The scarcity of bilingual psychiatrists, as well as appropriate mental health services for popula... more The scarcity of bilingual psychiatrists, as well as appropriate mental health services for populations with limited English proficiency, has led to inequitable health outcomes. A fellowship program was developed, which draws from a clinical model staffed by bilingual (Spanish-English) professionals from racial-ethnic minority groups, to address access to care and the structural determinants of health. This new Hispanic Psychiatry Fellowship focuses on health inequality and racism in policy and leadership, clinical care for Spanish-speaking patients, cultural psychiatry, recovery, forensics, substance use, and education. This column describes the program's development, first 2 years of implementation, and feasibility indicators for use in creating similar programs.
OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from... more OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from providers with limited knowledge of military culture. The 16-item core DSM-5 Cultural Formulation Interview (CFI) was designed to integrate cultural factors into assessment and treatment of mental disorders. Although the CFI was designed for use with all patients, it is unknown whether the CFI adequately assesses military culture. The authors describe a methodology to determine the need for specific CFI versions and how to create a version for use with persons affiliated with the military. METHODS Published articles on cultural competence in the military were systematically reviewed. Cultural domains were abstracted from each article, inductively coded, and hierarchically organized for assessment against the core CFI. A military CFI was created with additional implementation instructions, questions, and probes when the core CFI was inadequate for eliciting relevant cultural domains. RESULTS Sixty-three articles were included. Coding revealed 22 military culture domains, of which only five would be elicited in the core CFI without additional guidance. Twelve of 16 questions in the core CFI required additional instructions, five benefited from question edits, and 10 needed additional probing questions. On the basis of these results, the authors crafted a military version of the CFI for service members, veterans, and their families. CONCLUSIONS The military CFI for clinicians assesses aspects of military culture that are not comprehensively evaluated through the core CFI. The development process described in this article may inform the creation of other versions when the core CFI does not comprehensively assess cultural needs for specific populations.
Health for sponsoring this project, and for laying the foundation for this work by developing the... more Health for sponsoring this project, and for laying the foundation for this work by developing the “National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. ” We thank the Project Officer, Guadalupe Pacheco, for his enthusiastic support. We also acknowledge our project’s team for supporting the research and writing of this draft, especially Dr. Margarita Hurtado, who provided an incredible amount of time and dedication to advising and reviewing this paper at each step of the process. We extend our warmest thanks to the members of the National Project Advisory Committee (NPAC) who generously lent their expertise, providing input and valuable feedback on an earlier draft of this paper at the first NPAC meeting on February 18, 2002. We especially would like to thank those individuals who have helped us extensively by offering us specific materials and resources, both after reviewing the preliminary draft, and at the beginning of the project as we ...
All health care settings are challenged to provide timely and evidence-based care, particularly f... more All health care settings are challenged to provide timely and evidence-based care, particularly for culturally diverse patients with behavioral health disorders. Telepsychiatry and telebehavioral health improve access to care, yet mobile health technologies may have even more promise. A scoping review examined the research question: “What are the components of culturally competent, mobile health care, and what approaches have clinicians and systems taken to implement this care, train clinicians and evaluate outcomes?” The literature search from January 2000 to March 2020 focused on keywords in four concept areas: (1) competencies; (2) mobile health; (3) culture; and (4) clinical care. Of 2471 papers, 183 papers were directly relevant to the concepts. Few studies and professional organizations’ publications specifically discuss skills or competencies for mobile health and cultural factors. Existing telehealth competency sets (i.e., video, social media, mobile health, telebehavioral health, asynchronous) have limited cultural components, and one outline of culturally competencies exists without mention of technology. The landscape of culturally competence is expanded with cultural humility and safety constructs. New sets of mobile health and cultural competencies were constructed—with integration where possible—and training and administrative approaches are suggested. Effectiveness research is needed to implement and evaluate mobile health and cultural competencies. Research is also needed to understand how these competencies align with telehealth, rural health, and unique populations (e.g., refugees, Indigenous peoples, migrant workers, gender diverse groups). Outreach and advocacy for the inclusion of people with lived and living experience is essential to this research.
International medical graduate (IMG) physicians are a highly diverse group of individuals on the ... more International medical graduate (IMG) physicians are a highly diverse group of individuals on the basis of each person’s country of origin, acculturation, race/ethnicity, gender, age, religion/spirituality, socioeconomic status, and sexual orientation, among other background characteristics. Nonetheless, the majority migrate from middle- and low-income, tradition-centered, collectivistic societies to industrialized, individualistic societies. Upon graduation, IMG physicians are more likely to practice in underserved or rural areas and provide care to patients who are ethnic minorities, immigrants, or socially disadvantaged. IMG physicians usually undergo a stressful acculturation process to both the general culture and the healthcare subculture in the host country, in addition to coping with the stress inherent to residency training. Medical education in their home country and residency training in their host country seldom prepare them or help them cope with these challenges. This chapter provides an environmental scan and a focused review of the literature of the acculturation and cultural competency needs of IMG physicians, identifies gaps in the literature, and proposes an educational research and policy agenda for the future.
Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow,... more Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow, WE, Peteet, JR, Thielman, SB and Yang, CP (2009) Religious and Spiritual Considerations in Psychiatric Diagnosis: Considerations for the DSM-V, in Religion and ...
handbook of mental health and acculturation in asian handbook of mental health and acculturation ... more handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian erratum to: handbook of mental health and acculturation in handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian vietnamese american families’ perceptions of children’s manual nikon d90 saosey tulip photo collectionrelaxing flower photo album bad faiththe danger of religious extremism ebook f60a service manual wood pellet heating systems the earthscan expert handbook 2002 hyundai sonata repair manual mdmtv tmh general studies manual book 2013 haow gerontological nurse practitioner certified nurse volkswagen golf 1999 2005 workshop service manual repair haake dc1 k50 manual recruitaca vs v6 holden workshop manual torrent ptfl free hp service manual downloads squazl the encyclopedia of fantastic victoriana toyota manual transmission pdf yamaha xjr 1300 service repair manual handbook of mental health and acculturation in asian the age of moguls dendec truth picks observations on this thing called life two lectures upon the relations of civil law to church vitra design museum collection poster public health nursingpolicy politics and practice ebook mercury xr6 black max owners manual nufcor so many circles so many squares mandv deere 230 clc service manual gkok
APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...
Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, ... more Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, but the use of documentary and instructional films in resident and staff cultural competence training have not been extensively written about in the medical and psychological literature. This article will describe the films that have been used by the authors and suggest methods for their use in cultural competence and diversity training. A literature search was done using MEDLINE and PsychINFO and the authors were asked to describe their teaching methods. One article was found detailing the use of videotapes as a stimulus but not for cultural competence education, and two articles were found documenting the use of The Color of Fear as a stimulus for the discussion of racism. However, many educators use these films all across the country for the purpose of opening discussion about racism. Documentary, instructional, and public service announcements can be useful in teaching culturally competent assessment and treatment.
The scarcity of bilingual psychiatrists, as well as appropriate mental health services for popula... more The scarcity of bilingual psychiatrists, as well as appropriate mental health services for populations with limited English proficiency, has led to inequitable health outcomes. A fellowship program was developed, which draws from a clinical model staffed by bilingual (Spanish-English) professionals from racial-ethnic minority groups, to address access to care and the structural determinants of health. This new Hispanic Psychiatry Fellowship focuses on health inequality and racism in policy and leadership, clinical care for Spanish-speaking patients, cultural psychiatry, recovery, forensics, substance use, and education. This column describes the program's development, first 2 years of implementation, and feasibility indicators for use in creating similar programs.
OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from... more OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from providers with limited knowledge of military culture. The 16-item core DSM-5 Cultural Formulation Interview (CFI) was designed to integrate cultural factors into assessment and treatment of mental disorders. Although the CFI was designed for use with all patients, it is unknown whether the CFI adequately assesses military culture. The authors describe a methodology to determine the need for specific CFI versions and how to create a version for use with persons affiliated with the military. METHODS Published articles on cultural competence in the military were systematically reviewed. Cultural domains were abstracted from each article, inductively coded, and hierarchically organized for assessment against the core CFI. A military CFI was created with additional implementation instructions, questions, and probes when the core CFI was inadequate for eliciting relevant cultural domains. RESULTS Sixty-three articles were included. Coding revealed 22 military culture domains, of which only five would be elicited in the core CFI without additional guidance. Twelve of 16 questions in the core CFI required additional instructions, five benefited from question edits, and 10 needed additional probing questions. On the basis of these results, the authors crafted a military version of the CFI for service members, veterans, and their families. CONCLUSIONS The military CFI for clinicians assesses aspects of military culture that are not comprehensively evaluated through the core CFI. The development process described in this article may inform the creation of other versions when the core CFI does not comprehensively assess cultural needs for specific populations.
Health for sponsoring this project, and for laying the foundation for this work by developing the... more Health for sponsoring this project, and for laying the foundation for this work by developing the “National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. ” We thank the Project Officer, Guadalupe Pacheco, for his enthusiastic support. We also acknowledge our project’s team for supporting the research and writing of this draft, especially Dr. Margarita Hurtado, who provided an incredible amount of time and dedication to advising and reviewing this paper at each step of the process. We extend our warmest thanks to the members of the National Project Advisory Committee (NPAC) who generously lent their expertise, providing input and valuable feedback on an earlier draft of this paper at the first NPAC meeting on February 18, 2002. We especially would like to thank those individuals who have helped us extensively by offering us specific materials and resources, both after reviewing the preliminary draft, and at the beginning of the project as we ...
All health care settings are challenged to provide timely and evidence-based care, particularly f... more All health care settings are challenged to provide timely and evidence-based care, particularly for culturally diverse patients with behavioral health disorders. Telepsychiatry and telebehavioral health improve access to care, yet mobile health technologies may have even more promise. A scoping review examined the research question: “What are the components of culturally competent, mobile health care, and what approaches have clinicians and systems taken to implement this care, train clinicians and evaluate outcomes?” The literature search from January 2000 to March 2020 focused on keywords in four concept areas: (1) competencies; (2) mobile health; (3) culture; and (4) clinical care. Of 2471 papers, 183 papers were directly relevant to the concepts. Few studies and professional organizations’ publications specifically discuss skills or competencies for mobile health and cultural factors. Existing telehealth competency sets (i.e., video, social media, mobile health, telebehavioral health, asynchronous) have limited cultural components, and one outline of culturally competencies exists without mention of technology. The landscape of culturally competence is expanded with cultural humility and safety constructs. New sets of mobile health and cultural competencies were constructed—with integration where possible—and training and administrative approaches are suggested. Effectiveness research is needed to implement and evaluate mobile health and cultural competencies. Research is also needed to understand how these competencies align with telehealth, rural health, and unique populations (e.g., refugees, Indigenous peoples, migrant workers, gender diverse groups). Outreach and advocacy for the inclusion of people with lived and living experience is essential to this research.
International medical graduate (IMG) physicians are a highly diverse group of individuals on the ... more International medical graduate (IMG) physicians are a highly diverse group of individuals on the basis of each person’s country of origin, acculturation, race/ethnicity, gender, age, religion/spirituality, socioeconomic status, and sexual orientation, among other background characteristics. Nonetheless, the majority migrate from middle- and low-income, tradition-centered, collectivistic societies to industrialized, individualistic societies. Upon graduation, IMG physicians are more likely to practice in underserved or rural areas and provide care to patients who are ethnic minorities, immigrants, or socially disadvantaged. IMG physicians usually undergo a stressful acculturation process to both the general culture and the healthcare subculture in the host country, in addition to coping with the stress inherent to residency training. Medical education in their home country and residency training in their host country seldom prepare them or help them cope with these challenges. This chapter provides an environmental scan and a focused review of the literature of the acculturation and cultural competency needs of IMG physicians, identifies gaps in the literature, and proposes an educational research and policy agenda for the future.
Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow,... more Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow, WE, Peteet, JR, Thielman, SB and Yang, CP (2009) Religious and Spiritual Considerations in Psychiatric Diagnosis: Considerations for the DSM-V, in Religion and ...
handbook of mental health and acculturation in asian handbook of mental health and acculturation ... more handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian erratum to: handbook of mental health and acculturation in handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian vietnamese american families’ perceptions of children’s manual nikon d90 saosey tulip photo collectionrelaxing flower photo album bad faiththe danger of religious extremism ebook f60a service manual wood pellet heating systems the earthscan expert handbook 2002 hyundai sonata repair manual mdmtv tmh general studies manual book 2013 haow gerontological nurse practitioner certified nurse volkswagen golf 1999 2005 workshop service manual repair haake dc1 k50 manual recruitaca vs v6 holden workshop manual torrent ptfl free hp service manual downloads squazl the encyclopedia of fantastic victoriana toyota manual transmission pdf yamaha xjr 1300 service repair manual handbook of mental health and acculturation in asian the age of moguls dendec truth picks observations on this thing called life two lectures upon the relations of civil law to church vitra design museum collection poster public health nursingpolicy politics and practice ebook mercury xr6 black max owners manual nufcor so many circles so many squares mandv deere 230 clc service manual gkok
APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...
Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, ... more Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, but the use of documentary and instructional films in resident and staff cultural competence training have not been extensively written about in the medical and psychological literature. This article will describe the films that have been used by the authors and suggest methods for their use in cultural competence and diversity training. A literature search was done using MEDLINE and PsychINFO and the authors were asked to describe their teaching methods. One article was found detailing the use of videotapes as a stimulus but not for cultural competence education, and two articles were found documenting the use of The Color of Fear as a stimulus for the discussion of racism. However, many educators use these films all across the country for the purpose of opening discussion about racism. Documentary, instructional, and public service announcements can be useful in teaching culturally competent assessment and treatment.
Uploads
Papers by Francis Lu