PMID- 23349795
OWN - NLM
STAT- MEDLINE
DCOM- 20130724
LR  - 20211021
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 8
IP  - 1
DP  - 2013
TI  - Description and predictive factors of individual outcomes in a refugee camp based 
      mental health intervention (Beirut, Lebanon).
PG  - e54107
LID - 10.1371/journal.pone.0054107 [doi]
LID - e54107
AB  - BACKGROUND: There is little evidence on the effectiveness of services for the 
      care of people with mental disorders among refugee populations. Medecins sans 
      Frontieres (MSF) has established a mental health centre in a mixed urban-refugee 
      population in Beirut to respond to the significant burden of mental health 
      problems. Patients received comprehensive care through a multidisciplinary team. 
      A cohort of people with common and severe mental disorders has been analysed 
      between December 2008 and June 2011 to evaluate individual outcomes of treatment 
      in terms of functionality. METHODS: All patients diagnosed with mental disorders 
      were included in the study. The Global Assessment of Functioning (GAF) and the 
      Self Reporting Questionnaire-20 items (SRQ 20) were used as tools for baseline 
      assessment, monitoring and evaluation of patients. Predictors of evolution of 
      SRQ20 and GAF over visits were explored using a linear mixed model. RESULTS: Up 
      to June 2011, 1144 patients were followed, 63.7% of them Lebanese, 31.8% 
      Palestinians and 1.2% Iraqis. Females represented 64.2% of the patient 
      population. Mean age was 39.2 years (28.5-46.5). The most frequent primary 
      diagnoses were depressive disorders (28.8%), anxiety disorders (15.6%) and 
      psychosis (11.5%). A lower baseline SRQ20 score/higher baseline GAF score 
      (indicators of severity), being diagnosed with anxiety (compared to being 
      diagnosed with depression or psychosis) and a higher level of education were 
      associated with better outcomes. DISCUSSION: In this MSF program, we observed a 
      significant decrease of SRQ20 individual scores and a significant increase of 
      individual GAF scores. This corresponded to an improvement in the functionality 
      of our patients. Analysis of the predictors of this positive evolution indicates 
      that we need to adapt our model for the more severe and less educated patients. 
      It also makes us reflect on the length of the individual follow-up. Further 
      research could include a qualitative evaluation of the intervention. Results of 
      this study have been presented at the World Congress of the World Federation for 
      Mental Health in Cape Town, October 2011.
FAU - Bastin, Pierre
AU  - Bastin P
AD  - Medecins sans Frontieres, Geneva, Switzerland. pierre_bastin75@hotmail.com
FAU - Bastard, Mathieu
AU  - Bastard M
FAU - Rossel, Ludovic
AU  - Rossel L
FAU - Melgar, Pablo
AU  - Melgar P
FAU - Jones, Alison
AU  - Jones A
FAU - Antierens, Annick
AU  - Antierens A
LA  - eng
PT  - Journal Article
DEP - 20130117
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Anxiety/diagnosis/psychology/therapy
MH  - Arabs/ethnology
MH  - Cohort Studies
MH  - Depression/diagnosis/psychology/therapy
MH  - Female
MH  - Humans
MH  - Iraq/ethnology
MH  - Lebanon
MH  - Male
MH  - Mental Disorders/*diagnosis/psychology/therapy
MH  - Mental Health/ethnology/*statistics & numerical data
MH  - Mental Health Services/organization & administration/statistics & numerical data
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - Prognosis
MH  - Refugees/psychology/*statistics & numerical data
MH  - *Surveys and Questionnaires
MH  - Young Adult
PMC - PMC3547969
COIS- Competing Interests: The authors have declared that no competing interests exist.
EDAT- 2013/01/26 06:00
MHDA- 2013/07/25 06:00
PMCR- 2013/01/17
CRDT- 2013/01/26 06:00
PHST- 2012/06/08 00:00 [received]
PHST- 2012/12/10 00:00 [accepted]
PHST- 2013/01/26 06:00 [entrez]
PHST- 2013/01/26 06:00 [pubmed]
PHST- 2013/07/25 06:00 [medline]
PHST- 2013/01/17 00:00 [pmc-release]
AID - PONE-D-12-17311 [pii]
AID - 10.1371/journal.pone.0054107 [doi]
PST - ppublish
SO  - PLoS One. 2013;8(1):e54107. doi: 10.1371/journal.pone.0054107. Epub 2013 Jan 17.