title: [The treatment needs of migrant children according to child and adolescent psychiatrists from medical clinics and in private practice].
abstract: OBJECTIVE
  How does the German child and adolescent psychiatry system respond to the increasing number of migrant children and adolescents?
  
  
  METHODS
  Senior doctors from German child and adolescent psychiatric hospitals (Association of Medical Hospital Directors in Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy in Germany, BAG) completed a specially constructed questionnaire about the treatment needs of migrant children, while a «random, representative» sample of child and adolescent psychiatrists in private practice (German Professional Association for Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, BKJPP) was administered a slightly modified version.
  
  
  RESULTS
  The 100 psychiatrists in private practice represented only about one-eighth of their group, whereas the 55 medical directors comprised a representative sample. One-third of the hospitals has treatments tailored to the specific needs of migrants. In both settings, however, competent interpreters were rarely found, despite the treatment problems arising from the understanding the illness by the parents, language problems, and the clinical knowledge of the patient. Cultural diversity is perceived as enriching. The migration background and the sex of child and adolescent psychiatrists influence the treatment of migrants.
  
  
  CONCLUSIONS
  Facilitating the process of «cultural opening» in child and adolescent psychiatry involves enacting concrete steps, such as the funding of interpreter costs.
authors.affiliation: Klinik für Kinder- und Jugendmedizin, Ruhr-Universität Bochum.
authors.forename: Georg
authors.initials: G
authors.lastname: Siefen
authors.affiliation: International Center for the Study of Occupational and Mental Health, <location>Düsseldorf</location>
authors.forename: Bruce
authors.initials: B
authors.lastname: Kirkcaldy
authors.affiliation: Klinik für Kinder-und Jugendpsychiatrie, Martin Gropius Krankenhaus, <location>Eberswalde</location>
authors.forename: Hubertus
authors.initials: H
authors.lastname: Adam
authors.affiliation: Abteilung Kinder- und Jugendpsychiatrie, ZfP Südwürttemberg, <location>Weissenau</location>
authors.forename: Renate
authors.initials: R
authors.lastname: Schepker
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002648:Child; D002665:Child Psychiatry / Q000706:statistics & numerical data*; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D018864:Cultural Diversity; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D057220:Health Literacy; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D019303:Multilingualism; D011331:Private Practice / Q000706:statistics & numerical data*; D014175:Translating; D014600:Utilization Review / Q000706:statistics & numerical data
keywords: Kinder- und Jugendpsychiatrie; Migration; Versorgungsforschung; child and adolescent psychiatry; cultural sensitivity; kultursensitive Diagnostik und Therapie; migration; treatment research