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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.

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

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.

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