AUTHOR=Bajbouj Malek , Panneck Patricia , Winter Sibylle-Maria , Ajami Carlos , Alabdullah Jihad , Benedikt Burger Max , Haberlandner Anja , Hahn Eric , Heinz Andreas , Heuser Isabella , Hoyer Armin , Kluge Ulrike , Aichberger Marion , Repantis Dimitris , Schreiter Stefanie , Seybold Joachim , Sutej Igor 

TITLE=A Central Clearing Clinic to Provide Mental Health Services for Refugees in Germany

JOURNAL=Frontiers in Public Health

VOLUME=9

YEAR=2021

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.635474

DOI=10.3389/fpubh.2021.635474

ISSN=2296-2565

ABSTRACT=<p><bold>Objective:</bold> To determine migration related distress pattern in refugees and feasibility of a <italic>de novo</italic> established, central low-threshold outpatient clinic serving more than 80,000 newly arrived refugees in the metropole of Berlin.</p><p><bold>Methods:</bold> In an observational cohort study the relative prevalence of major psychiatric disorders by age, place of living within berlin, language and region of origin were assessed in a refugee cohort from 63 nationalities speaking 36 languages.</p><p><bold>Findings:</bold> Within 18 months, a total of 3,096 cases with a mean age of 29.7 years (11.7) have been referred from all 12 districts and 165 of 182 subdistricts of Berlin to the CCC. 33.7% of the patients were female. The three most frequent diagnoses were unipolar depression (40.4%), posttraumatic stress disorder (24.3%), and adjustment disorder (19.6%).</p><p><bold>Conclusion:</bold> The present data gives insight into the distribution of mental disorders in a large sample of refugees and provides evidence that a CCC is an effective service to quickly and broadly provide psychiatric consultations and thus to overcome classical barriers refugees usually experience in the host communities. In Berlin, Germany, and Europe treatment resources for this population should focus on stress and trauma related disorders.</p>