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The approach
To effectively address the complex issues related to health field and migration, it is necessary to make cross-cultural competence at all levels - both relational-communication and medical treatment ones – of the European health services, considered as "learning communities". To determine how, T-SHaRE actively engages users, researchers, privileged witnesses and other professionals working in the field in an action-research activity, both in the analysis of training needs of health services, and in the realization of pilot experiences of on-the-job orientation and management of services in a cross-cultural approach addressed to women's health and mental health.

The assumption
The analysis of the emerging needs of health services and migrant users is indeed the starting point to understand if the answer is to train cultural mediators in a more appropriate way,  in order to recognize their role of interpreters of complex meanings or to enable them to take care of users through complementary practices for health promotion, whether it has sufficient ongoing training of health personnel, or, as hypothesized by T-SHaRE, it is necessary a systemic action which includes both interventions.
At the transnational level, flexible and integrated pathways have not yet been made for lifelong learning of interprofessional and intercultural teams in health services: it is what T-SHaRE intends to design and test, to make services “culturally competent” and ready to respond to complex, diverse and constantly changing needs; to prepare mediators to manage countertransference  conditions and work with other health professionals with the awareness of roles, hierarchies and competences; to facilitate the positive interaction of health professionals (including doctors) with atypical professional profiles such as linguistic-cultural mediators, often being the only one with the privilege of being able to have an effective communication with the user.
It needs to be remarked that immigrants in the EU territory are not only users of health services, but sometimes they bring their own knowledge, practices, cultural representations of illness, health, medical practices, relationships help. Such figures are often informally but, in facts, points of reference for the purposes of prevention and treatment of immigrant communities present on the territory, as well as public health facilities in host countries. This data cannot be ignored when it comes to health rights and immigrants integration. This phenomenon can cause problems, but could also represent an opportunity for innovation and improvement of European healthcare models, not only for immigrants but for all citizens. T-SHaRE will then bring out diverse visions and practices in the field of health and care, with a view (when this does not collide with the health of the individual and the community) to make them talk and eventually integrate them with the medical culture and health services of host countries.

The fields of intervention
The T-SHaRe project team has individuated two main fields in which develop and test research methodologies, tools and results: the complex and delicate area of women's health and mental health, where the health dimension is closely related with the social, cultural, relational, legal and economic dimension.