Spinogatti Franco, Civenti Graziella, Conti Valentino, Lora Antonio
Community Mental Health Centre, Cremona Hospital, Cremona, CR, Italy,
Soc Psychiatry Psychiatr Epidemiol. 2015 Jan;50(1):59-65. doi: 10.1007/s00127-014-0922-0. Epub 2014 Jul 3.
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.
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.
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.
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.
分析意大利伦巴第大区移民和本地居民在心理健康服务利用方面的差异。伦巴第大区接纳了意大利四分之一的移民。
数据取自地区心理健康信息系统（基于病例登记模式），该系统提供了有关伦巴第大区心理健康部门用户及心理健康活动的信息。伦巴第大区约有1000万人口，2010年有139775名成年用户接受了心理健康服务。
每1000名移民中有11.3名使用心理健康服务（因原籍国不同存在显著差异），而本地居民的这一比例为17.0。移民患者更频繁地使用急性心理健康服务；为移民提供的干预类型与为本地居民提供的不同（主要在心理治疗干预方面），且性别差异很大。
近年来，使用心理健康服务的移民用户数量显著增加，在伦巴第大区，已观察到不同服务单位之间在这类服务的使用上存在差异。这就引发了如何提高处理移民心理健康需求的心理健康专业人员文化意识的问题。总体而言，移民使用社区心理健康服务的比例低于本地居民；然而，移民在急性期往往更频繁地入住综合医院精神科病房，且使用率和性别因原籍国不同存在很大差异。
