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Separate services or integrated services 

Separate services or integrated services
Chapter:
Separate services or integrated services
Author(s):

Jessica Carlsson

, and Marianne C. Kastrup

DOI:
10.1093/med/9780198833741.003.0067
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date: 22 April 2021

The chapter takes its position in the consequences of globalization and its disequalizing effects on equity in care. The chapter presents and discusses pros and cons related to separate versus integrated services in mental health care for migrants, including trauma-affected refugees. Throughout the chapter there is a special focus on trauma-affected refugees as a particularly vulnerable group. The chapter gives a brief overview of the historical development behind specialized services for trauma-affected refugees and other migrants, including their relation to documentation of human rights violations, and the variations among such services are described. With the overall aim of avoiding inequalities in mental health care, the chapter then compares specialized versus integrated services. The comparison is done with a focus on diagnostic assessment, access to mental health care, treatment outcomes, and treatment satisfaction. Finally, the role of specialized services is discussed.

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