Cultural Consultation

Beschreibung

Cultural diversity is a global challenge for mental health services. The changing demography of communities requires rethinking approaches to cultural competence for health professionals and institutions. Cultural consultation is a way to improve the quality of mental health care by providing a nuanced understanding of the predicaments that prompt diverse clients to seek help, and the social contexts of their mental health problems, to guide clinical assessment and intervention.Cultural Consultation explores the practice of cultural consultation as a strategy to improve the quality of mental health care for diverse populations. The contributors, who have worked together at an innovative clinical service, frame best practices in psychiatry clinical psychology, and social work in relation to empathy, human rights, and culturally responsive and ethically sound care. A detailed model of the process of cultural consultation, from initial intake, through assessment, to recommendations and referrals, provides guidelines for clinical practice. Expert contributors examine specialized settings (medical, psychiatric emergency, inpatient, social/legal services), populations (remote, indigenous, child and youth), and contextual issues in the care of people with a wide range of mental health problems. Numerous case examples, charts, and tools add depth for readers interested in developing similar services or enhancing existing practice. Among the key areas covered: Working with interpreters and culture brokers.Family systems in cultural consultation.Gender, power, and ethnicity in cultural consultation.Consultation and mediation with racialized and marginalized communities.Collaborative care and primary care consultation.Cultural consultation with refugees.A unique guide to challenges and opportunities in contemporary practice, Cultural Consultation will be immediately useful for health careprofessionals, clinical psychologists, and cultural consultants and provide a versatile knowledge source for years to come. 
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician.This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service- Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions- Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodesThis book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.
More psychiatric in focus than the large number of works on cultural issues from counseling psychology, clinical psychology and social work Emphasis on a consultation model (time-limited interventions) for primary care providers and case managers Discusses and compares several models for developing and working with multidisciplinary teams Strong emphasis on work with interpreters, culture brokers and community resources Underscores the critical awareness of the cultural background of the clinician and the implicit culture of psychiatric knowledge and practice The approach is focused more on systemic, contextual and political issues than on 'cultural' idiosyncrasies of the case, which are emphasized in some of the literature of medical anthropology Includes supplementary material: sn.pub/extras

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Laurence J. Kirmayer

Themen in »Cultural Consultation«

child psychiatry clinically applied ethnography collaborative care community consultation consultation in indigenous communities cultural consultation cultural consultation service cultural diversity cultural mediation culture brokers ethnicity in cultural consultation family systems in cultural consultation gender in cultural consultation general hospital psychiatry legal settings

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