Mental health consultations in immigration detention : what can we learn from clinical records ?

Article Article scientifique Article Mental health consultations in immigration detention : what can we learn from clinical records ? eng 2024-01-25 2024-01-25 author Da Cunha Goncalves Léonel 909239 author Heller Patrick 772722 author Brechet Bachmann Anne-Claire Erica 105804 Anne-Claire Brechet-bachmann author Barbolini Jonathan 824559 author Fuhrer Clara Annick Elisabeth 858250 author Getaz Laurent 649346 Département de santé et médecine communautaire (MECOM) author Luke Eric author Wolff Hans 45574 Département de santé et médecine communautaire (MECOM) author Baggio Stéphanie 0000-0002-5347-5937 706989 1605896 10.3389/ijph.2024.1605896 38332758 1661-8556 https://www.ssph-journal.org/articles/10.3389/ijph.2024.1605896/full Objectives: Knowledge on mental health consultations in immigration detention and characteristics of people receiving consultations is scarce. Based on a sample of 230 adult men in immigration detention in Switzerland, we aimed to: (1) Quantify the proportion of persons receiving mental health consultations during detention; and (2) Identify socio-demographic and clinical characteristics associated with mental health consultations. Methods: Retrospective observational study with a cross-sectional design. Prevalence estimates, logistic regressions, and contingency tables were used to analyse the data. Results: A total of 30% of the sample received mental health consultations during detention. Time spent in immigration detention, mental health problems during detention, use of psychotropic medication, and self-harm were associated with mental health consultations. Although mental health consultations are provided to people with more severe mental health problems, 41% of persons with assessed mental health needs during the initial screening and 26% of those who self-harmed during detention did not receive mental health consultations. Conclusion: Mental health resources and screening procedures could be improved to ensure that mental health consultations are matched to clinical need in immigration detention settings. Clinical records Health care services Immigration detention Mental health consultations Socio-demographic and clinical characteristics Dewey 613 64 Département de santé et médecine communautaires 22A false International journal of public health 69 129751f6-901b-48a0-bf05-6c73a5abe4e0 Article (Published version) Public Goncalves et al 2024_mental health .pdf 630188 application/pdf CC BY-4.0 993df20373b4636c13812ca86e75d39e3e65295454276eafc4e35935b4582bb5 openAccess Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires

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Mental health consultations in immigration detention : what can we learn from clinical records ?	International journal of public health			2024	70	259

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Fuhrer, Clara Annick Elisabeth