Cargando…

Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care

Patients with an immigrant background are overrepresented in forensic psychiatric hospitals. As a result, daily work is impeded by language barriers and cultural differences. Furthermore, general therapy processes have not yet been adapted to this special patient population, and little reliable know...

Descripción completa

Detalles Bibliográficos
Autores principales: Titze, Larissa, Gros, Julia, Büsselmann, Michael, Lutz, Maximilian, Streb, Judith, Dudeck, Manuela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8350120/
https://www.ncbi.nlm.nih.gov/pubmed/34381403
http://dx.doi.org/10.3389/fpsyg.2021.701544
_version_ 1783735685826478080
author Titze, Larissa
Gros, Julia
Büsselmann, Michael
Lutz, Maximilian
Streb, Judith
Dudeck, Manuela
author_facet Titze, Larissa
Gros, Julia
Büsselmann, Michael
Lutz, Maximilian
Streb, Judith
Dudeck, Manuela
author_sort Titze, Larissa
collection PubMed
description Patients with an immigrant background are overrepresented in forensic psychiatric hospitals. As a result, daily work is impeded by language barriers and cultural differences. Furthermore, general therapy processes have not yet been adapted to this special patient population, and little reliable knowledge is available. All immigrants go through an acculturation process, which is related to their mental well-being. Four acculturation strategies exist: integration, separation, assimilation, and marginalization. The strategy chosen depends on the extent of someone’s orientation toward their country of origin and the country of admission. The current study aimed to expand knowledge of forensic patients with a migration background in Germany by evaluating their self-reported acculturation processes and associated individual and social factors, e.g., the ward climate. Therefore, we studied forensic patients with a migration background from 11 forensic hospitals in Bavaria, Germany. Besides completing the Frankfurter Acculturation Scale (FRACC) and Essen Climate Evaluation Schema (EssenCES), the participants provided information on their clinical and biographical history. We recruited 235 patients with a migration background and found that the participants oriented themselves more toward the culture of admission and less toward the country of origin than the reference sample did. Moreover, the patients experienced significantly less safety on the ward than the forensic reference sample did. A possible explanation for the patients’ orientation is the lack of possibilities to adhere to their cultural traditions. Patients may feel less safe because of their limited knowledge of German and cultural misunderstandings.
format Online
Article
Text
id pubmed-8350120
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-83501202021-08-10 Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care Titze, Larissa Gros, Julia Büsselmann, Michael Lutz, Maximilian Streb, Judith Dudeck, Manuela Front Psychol Psychology Patients with an immigrant background are overrepresented in forensic psychiatric hospitals. As a result, daily work is impeded by language barriers and cultural differences. Furthermore, general therapy processes have not yet been adapted to this special patient population, and little reliable knowledge is available. All immigrants go through an acculturation process, which is related to their mental well-being. Four acculturation strategies exist: integration, separation, assimilation, and marginalization. The strategy chosen depends on the extent of someone’s orientation toward their country of origin and the country of admission. The current study aimed to expand knowledge of forensic patients with a migration background in Germany by evaluating their self-reported acculturation processes and associated individual and social factors, e.g., the ward climate. Therefore, we studied forensic patients with a migration background from 11 forensic hospitals in Bavaria, Germany. Besides completing the Frankfurter Acculturation Scale (FRACC) and Essen Climate Evaluation Schema (EssenCES), the participants provided information on their clinical and biographical history. We recruited 235 patients with a migration background and found that the participants oriented themselves more toward the culture of admission and less toward the country of origin than the reference sample did. Moreover, the patients experienced significantly less safety on the ward than the forensic reference sample did. A possible explanation for the patients’ orientation is the lack of possibilities to adhere to their cultural traditions. Patients may feel less safe because of their limited knowledge of German and cultural misunderstandings. Frontiers Media S.A. 2021-07-26 /pmc/articles/PMC8350120/ /pubmed/34381403 http://dx.doi.org/10.3389/fpsyg.2021.701544 Text en Copyright © 2021 Titze, Gros, Büsselmann, Lutz, Streb and Dudeck. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Titze, Larissa
Gros, Julia
Büsselmann, Michael
Lutz, Maximilian
Streb, Judith
Dudeck, Manuela
Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care
title Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care
title_full Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care
title_fullStr Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care
title_full_unstemmed Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care
title_short Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care
title_sort immigrant patients adapt to the culture of admission and experience less safety in forensic psychiatric care
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8350120/
https://www.ncbi.nlm.nih.gov/pubmed/34381403
http://dx.doi.org/10.3389/fpsyg.2021.701544
work_keys_str_mv AT titzelarissa immigrantpatientsadapttothecultureofadmissionandexperiencelesssafetyinforensicpsychiatriccare
AT grosjulia immigrantpatientsadapttothecultureofadmissionandexperiencelesssafetyinforensicpsychiatriccare
AT busselmannmichael immigrantpatientsadapttothecultureofadmissionandexperiencelesssafetyinforensicpsychiatriccare
AT lutzmaximilian immigrantpatientsadapttothecultureofadmissionandexperiencelesssafetyinforensicpsychiatriccare
AT strebjudith immigrantpatientsadapttothecultureofadmissionandexperiencelesssafetyinforensicpsychiatriccare
AT dudeckmanuela immigrantpatientsadapttothecultureofadmissionandexperiencelesssafetyinforensicpsychiatriccare