First-episode Psychosis and Migration in Italy: Results from a Study in the Italian Mental Health Services (Pep-Ita Study).
First-episode psychosis
Migrants
Pathway to care
Journal
Journal of immigrant and minority health
ISSN: 1557-1920
Titre abrégé: J Immigr Minor Health
Pays: United States
ID NLM: 101256527
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
accepted:
15
02
2021
pubmed:
11
3
2021
medline:
19
8
2021
entrez:
10
3
2021
Statut:
ppublish
Résumé
Migrants present high rates of psychosis. A better understanding of this phenomenon is needed. We conducted a multicentre First-Episode Psychosis (FEP) prospective study over two years (January 2012-December 2013) to evaluate first-generation migrants presenting with FEP at the participating Community Mental Health Centers (CMHCs). 109 FEP migrants were identified. Almost half of them were highly educated, employed and in a stable affective relationship. The average age was 32.8 (± 9.8) years, and the average length of stay in Italy was 8.6 (± 8.8) years. About 2/3 of patients were referred to CMHCs following Emergency Department access or psychiatric admission. Our finding of a "high functioning portrait" of FEP migrants allow us to hypothesize that a high burden of negative psychosocial factors is likely to be needed for the FEP onset. Furtherly, mental health services should implement more appropriate resources and organizational methods to respond to migrants' health needs.
Sections du résumé
BACKGROUND
BACKGROUND
Migrants present high rates of psychosis. A better understanding of this phenomenon is needed.
METHODS
METHODS
We conducted a multicentre First-Episode Psychosis (FEP) prospective study over two years (January 2012-December 2013) to evaluate first-generation migrants presenting with FEP at the participating Community Mental Health Centers (CMHCs).
RESULTS
RESULTS
109 FEP migrants were identified. Almost half of them were highly educated, employed and in a stable affective relationship. The average age was 32.8 (± 9.8) years, and the average length of stay in Italy was 8.6 (± 8.8) years. About 2/3 of patients were referred to CMHCs following Emergency Department access or psychiatric admission.
CONCLUSIONS
CONCLUSIONS
Our finding of a "high functioning portrait" of FEP migrants allow us to hypothesize that a high burden of negative psychosocial factors is likely to be needed for the FEP onset. Furtherly, mental health services should implement more appropriate resources and organizational methods to respond to migrants' health needs.
Identifiants
pubmed: 33689115
doi: 10.1007/s10903-021-01168-w
pii: 10.1007/s10903-021-01168-w
pmc: PMC8068695
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
519-527Subventions
Organisme : European Community FP7
ID : HEALTH-F2-2009-241909
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