Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 1/2015

01-01-2015 | Original Paper

Ethnic differences in the utilization of mental health services in Lombardy (Italy): an epidemiological analysis

Authors: Franco Spinogatti, Graziella Civenti, Valentino Conti, Antonio Lora

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2015

Login to get access

Abstract

Purpose

To analyze the differences in mental health service utilization by immigrant and native populations of Lombardy, an Italian region that hosts one-fourth of the immigrants living in Italy.

Method

The data are drawn from the regional mental health information system (based on the case register model), which supplies information on the users and mental health activities of the Departments of Mental Health, Lombardy, a region of about 10 million people; 139,775 adult users were treated in mental health services in 2010.

Results

Mental health services are used by 11.3 immigrant users out of 1,000 immigrants (with marked differences depending on country of origin) compared with 17.0 native users. Acute mental health services are used more frequently by immigrant patients; the types of intervention provided to immigrants differ from those provided to the native population (mainly as far as psychotherapeutic interventions is concerned), while gender differences are substantial.

Conclusions

The number of immigrant users using mental health services has increased notably in recent years, and in Lombardy it has been observed that the use of such services differs from service unit to service unit. This raises the problem of how to increase the cultural awareness of mental health professionals dealing with the mental health needs of the immigrant population. On the whole, immigrants use community mental health services less than the native population; however, immigrants tend to be more frequently admitted to general hospital psychiatric units during acute phases and both the utilization rates and gender differ greatly, depending on the country of origin.
Literature
1.
go back to reference U.S. Department of Health and Human Services Mental Health (2001) Culture, race, and ethnicity—a supplement to mental health: a report of the surgeon general. Rockville MUS. Mental health: culture, race, and ethnicity. Substance abuse and mental health services administration (US). Available from: http://www.ncbi.nlm.nih.gov/books/NBK44243/. Cited 2013 Jul 8 U.S. Department of Health and Human Services Mental Health (2001) Culture, race, and ethnicity—a supplement to mental health: a report of the surgeon general. Rockville MUS. Mental health: culture, race, and ethnicity. Substance abuse and mental health services administration (US). Available from: http://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK44243/​. Cited 2013 Jul 8
10.
12.
go back to reference Ruiz P, Primm A (2005) APA’ s efforts to eliminate disparities. Psychiatr Serv 56(12):3–5CrossRef Ruiz P, Primm A (2005) APA’ s efforts to eliminate disparities. Psychiatr Serv 56(12):3–5CrossRef
13.
go back to reference Ruiz P, Primm A (2010) Disparities in psychiatric care: clinical and cross-cultural perspectives. Lippincott Williams & Wilkins, New York, NY Ruiz P, Primm A (2010) Disparities in psychiatric care: clinical and cross-cultural perspectives. Lippincott Williams & Wilkins, New York, NY
16.
go back to reference American Psychiatric Association (2004) Reducing mental health disparities for racial and ethnic minorities: a plan of action. Available from: www.psychiatry.org/…/Action-Plan_Reducing-MH American Psychiatric Association (2004) Reducing mental health disparities for racial and ethnic minorities: a plan of action. Available from: www.psychiatry.org/…/Action-Plan_Reducing-MH
21.
go back to reference Civenti G, Lora A, Spinogatti F (2012) Migranti e servizi di salute mentale. Il caso della Lombardia. Prospett Soc e Sanit (3):3–6 Civenti G, Lora A, Spinogatti F (2012) Migranti e servizi di salute mentale. Il caso della Lombardia. Prospett Soc e Sanit (3):3–6
Metadata
Title
Ethnic differences in the utilization of mental health services in Lombardy (Italy): an epidemiological analysis
Authors
Franco Spinogatti
Graziella Civenti
Valentino Conti
Antonio Lora
Publication date
01-01-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0922-0

Other articles of this Issue 1/2015

Social Psychiatry and Psychiatric Epidemiology 1/2015 Go to the issue