Aims: This study evaluated the perceived quality of life of the former psychiatric patients (N = 103) who have been moved from the Psychiatric Hospital of Leros to community hostels (N = 19) in Leros Island. In addition, the residents’ clinical and social functioning profiles were examined together with the extent of institutional practices by the staff in residents’ environment.

Method: The present research is a cross-sectional study examining the impact of the transformation programmes Leros I and Leros II on the well-being of long-term psychiatric clients following the move.

Results: The majority of the residents expressed high levels of satisfaction, in almost all variables of quality of life, except the variable of contact with family relations. The level of psychopathology was very low, while the majority of residents expressed low community and social skills. Finally, the staff (N = 64) allowed in a way, the expression of autonomy in the residents’ environment.

Conclusions: This study suggests that even the most chronic psychiatric population of Greece is able to give valid and reliable responses concerning the manner in which they perceive their present life.

Aim: The primary aim of the study is to empirically derive the factorial structure of the VDS to support its use as a culturally responsive depression screening tool in community samples of Vietnamese adults.

Method: The factorial structure, reliability, and associations of the VDS factors with recognized socio-demographic correlates were examined using data collected from interviews with a non-probability community sample of 180 Vietnamese refugee adults in the Houston area.

Results: The empirically derived factorial structure of the VDS approximated the theorized conceptualization of depression introduced by the scale’s originators. Three factors (depressed affect, somatic symptoms, and cultural-specific symptoms) accounted for 65% of the variance. As hypothesized, the VDS factors correlated with age and acculturation variables.

Conclusion: Overall results suggest that the conceptualization of depression among this sample of Vietnamese refugees has both universal and culturally specific features. Implications for providing culturally responsive mental health services are offered.

Aims: To contribute to a better understanding of culture and ethnicity in youth violence among Asian Americans and Pacific Islanders by quantifying ethnic forms of social capital.

Methods: We use an n = 326 sample of three API groups from Oahu, Hawaii. Defining social capital as ethnic practice, we test Filipino, Hawaiian and Samoan forms of youth social capital on intimate and non-intimate violence.

Results: Bivariate findings associate lower violence with language ability among Filipinos, coming-of-age practices among Hawaiians, and community leader engagement among Samoans. Multivariate tests showed language to be the strongest correlation. Bivariate tests also suggested potentially risky forms of social capital.

Conclusions: Results lead us to hypothesize that social capital that deliberately places individuals within their respective ethnic communities are risk-reducing, as are those that promote formal ethnic community structures. Those that formalize ethnic practice and social capital into commercial activities may be associated with higher risk of violence. Given the relatively small sample size and the exploratory approach for the present investigation, further research is needed to determine whether the findings can be replicated and to extend the findings of the present preliminary study.

Methods: In total 185 British adults, recruited by a market research company, completed a four-part questionnaire, lasting about 20 minutes.

Results: Participants were generally very positive about psychotherapy believing the experience to be highly beneficial. Schizophrenia was seen to have a biological basis; depression and bipolar disorder were perceived to have family, work and other stress-related causal issues; obsessive-compulsive disorder was seen to be caused by stress and family-related issues. Participants thought psychotherapy a very effective treatment but drug treatments more effective for schizophrenia and bipolar disorder. ‘Talking it over’ was judged highly relevant, specifically to depression. Participants believed that depression had a good chance of cure, and remission, but that neither schizophrenia nor bipolar disorder had much chance of an effective cure.

Conclusion: Lay people show a curious pattern on insight, ignorance and naivety with regard to the cause and cure of mental disorders. They appear to have a modestly realistic but somewhat naive view of the process and efficacy of psychotherapy. This may influence how they react to their own and others’ mental illness. It has clear implications for education in psychiatric literacy.

Method: SRQ-20 was used to evaluate 959 participants from 10 communities of Hangzhou City and 60 participants from two community primary care centres for the presence of mental disorders. Discriminative, concurrent, and construct validity as well as internal consistency and screening properties of SRQ-20 were evaluated.

Results: Cronbach’s for SRQ-20 was 0.90 for primary care and 0.91 for the community. Item-total correlation coefficients ranged from 0.40 to 0.73 in primary care, and from 0.51 to 0.69 in the community. The test-retest correlation coefficient was 0.93 in primary care and 0.94 in the community. Varimax-rotated principal component analysis of the SRQ-20 items yielded three factors: depressive symptoms, anxiety symptoms and somatic symptoms. The area under the ROC curve was 0.83 (SE =0.04, 95% CI 0.75—0.90) for the community and primary care samples. The optimal cut-off point for SRQ-20 was 6/7 yielding sensitivity of 93% and specificity of 62%.

Conclusion: SRQ-20 appears to be a reliable and valid measure of mental disorders in the community in China.

Aims: This study investigates whether there are interactions between the mode of care (inpatient versus day-care treatment) and characteristics of the social network.

Methods: Fifty seven matched pairs (inpatients, day-care patients) with mental or psychosomatic disorders were assessed with the Multidimensional Social Contact Circle Questionnaire (MuSC-Q). Patients and their partners were asked to characterize their mutual relationship.

Results: Patients who were married or living together with a partner were more often treated in day care. Social integration and social strain similarly decreased during inpatient and day-care treatment whereas emotional support increased. While both patient groups evaluated the relationship to their partner similarly, the partners of day-care patients saw more strain on their relationship during hospitalization.

Conclusion: The results suggest that patients who do not live alone prefer the day-care treatment facility. Patients in both modes of care at the end see their partnership as more supportive. For their partners, day care means that they have greater burdens to cope with when the patient is in treatment and still at home.

Methods: Focus group discussions were used to explore the experiences of Ethiopian female domestic migrants to Middle Eastern countries, comparing those who developed severe mental illness with those remaining mentally well.

Discussion: Prominent self-identified threats to mental health included exploitative treatment, enforced cultural isolation, undermining of cultural identity and disappointment in not achieving expectations. Participants countered these risks by affirming their cultural identity and establishing socio-cultural supports.

Conclusions: Mental health of migrant domestic workers may be jeopardized by stressors, leading to experience of social defeat.

Method: This was a retrospective chart review. Demographic and clinical data were extracted from case records of FDWs who were admitted for the first time as inpatients for psychiatric treatment to three regional hospitals of the same catchment area in Hong Kong between 2000 and 2004. Relevant socio-demographic data on local FDWs and the general population of Hong Kong were obtained from local government departments.

Results: Twenty-seven Filipino and 14 Indonesian FDWs presenting with their first and so far only psychiatric admission were identified. There were significantly more FDWs who were single or never married in the sample. Filipino FDWs tended to fall ill after 4 years of service in Hong Kong while the corresponding figure for Indonesian FDWs was 2 years. Indonesian FDWs were older and had less access to social and medical services than their Filipino counterparts. Home sickness and marital problems were more commonly identified as stressors rather than workrelated difficulties. Acute and Transient Psychotic Disorder (ICD-10) was diagnosed in over 60% of the subjects, making FDWs two times more vulnerable than local women of similar age for this illness.

Conclusions: FDWs constitute a vulnerable group in terms of psychiatric morbidity. Concerted political, social and psychological efforts would be require to alleviate the distress faced by this particularly disadvantaged subset of female expatriates.