastname: Schene
authors.forename: Gloria
authors.initials: G
authors.lastname: Macassa
authors.forename: Andrea
authors.initials: A
authors.lastname: Gaddini
mesh_terms: D001291:Attitude of Health Personnel; D054242:Emigrants and Immigrants / Q000523:psychology; D005060:Europe; D006703:Ill-Housed Persons / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D036301:Qualitative Research; D012036:Refugees / Q000523:psychology; D060386:Sex Workers / Q000523:psychology; D062487:Social Marginalization; D014171:Transients and Migrants / Q000523:psychology; D014478:Unemployment