# Evaluation of a stepped-care program for migrants without stable housing in Paris - URL: https://alisanburak.com/en/wcp-2026-posterler/k1144 - Language: en - Last updated: not specified - Page title: Evaluation of a stepped-care program for migrants without stable housing in Paris | WCP 2026 Summary > A stepped-care program combining DWM and PM+ interventions significantly reduced symptoms of depression and anxiety among migrants experiencing homelessness co… This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/k1144) This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it. Symposium PresentationMigration and Transcultural PsychiatryRCT (mixed methods) # Evaluation of a stepped-care program for migrants without stable housing in Paris Evaluation of a stepped care program for migrants in paris without stable housing Presenter: Andrea Tortelli Country: France Session: 3780 - MIGRANT MENTAL HEALTH AND TREATMENT IN INTERNATIONAL CONTEXT Date: Fri, 25.09.2026, 13:40 - 13:50 Room: Hall A6 A stepped-care program combining DWM and PM+ interventions significantly reduced symptoms of depression and anxiety among migrants experiencing homelessness compared with the control group (difference −5.23; p=0.0005). The study aimed to evaluate the effectiveness, feasibility, and acceptability of stepped care combining the World Health Organization's scalable psychosocial interventions, Doing What Matters in Times of Stress (DWM) and Problem Management Plus (PM+), in reducing symptoms of depression and anxiety among migrants without stable housing in Paris; the combined use of these two interventions in stepped care had not been adequately studied in groups with limited access to services. The sequential mixed-methods study included a single-blind randomized controlled trial followed by qualitative interviews; adults experiencing psychological distress (K10 ≥ 16) were recruited in Paris between February 2022 and November 2023. Participants were randomized to receive psychological first aid plus five weeks of DWM followed by five weeks of PM+, delivered by trained helpers, or psychological first aid and usual care; the primary outcome was the PHQ-ADS score at two months post-intervention. Among the 228 randomized participants, the intervention group showed a greater reduction in symptoms of depression and anxiety at week 21 than the control group (difference −5.23; 95% confidence interval (CI) [−8.17; −2.24]; p=0.0005). Effects were not significant after DWM alone, became significant after PM+, and were maintained at follow-up; interviews with participants and helpers supported feasibility and acceptability. In conclusion, the combined DWM and PM+ program was reported to be effective, feasible, and acceptable for migrants experiencing homelessness and may help reduce barriers to mental health care access among marginalized groups. How to cite this study APA 7: Tortelli, A., et al. (2026, September 25). Evaluation of a stepped care program for migrants in paris without stable housing [Symposium presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. Vancouver: Tortelli A, et al. Evaluation of a stepped care program for migrants in paris without stable housing [symposium presentation]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use. ## On the same topic - [Psikiyatrik hastalık ve şiddet: aile ruh sağlığı ve kültürlerarası yönlere odaklanma](https://alisanburak.com/en/wcp-2026-posterler/ev0096) - [İspanyolca konuşan popülasyonlar için bir dijital kliniğin kültürel ve dilsel uyarlaması](https://alisanburak.com/en/wcp-2026-posterler/ev0438) - [Göçmen ruh sağlığında eğitim boşluklarının incelenmesi: ülke genelinde bir ABD psikiyatri asistanı örnekleminin bakış açıları](https://alisanburak.com/en/wcp-2026-posterler/ev0519) - [Kültürler arasında aşk: göç ve kültürlerarası ilişkilerde çift terapisi](https://alisanburak.com/en/wcp-2026-posterler/ev0592) - [İran kültürünün ebeveynlik biçimi aracılığıyla çocukluktan yetişkinliğe gelişim üzerindeki etkisinin Y ve Z kuşaklarında incelenmesi](https://alisanburak.com/en/wcp-2026-posterler/ev0594) [All WCP 2026 summaries](https://alisanburak.com/en/wcp-2026-posterler) --- Kaynak / Source: https://alisanburak.com/en/wcp-2026-posterler/k1144 İletişim / Contact: Bağdat Caddesi, Veli Güneysu Apt. No:453 K:4 D:9, Suadiye / Kadıköy, İstanbul · +90 532 642 95 25 · info@alisanburak.com · https://alisanburak.com/bagdat-caddesi-psikoterapi-iletisim