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The Capital Region of Denmark - a part of Copenhagen University Hospital

PTF6: The Effect of Integrating Cross-sectoral Collaboration with the Municipality in Psychosocial Treatment of Trauma-affected Refugees; a Randomised Controlled Trial

Project: Types of projects

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Postmigration conditions in resettlement countries may moderate or exacerbate mental health outcomes in refugees. Ongoing stresses related to social problems may lead to difficulties focusing on the content and process of treatment for trauma-related mental health problems. This could reduce treatment
outcomes. Cross-sectoral collaboration and coordination of municipal social interventions and regional psychiatric treatment are currently limited.
The aim of this study is to investigate the effect of integrating cross-sectoral collaboration with the municipality in psychosocial treatment of trauma-affected refugees.

Number of participants (N): 230.

Included in the study are refugees with post-traumatic stress disorder, who are unemployed and attending a municipal job centre or sickness-benefit unit in one of the five collaborating municipalities; Frederikssund, Gladsaxe, Hillerød, København, or Lyngby-Taarbæk.

The randomised controlled trial is comparing treatment as usual comprising 10 sessions with a medical doctor (pharmacological treatment and psycho-education) and 16 sessions with a psychologist (cognitive behavioural therapy) with add-on of the cross-sectoral social intervention. The core of the
intervention consists of three meetings between the patient, the municipal case counsellor and clinicians from CTP. The meetings are held at the beginning, half-way and end of an 8-10 months multidisciplinary treatment course. The patient’s self-perceived social stressors are addressed and a comprehensive action plan for handling the patient’s challenges is made. In-between the meetings the involved parties will be in ongoing contact. In addition, qualitative data will be collected for approximately 20 participants throughout the
treatment period and 6 months after treatment has ended. The qualitative part will focus on how the participants have experienced the cross-sectoral collaboration, psychiatric recovery, treatment outcome, social recovery and whether the participants are left with a better plan and overview of life situation and circumstances. It will primarily consist of interviews and observations of
the meetings at several points in time.
The primary outcome is WHODAS 2.0 together with a variety of secondary outcomes measuring psychiatric symptoms, quality of life and social factors (HTQ, HSCL-25, WHO-5, EQ6D, CHAI, HAM17-D+A, GAF-F+S). Different qualitative analysis will be carried out in accordance with the nature of the
data material.

Expected results:
We expect the integrated cross-sectoral intervention to enhance outcomes of treatment.


    Research areas

  • Health Sciences - Transcultural Psychiatry, Randomized Controlled Clinical Trial, Psychosocial Interventions, Health Systems Research, Registerbased research, Recovery

ID: 59557933