There are specific barriers to utilise psychotherapeutic services for refugees with mental health problems in the German public health care system. This study aims to evaluate additional organisational components that are hypothesised to improve service utilisation. In a randomised controlled trial, refugees with mental health problems are identified by peers, subsequently assessed by professional staff and referred to public psychotherapeutic health services who offer standard care. Participants are assigned to care as usual or to "coordinated and peer supported mental health care"; the latter includes several additional organisational assistance components, i.e. a coordination center, trained peers to support treatment utilisation, a support and training center for therapists, and a interpreter pool. Measures include service utilisation and symptom change after 6 months. Furthermore the study evaluates whether trained peers can correctly identify participants with mental health problems.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
120
Health services, coordination of services, method to support utilization
Psychotherapeutic services that are financed by the public health insurance system.
University of Konstanz, Psychotherapy Outpatient Clinic
Konstanz, Germany
RECRUITINGService utilisation
Percentage of participants who utilise psychotherapeutic services
Time frame: 6 months after study inclusion
Psychiatric symptom change
Self-report of psychiatric symptoms by means of questionnaires
Time frame: assessments 6 and 12 months after study inclusion
Percentage correctly identified refugees with mental health problems
Comparison of peer screening and expert diagnostic assessment
Time frame: two weeks
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