Home > Addiction treatment in deprived urban areas in EU countries: Accessibility of care for people from socially marginalized groups.

Welbell, Marta and Matanov, Aleksandra and Moskalewicz, Jacek and Barros, Henrique and Canavan, Reamonn and Gabor, Edina and Gaddini, Andrea and Greacen, Tim and Kluge, Ulrike and Lorant, Vincent and Esteban Peña, Mercedes and Schene, Aart H and Soares, Joaquim JF and Straßmayr, Christa and Vondráčková, Petra and Priebe, Stefan (2013) Addiction treatment in deprived urban areas in EU countries: Accessibility of care for people from socially marginalized groups. Drugs: Education, Prevention, and Policy , 20 , (1) , pp. 74-83.

Aim: This study examines the accessibility of addiction treatment within services providing mental health care and support for people from socially marginalized groups in deprived urban areas across EU countries.

Methods: Services providing mental health care and support in deprived areas of 14 EU capital cities were assessed with a questionnaire. We analysed the availability and accessibility of those services providing addiction treatment for people from six groups: the long-term unemployed, the homeless, street sex workers, asylum seekers and refugees, irregular migrants and people from travelling communities.

Results: While 30% of all the assessed services provided addiction treatment, in 20% of services, addiction was a criterion for exclusion. Among services providing addiction treatment, 77% accepted self-referrals, 63% were open on weekends or in the evening, 60% did not charge any out-of-pocket fees, 35% provided access to interpreters, and 28% ran outreach activities. These results varied substantially among EU capitals.

Conclusion: Access to addiction treatment for socially marginalized groups varies across Europe. Some of the models identified may constitute barriers to treatment. Developing care delivery models that facilitate access for vulnerable populations should be a priority for national and European policies.


Item Type:Article
Date:2013
Page Range:pp. 74-83
Publisher:Informa healthcare
Volume:20
Number:1
EndNote:View
Accession Number:HRB (Available)
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Subjects:L Social psychology and related concepts > Inclusion and exclusion
MA-ML Social science, culture and community > Social position > Social equality and inequality
HJ Treatment method > Substance disorder treatment method
MA-ML Social science, culture and community > Type of society and culture > Urban society
VA Geographic area > Europe > Ireland > Dublin
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
MA-ML Social science, culture and community > Social condition > Poverty
VA Geographic area > Europe
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)

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