A non-neglectable portion of people that have fled to Germany have been subjected to expulsion, violence, torture and grave human loss. In some of them, signs of secondary mental problems are obvious. In the light of the efforts at integration, these diseases must not be neglected. Outlined are the federal legal requirements and how the cost coverage, as well as the admission to health care system, is structured. Additionally, 2 exemplary regional models for psychosomatic health care are being introduced: Dresden’s “Stepped Care Model for Psychologically Vulnerable Refugees” includes phased offers for prevention and treatment of acute mental crises, as well as somatoform disorders in refugees and their volunteer helpers. The PSZ in Bielefeld unites already existing expertise of social work and trauma therapy to form a shared project and favors, among other things, training courses and the instruction of language mediators. The local circumstances and differences lead to individual, sometimes totally new solutions. Already existing clinical care offers as well as concepts of trauma therapy are focal points for the development of a comprehensive health care provision. Most effective is a combination of medicinal care, psychosocial networking and psychosomatic treatment. For a working health care provision without parallel structures it is indispensible to use expertise in trauma therapy that is already in place. While being very resource-saving psychosomatic centers offer targeted applications in the network of all actors in refugee care especially when combined with well-trained volunteers and language mediators, informed on the issue of trauma. © Georg Thieme Verlag KGStuttgart · New York.

Mental health care traumatherapy regional care model of stepped care Refugees Networking

Vulnerable Populations vulnerable population Germany refugee mental health service Models, Organizational nonbiological model human community Refugees health service priority journal language Social Work mental health care Health Services Needs and Demand Mental Disorders Cross-Sectional Studies mental disease cross-sectional study Humans intersectoral collaboration psychology Psychophysiologic Disorders Community Mental Health Services Article organization and management posttraumatic stress disorder Stress Disorders, Post-Traumatic Culturally Competent Care transcultural care psychosomatic disorder health care system Somatoform Disorders interdisciplinary communication somatoform disorder Health Services Accessibility public health health care delivery National Health Programs