Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation'

Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficienc...
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Autor*in:	Dimitrina Miteva [verfasserIn] Foivos Georgiadis [verfasserIn] Lorna McBroom [verfasserIn] Vanessa Noboa [verfasserIn] Boris B. Quednow [verfasserIn] Erich Seifritz [verfasserIn] Stefan Vetter [verfasserIn] Stephan T. Egger [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Language Proficiency Mental Health Treatment Outcomes Coercive Treatment

Übergeordnetes Werk:	In: Comprehensive Psychiatry - Elsevier, 2019, 114(2022), Seite 152299-
Übergeordnetes Werk:	volume:114 ; year:2022 ; pages:152299-

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.comppsych.2022.152299

Katalog-ID:	DOAJ017969166

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allfields	10.1016/j.comppsych.2022.152299 doi (DE-627)DOAJ017969166 (DE-599)DOAJ14879cdd73c844d1bdd63c5e38b04f3a DE-627 ger DE-627 rakwb eng RC435-571 Dimitrina Miteva verfasserin aut Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation' 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care. Language Proficiency Mental Health Treatment Outcomes Coercive Treatment Psychiatry Foivos Georgiadis verfasserin aut Lorna McBroom verfasserin aut Vanessa Noboa verfasserin aut Boris B. Quednow verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 114(2022), Seite 152299- (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:114 year:2022 pages:152299- https://doi.org/10.1016/j.comppsych.2022.152299 kostenfrei https://doaj.org/article/14879cdd73c844d1bdd63c5e38b04f3a kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X22000050 kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 114 2022 152299-
spelling	10.1016/j.comppsych.2022.152299 doi (DE-627)DOAJ017969166 (DE-599)DOAJ14879cdd73c844d1bdd63c5e38b04f3a DE-627 ger DE-627 rakwb eng RC435-571 Dimitrina Miteva verfasserin aut Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation' 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care. Language Proficiency Mental Health Treatment Outcomes Coercive Treatment Psychiatry Foivos Georgiadis verfasserin aut Lorna McBroom verfasserin aut Vanessa Noboa verfasserin aut Boris B. Quednow verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 114(2022), Seite 152299- (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:114 year:2022 pages:152299- https://doi.org/10.1016/j.comppsych.2022.152299 kostenfrei https://doaj.org/article/14879cdd73c844d1bdd63c5e38b04f3a kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X22000050 kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 114 2022 152299-
allfields_unstemmed	10.1016/j.comppsych.2022.152299 doi (DE-627)DOAJ017969166 (DE-599)DOAJ14879cdd73c844d1bdd63c5e38b04f3a DE-627 ger DE-627 rakwb eng RC435-571 Dimitrina Miteva verfasserin aut Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation' 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care. Language Proficiency Mental Health Treatment Outcomes Coercive Treatment Psychiatry Foivos Georgiadis verfasserin aut Lorna McBroom verfasserin aut Vanessa Noboa verfasserin aut Boris B. Quednow verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 114(2022), Seite 152299- (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:114 year:2022 pages:152299- https://doi.org/10.1016/j.comppsych.2022.152299 kostenfrei https://doaj.org/article/14879cdd73c844d1bdd63c5e38b04f3a kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X22000050 kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 114 2022 152299-
allfieldsGer	10.1016/j.comppsych.2022.152299 doi (DE-627)DOAJ017969166 (DE-599)DOAJ14879cdd73c844d1bdd63c5e38b04f3a DE-627 ger DE-627 rakwb eng RC435-571 Dimitrina Miteva verfasserin aut Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation' 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care. Language Proficiency Mental Health Treatment Outcomes Coercive Treatment Psychiatry Foivos Georgiadis verfasserin aut Lorna McBroom verfasserin aut Vanessa Noboa verfasserin aut Boris B. Quednow verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 114(2022), Seite 152299- (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:114 year:2022 pages:152299- https://doi.org/10.1016/j.comppsych.2022.152299 kostenfrei https://doaj.org/article/14879cdd73c844d1bdd63c5e38b04f3a kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X22000050 kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 114 2022 152299-
allfieldsSound	10.1016/j.comppsych.2022.152299 doi (DE-627)DOAJ017969166 (DE-599)DOAJ14879cdd73c844d1bdd63c5e38b04f3a DE-627 ger DE-627 rakwb eng RC435-571 Dimitrina Miteva verfasserin aut Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation' 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care. Language Proficiency Mental Health Treatment Outcomes Coercive Treatment Psychiatry Foivos Georgiadis verfasserin aut Lorna McBroom verfasserin aut Vanessa Noboa verfasserin aut Boris B. Quednow verfasserin aut Erich Seifritz verfasserin aut Stefan Vetter verfasserin aut Stephan T. Egger verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 114(2022), Seite 152299- (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:114 year:2022 pages:152299- https://doi.org/10.1016/j.comppsych.2022.152299 kostenfrei https://doaj.org/article/14879cdd73c844d1bdd63c5e38b04f3a kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X22000050 kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 114 2022 152299-
language	English
source	In Comprehensive Psychiatry 114(2022), Seite 152299- volume:114 year:2022 pages:152299-
sourceStr	In Comprehensive Psychiatry 114(2022), Seite 152299- volume:114 year:2022 pages:152299-
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Language Proficiency Mental Health Treatment Outcomes Coercive Treatment Psychiatry
isfreeaccess_bool	true
container_title	Comprehensive Psychiatry
authorswithroles_txt_mv	Dimitrina Miteva @@aut@@ Foivos Georgiadis @@aut@@ Lorna McBroom @@aut@@ Vanessa Noboa @@aut@@ Boris B. Quednow @@aut@@ Erich Seifritz @@aut@@ Stefan Vetter @@aut@@ Stephan T. Egger @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	330080377
id	DOAJ017969166
language_de	englisch
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Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. 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callnumber-first	R - Medicine
author	Dimitrina Miteva
spellingShingle	Dimitrina Miteva misc RC435-571 misc Language Proficiency misc Mental Health misc Treatment Outcomes misc Coercive Treatment misc Psychiatry Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation'
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topic_title	RC435-571 Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation' Language Proficiency Mental Health Treatment Outcomes Coercive Treatment
topic	misc RC435-571 misc Language Proficiency misc Mental Health misc Treatment Outcomes misc Coercive Treatment misc Psychiatry
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title	Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation'
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title_full	Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation'
author_sort	Dimitrina Miteva
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author_browse	Dimitrina Miteva Foivos Georgiadis Lorna McBroom Vanessa Noboa Boris B. Quednow Erich Seifritz Stefan Vetter Stephan T. Egger
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title_sort	impact of language proficiency on mental health service use, treatment and outcomes: 'lost in translation'
callnumber	RC435-571
title_auth	Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation'
abstract	Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care.
abstractGer	Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care.
abstract_unstemmed	Background: Mastery of a language is bound to place of origin; low language proficiency is thus related to migration and cultural differences, all of which influence access to mental health care, treatment and outcomes. Switzerland, being multilingual, allows the disentangling of language proficiency from migration and, to some extent, culture. This study uses propensity score matching to explore how language proficiency relates to help-seeking behaviour, service use, treatment and outcomes in patients with mental health disorders. Methods: We used the first admission of patients admitted to and discharged from an academic psychiatric hospital in Switzerland between January 1st, 2013 and December 31st, 2019, with an observation period of one-year post-discharge (until December 31st, 2020). We paired 2101 patients with low language proficiency to 2101 language proficient patients, balancing baseline sociodemographic and clinical characteristics using propensity score matching. Results: Patients with low language proficiency had a higher probability of compulsory admission (OR: 1.79, 99%CI: 1.60–2.02); which remained after adjustment for confounders (OR: 1.51; 99%CI: 1.21–1.89). Whilst in treatment, they had higher rates of compulsory medication (OR: 1.73, 99%CI: 1.16–2.59) and seclusion/restraint (OR: 1.87, 99%CI: 1.25–2.79). Furthermore, patients initially admitted voluntarily had a higher probability of being compulsorily retained (OR: 1.74, 99%CI: 1.24–2.46). Both groups showed similar clinical improvement rates and service use parameters. Conclusions: Our results demonstrate that low language proficiency constitutes a risk factor for coercive measures throughout hospitalisation. The results demonstrate the need for an increase in language sensitivity in psychiatric care.
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title_short	Impact of language proficiency on mental health service use, treatment and outcomes: 'Lost in Translation'
url	https://doi.org/10.1016/j.comppsych.2022.152299 https://doaj.org/article/14879cdd73c844d1bdd63c5e38b04f3a http://www.sciencedirect.com/science/article/pii/S0010440X22000050 https://doaj.org/toc/0010-440X
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