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Cultural consultation: a model of mental health service for multicultural societies.
- Source :
- Canadian Journal of Psychiatry; Apr2003, Vol. 48 Issue 3, p145-153, 9p
- Publication Year :
- 2003
-
Abstract
- <bold>Objectives: </bold>This paper reports results from the evaluation of a cultural consultation service (CCS) for mental health practitioners and primary care clinicians. The service was designed to improve the delivery of mental health services in mainstream settings for a culturally diverse urban population including immigrants, refugees, and ethnocultural minority groups. Cultural consultations were based on an expanded version of the DSM-IV cultural formulation and made use of cultural consultants and culture brokers. <bold>Methods: </bold>We documented the service development process through participant observation. We systematically evaluated the first 100 cases referred to the service to establish the reasons for consultation, the types of cultural formulations and recommendations, and the consultation outcome in terms of the referring clinician's satisfaction and recommendation concordance. <bold>Results: </bold>Cases seen by the CCS clearly demonstrated the impact of cultural misunderstandings: incomplete assessments, incorrect diagnoses, inadequate or inappropriate treatment, and failed treatment alliances. Clinicians referring patients to the service reported high rates of satisfaction with the consultations, but many indicated a need for long-term follow-up. <bold>Conclusion: </bold>The cultural consultation model effectively supplements existing services to improve diagnostic assessment and treatment for a culturally diverse urban population. Clinicians need training in working with interpreters and culture brokers. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL health services
MENTAL health
PRIMARY care
GENERAL practitioners
PSYCHIATRIC diagnosis
MENTAL illness treatment
AGE distribution
CLINICAL psychology
COMPARATIVE studies
CULTURE
LANGUAGE & languages
MANAGEMENT
RESEARCH methodology
MEDICAL cooperation
MEDICAL referrals
MENTAL illness
CULTURAL pluralism
PSYCHIATRY
RESEARCH
RESEARCH funding
SEX distribution
GOVERNMENT policy
EVALUATION research
MENTAL health services administration
STANDARDS
Subjects
Details
- Language :
- English
- ISSN :
- 07067437
- Volume :
- 48
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Canadian Journal of Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 9492168
- Full Text :
- https://doi.org/10.1177/070674370304800302