Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie
Volume 43, Issue 2, 2015, Pages 115-122

The treatment needs of migrant children according to child and adolescent psychiatrists from medical clinics and in private practice [Anforderungen an die behandlung von migrantenkindern aus sicht niedergelassener und leitender ärzte für kinder- und jugendpsychiatrie] (Article)

Siefen R.G. , Kirkcaldy B. , Adam H. , Schepker R.
  • a Klinik für Kinder- und Jugendmedizin, Ruhr-Universität Bochum, Germany, Universitätsklinik für - und Jugendmedizin, St. Josef-Hospital, Ruhr-Universität Bochum, Alexandrinenstraße 5, Bochum, Germany
  • b International Center for the Study of Occupational and Mental Health, Düsseldorf, Germany
  • c Klinik für Kinder-und Jugendpsychiatrie, Martin Gropius Krankenhaus, Eberswalde, Germany
  • d Abteilung Kinder- und Jugendpsychiatrie, ZfP Südwürttemberg, Weissenau, Germany

Abstract

Objective: How does the German child and adolescent psychiatry system respond to the increasing number of migrant children and adolescents? Method: 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. Conclusion: Facilitating the process of "cultural opening" in child and adolescent psychiatry involves enacting concrete steps, such as the funding of interpreter costs. © 2015 Verlag Hans Huber, Hogrefe AG, Bern.

Author Keywords

Cultural sensitivity Migration Child and adolescent psychiatry Treatment research

Index Keywords

cultural anthropology Cultural Diversity Germany Communication Barriers human Adolescent Psychiatry psychiatrist middle aged communication disorder statistics and numerical data health service Aged Cultural Competency private practice ethnology cultural competence Health Services Needs and Demand Mental Disorders health personnel attitude Cross-Sectional Studies Attitude of Health Personnel cross-sectional study migrant psychology Humans Adolescent male Emigrants and Immigrants female Aged, 80 and over very elderly questionnaire child psychiatry Article translating (language) Translating utilization Utilization Review mental hospital health literacy Multilingualism Hospitals, Psychiatric Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923690897&doi=10.1024%2f1422-4917%2fa000340&partnerID=40&md5=d665707c5824e35c5fa705ed2f7cc3c1

DOI: 10.1024/1422-4917/a000340
ISSN: 14224917
Cited by: 7
Original Language: German