Cross-cultural Opening – a long way to achieve substantial changes in the German mental health care system

Mike Mösko


Throughout recent history Germany has gone through different phases of substantial migration movements. Currently almost 20% of the general population has a so-called migration background. Recent political milestones paved the way for Germany to move from being an informal to a formal immigration country. Still people with a migration background do not participate equally in important aspects of societal living. Cross-cultural opening is a movement that focuses on (health) organizations to reflect on their structure and processes in order to be more sensitive towards the special needs of clients with a migration background. With the focus on mental health care services in Germany, the barriers, milestones and (further) developments regarding improved diagnostics and treatment quality are outlined.


Migration; cross-cultural competence; mental health care; cross-cultural Opening; Cultural Formulation



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