Integration of Refugees Into Public Mental Health Care

Psychiatric Disorders From Chapters 3 and 4 of ICD10 Clinical Trial

— INT_REF_MH  

Official title:

Integration of Refugees With Mental Disorders Into the Public Psychotherapeutic Health Care Services - a Model Project With Trained Peers

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04832035
• Other study ID #: Refugee Integration 2021
• Status: Recruiting
• Phase: N/A
• Start date: April 1, 2021
• Est. completion date: June 30, 2024

Study information

• Verified date: April 2021
• Source: University of Konstanz
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 120
• Est. completion date: June 30, 2024
• Est. primary completion date: December 31, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• Psychiatric diagnosis from Chapters 3 and 4 of ICD10

• Participant applied for asylum in Germany

• Entry to Germany after 2012

• Participants is motivated to utilise psychotherapeutic services

• Patient speaks one of the languages in which services are offered (i.e. German, English, French, Arabic, Kurdish, Dari, Farsi, Urdu, Pashto, Tirginya, Somali)

Exclusion Criteria:

• Mental disorder that requires inpatient treatment

Related Conditions & MeSH terms

• Mental Disorders
• Problem Behavior
• Psychiatric Disorders From Chapters 3 and 4 of ICD10

Intervention

Other:
• "coordinated and peer supported mental health care"
Health services, coordination of services, method to support utilization

Behavioral:
• "standard psychotherapeutic care in the public healthcare system"
Psychotherapeutic services that are financed by the public health insurance system.

Locations

Country	Name	City	State
Germany	University of Konstanz, Psychotherapy Outpatient Clinic	Konstanz

Sponsors (2)

Lead Sponsor	Collaborator
University of Konstanz	Vivo international e.V.

Country where clinical trial is conducted

Germany, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Service utilisation	Percentage of participants who utilise psychotherapeutic services	6 months after study inclusion
Primary	Psychiatric symptom change	Self-report of psychiatric symptoms by means of questionnaires	assessments 6 and 12 months after study inclusion
Secondary	Percentage correctly identified refugees with mental health problems	Comparison of peer screening and expert diagnostic assessment	two weeks