title: [Mental Health Care Utilization of First Generation Vietnamese Migrants in Germany].
abstract: OBJECTIVE
  Vietnamese migrants underutilize and are a "hard to reach group" within the existing mental health care system in Germany.
  
  
  METHODS
  We analyzed migration related and clinical data for all first-time Vietnamese migrants seeking psychiatric help, within the first 30 months of a newly established outpatient clinic, offering culture-sensitive psychiatric treatment in native Vietnamese language.
  
  
  RESULTS
  Most first time patients were female, first generation Vietnamese migrants with poor German language skills. Only 1 /3 of all patients had a psychiatric history, while this number was higher in patients with schizophrenia. Over time, more first time patients with depression were seeking psychiatric care, accompanied with an increase of non-professional referrals within the Vietnamese communities.
  
  
  CONCLUSIONS
  This first study on mental health care utilization in Vietnamese migrants in Germany points towards the fact that "migrants" cannot be considered as a homogeneous group. Mental health care utilization must be evaluated for specific migrant groups, and can be initially improved if offered in native language and when it is referred to by members of migrant communities.
authors.affiliation: Klinik und Hochschulambulanz für Psychiatrie und Psychotherapie, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin.
authors.forename: Thi Minh Tam
authors.initials: TM
authors.lastname: Ta
authors.affiliation: Klinik und Hochschulambulanz für Psychiatrie und Psychotherapie, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin.
authors.forename: Andres H
authors.initials: AH
authors.lastname: Neuhaus
authors.affiliation: Abteilung für Psychiatrie, Psychotherapie und Psychosomatik, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin.
authors.forename: Ronald
authors.initials: R
authors.lastname: Burian
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universitätsmedizin Greifswald am HELIOS-Hanseklinikum Stralsund.
authors.forename: Georg
authors.initials: G
authors.lastname: Schomerus
authors.affiliation: Institut für Ethnologie, Freie Universität Berlin.
authors.forename: Anita
authors.initials: A
authors.lastname: von Poser
authors.affiliation: Abteilung für Psychiatrie, Psychotherapie und Psychosomatik, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin.
authors.forename: Albert
authors.initials: A
authors.lastname: Diefenbacher
authors.affiliation: Institut für Ethnologie, Freie Universität Berlin.
authors.forename: Birgitt
authors.initials: B
authors.lastname: Röttger-Rössler
authors.affiliation: Klinik und Hochschulambulanz für Psychiatrie und Psychotherapie, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin.
authors.forename: Michael
authors.initials: M
authors.lastname: Dettling
authors.affiliation: Klinik und Hochschulambulanz für Psychiatrie und Psychotherapie, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin.
authors.forename: Eric
authors.initials: E
authors.lastname: Hahn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000706:statistics & numerical data; D044466:Asian People / Q000706:statistics & numerical data*; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology / Q000628:therapy; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology* / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D019303:Multilingualism; D009313:National Health Programs / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology / Q000628:therapy; D014600:Utilization Review / Q000706:statistics & numerical data; D014744:Vietnam / Q000208:ethnology; D055815:Young Adult