Mental health in refugees and asylum seekers (MEHIRA): study design and methodology of a prospective multicentre randomized controlled trail investigating the effects of a stepped and collaborative care model

European Archives of Psychiatry and Clinical Neuroscience
Kerem BögeMalek Bajbouj

Abstract

The sudden arrival of culturally diverse asylum seekers and refugees into Germany has created a strong demand for recognizing and appropriately treating those suffering from mental health issues. Due to many systemic, organizational, cultural and socio-linguistic barriers, psychiatric treatment of refugees is posing a major challenge to Germany's mental health care system. Thus, there is a need for alternative models that allow for increased access to adequate, effective and efficient culturally sensitive mental health care services. Here, we describe the Mental Health in Refugees and Asylum Seekers (MEHIRA) project, a multicentre randomized controlled trial investigating a stepped collaborative care model (SCCM) for providing mental health treatment in this vulnerable population. The proposed SCCM aims to decrease the aforementioned barriers. Adult and adolescent participants will be screened for depressive symptoms and matched to appropriate psychological interventions, including group-level interventions (START intervention, Empowerment/Gender-sensitive/Peer to peer), and other innovative, digital treatment approaches (Smartphone application). The therapeutic effect of the SCCM will be compared to TAU (treatment-as-usual). A...Continue Reading

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Citations

Jan 14, 2021·JMIR MHealth and UHealth·Susanne RöhrSteffi G Riedel-Heller
Aug 21, 2021·Frontiers in Public Health·Kelso CratsleyTim K Mackey
Oct 2, 2021·Child and Adolescent Psychiatry and Mental Health·Carlijn M van EsTrudy Mooren
Dec 18, 2021·European Child & Adolescent Psychiatry·E HöhneI Kamp-Becker

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