Acta Psychiatrica Scandinavica
Volume 111, Issue 5, 2005, Pages 351-357

Mental health needs, service use and costs among Somali refugees in the UK (Article)

McCrone P.* , Bhui K. , Craig T. , Mohamud S. , Warfa N. , Stansfeld S.A. , Thornicroft G. , Curtis S.
  • a Health Services Research Department, Institute of Psychiatry, King's College London, London, United Kingdom, PO24 Ctr. the Econ. of Mental Hlth., Health Services Research Department, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, United Kingdom
  • b Department of Psychiatry, Queen Mary, Queen Mary, University of London, London, United Kingdom
  • c Health Services Research Department, Institute of Psychiatry, King's College London, London, United Kingdom
  • d Department of Psychiatry, Queen Mary, Queen Mary, University of London, London, United Kingdom
  • e Department of Psychiatry, Queen Mary, Queen Mary, University of London, London, United Kingdom
  • f Department of Psychiatry, Queen Mary, Queen Mary, University of London, London, United Kingdom
  • g Health Services Research Department, Institute of Psychiatry, King's College London, London, United Kingdom
  • h Department of Geography, Queen Mary, University of London, London, United Kingdom

Abstract

Objective: To assess the mental health needs and service use of Somali refugees living in London. Method: Subjects (n = 143) were sampled from conventional and non-conventional sites. Needs and service use were measured using the Camberwell Assessment of Need and the Client Service Receipt Inventory, respectively. Comparisons between sites were made and cost predictors identified. Results: Basic needs occurred frequently but were often not fully addressed. The mean number of needs was around four out of a possible 22. The most used services were GPs, other clinicians and refugee services. Higher non-inpatient costs were associated with length of stay in the UK and lower costs with being at risk of suicide and having panic disorder or agoraphobia. Conclusion: Somali refugees living in London have a relatively high level of need but a low level of service use. Refugee characteristics could only account for a limited amount of cost variation. Copyright © Blackwell Munksgaard 2005.

Author Keywords

Refugees Costs and cost analysis Health service needs and demand

Index Keywords

hospitalization refugee mental health service risk London human Refugees middle aged controlled study priority journal Aged panic mental health care Health Services Needs and Demand Mental Disorders health care cost Humans Adolescent male female Community Mental Health Services Article adult Somalia United Kingdom agoraphobia health care need Suicide Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-18044363869&doi=10.1111%2fj.1600-0447.2004.00494.x&partnerID=40&md5=268e532e79994ba85378ad09c197b25a
DOI: 10.1111/j.1600-0447.2004.00494.x
ISSN: 0001690X
Cited by: 51
Original Language: English