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Textbook of cultural psychiatry
- Editors:
- BHUGRA Dinesh, BHUI Kamaldeep, (eds.)
- Publisher:
- Cambridge University Press
- Publication year:
- 2007
- Pagination:
- 591p.
- Place of publication:
- Cambridge
Cultural psychiatry is concerned with understanding the impact of social and cultural differences and similarities on mental illness and its treatments. The 42 contributions are divided into 6 parts, on the theoretical background, culture and mental health, culture and mental disorders, theoretical aspects of management, management with special groups and cultural research and training.
Forced migration and mental health: rethinking the care of refugees and displaced persons
- Editors:
- INGLEBY David, (ed.)
- Publisher:
- Springer
- Publication year:
- 2005
- Pagination:
- 218p.
- Place of publication:
- New York
In the last two decades, the provision of appropriate mental health care for the growing number of asylum seekers, refugees and displaced persons has become a focus of major concern. That care should be provide seems be increasingly accepted, but the Editor of this volume suggests that considerable controversy still remains around what type of care is needed. The contributors aim to provide a critical review of mental health care provision for these groups, to discuss the controversies arising and to highlight new developments. The book is divided into two parts. Part I discusses humanitarian aid and reconstruction programmes and Part II looks at service provision in host countries, including the needs of special groups such as women and children. Building on the themes of cultural appropriateness and an interdisciplinary view of mental health, the writers express the need to view refugees in the context of their own political and existential situations. It tries to avoid imposing Western technological solutions and instead seeks to foster an understanding of the strengths of “indigenous” ways of dealing with hardship and suffering. The book will be of interest to psychiatrist, psychologist and social workers involved with displaced persons as well as policy makers and students.
“Psychotherapy by environmental manipulation” and the observed symbolic rites on prayer mountains in Nigeria
- Author:
- AINA Olantunji F.
- Journal article citation:
- Mental Health Religion and Culture, 9(1), March 2006, pp.1-13.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In Africa, life misfortunes, including states of illness especially psychiatric disorders, are attributed to the activities of external causes such as evil spirits, enemies, and the gods, etc. Over the years, orthodox psychiatric practitioners in Nigeria have found that the Western forms of psychotherapy are of little relevance to their clients. However, the traditional practitioners, which include the “Babalawos,” “Dibias,” and religious healers, especially the syncretic church, largely patronized by the citizenry irrespective of their educational status, have been found to carry out activities of psychotherapeutic values that are more culturally accepted by the people. The syncretic church movement emerged in Nigeria in 1915, and their prophetic healing activities as well as trips to selected “prayer mountains” to solve difficult life problems have been noticed since then. Thus, the activities of these syncretic Aladura Church Movement on selected prayer mountains in southwest Nigeria were explored in this study. A large number of such activities were found to be of psychotherapeutic importance through the manipulation of the clients’ cultural environment and the “prescription” of such “symbolic rites” as the use of “Holy water,” “Anointing oil,” “mantles,” etc. The need to incorporate this practice into mental-health care in the country for the benefits of patients who believe in them was emphasized.
Perspectives in Caribbean psychology
- Authors:
- HICKLING Frederick W., et al
- Publisher:
- Jessica Kingsley
- Publication year:
- 2012
- Pagination:
- 744p.
- Place of publication:
- London
The editors bring together a collection of papers that attempt to record the unique psychological character of those who live in the Caribbean and more broadly people of African-Caribbean heritage. The book examines the impact on individuals of colonialism and the struggle for domination by various European and North American countries through history. The book makes the case for a definitively Caribbean psychology that has emerged from attempts to come to terms with the realities of Caribbean culture and experience. Contributors address prevalent issues of violence, mental illness, stigma, psychopathology and HIV/AIDS, and chronicle the adaptation, cultural retentions, resilience and migratory tenacity of the Caribbean people, both within their geographic communities and in the Diaspora. There also chapters focusing on psychological assessment, understanding and treatment modalities culled from a Caribbean experience. The book is aimed at anyone with an interest in multicultural psychology, as well as for social work and mental health professionals working with members of the Caribbean community.
Cultural consultation: a narrative approach to holistic care
- Author:
- DE JONGH Bertine
- Journal article citation:
- Open Mind, 171, March 2012, pp.20-21.
- Publisher:
- MIND
In the current context of financial restraint, there is a danger that cultural approaches to care are at risk of being diluted. This article argues that understanding how culture shapes experiences and expressions of mental health problems is fundamental to providing good care. For the past year, the Cultural Consultation Service (CCS) in Tower Hamlets has piloted an alternative approach to mental health care. With cultural consultation at its heart, a more holistic care process is facilitated by working with service users’ stories and analysing issues of complexity surrounding their care. Culture is not seen as something that is fixed, but is fluid, dynamically changing over time as it responds to a group or an individual’s experiences. Using this more complex understanding of culture, CCS develops policy and research on multiple levels, including individuals, teams, organisations and social systems. The article argues that it is more cost-effective to provide a holistic approach to care that is more closely linked to the needs of service users.
What’s your story?
- Author:
- DE JONGH Bertine
- Journal article citation:
- Mental Health Today, March 2012, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Cultural Consultation Service (CCS) provides cultural consultation, training, research and policy in order to address inequalities in mental health services. Cultural consultation requires understanding how culture shapes a service user’s experience and expressions of mental illness as well as their personal understanding of recovery. During the past year, the CCS has piloted a new holistic approach by working with service users’ stories and analysing issues of complexity surrounding all levels of their care. This approach has improved the recovery and experiences for service users, reduced reliance on services, and improved the ability of mental health professionals to engage with the cultural aspects of care. The approach looks not only at the culture and narrative of individual service users, but also at those of clinicians, teams and organisations. This article discusses how putting cultural considerations at the forefront of care can provide benefits for service users and clinicians. Not only can it help to identify more effective treatment plans for service users, it also works at all levels within an organisation.
People with intellectual disabilities in out-of-area specialist hospitals: what do families think?
- Authors:
- BONELL Simon, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(5), September 2011, pp.389-397.
- Publisher:
- Wiley
Guidance on commissioning specialist learning disability services addresses the importance of listening to family carers’ views about services and attempting to keep people close to their home and community. Despite this, out-of-area hospital care persists, with its attendant problems such as reduced family visits and difficulties in community rehabilitation. The aim of this study was to examine the views of family members of people with intellectual disabilities who are being cared for in out-of-area psychiatric hospitals, in particular focusing on whether culturally appropriate services were being provided. A total of 16 family members of patients receiving care in an out-of-area hospital were interviewed about their views on the care their relative or partner was receiving. Transcripts were then analysed by the study team and themes identified. The families expressed a wide range of views regarding out-of-area hospital care. Important themes identified were: feelings of shame; concerns about safety; cultural needs not being met; lack of improvement; and lack of involvement in care. These views on negative aspects of care should guide areas for quality improvement initiatives for inpatient services.
Integrating cultural competency and empirically-based practices in child welfare services: a model based on community psychiatry field principles of health
- Authors:
- BELL Carl C., WELLS Susan J., MERRITT Lani M.
- Journal article citation:
- Children and Youth Services Review, 31(11), November 2009, pp.1206-1213.
- Publisher:
- Elsevier
This article promotes the 2002 Bell model of a seven principle, culturally competent approach to child welfare and health promotion which has been used in the field by mental health practitioners to effectively engage communities in preventing ‘at risk’ behaviour. Based on a theoretical framework known as the Quadratic Theory of Influence (QTI), examples of the principles in use in various settings are detailed and the empirical evaluation projects conducted are discussed in the context of providing a foundation for evidence-based practice. Each of the seven principles, rebuilding/supporting the village, providing access to health care, improving bonding, attachment and connectedness, improving self esteem, increasing social skills of target recipients, re-establishing/protecting the adult protective shield and minimising the residual effects of trauma are elaborated upon by these authors. They describe the theories behind and activities to actualise the principles and highlight some practices in use by way of examples which have occurred in the field of mental health.
Training to redress racial disadvantage in mental health care; race equality or cultural competence?
- Authors:
- BENNETT Joanna, KEATING Frank
- Journal article citation:
- Journal of Public Mental Health, 8(2), June 2009, pp.40-46.
- Publisher:
- Emerald
This paper reviews training as a strategy currently being used to address the disparities and inequalities that prevent black and minority ethnic (BME) people from effectively accessing mental health care in the United Kingdom. It presents a historical review and a scoping exercise in England which mapped approaches to race equality training in mental health services. Since the 1960’s, training for staff in public service has been key to improving UK race relations. Delivering Race Equality (DRE), a 5 year framework to improve mental health services to BME groups was adopted in 2005 with cultural competence at the centre of all mental health staff training on racial inequality and race. Racism has been largely replaced by culturalism as an explanation for racial inequalities. In this study all NHS mental health trusts, primary care trusts and independent sector inpatient mental health service providers in England, NHS and independent sector employees and providers of race equality training were included in a postal survey accessing the state of race equality training in practice. Most mental health services had provided training to employees in the last 3 years, but the content varied widely, was not part of an ongoing program and was not being evaluated for effectiveness. The authors concluded that current practices were flawed.
Enhancing cultural competence in mental health settings: from undergraduate training to continuing education
- Authors:
- NAYAR Shoba, TSE Samson, SOBRUN-MAHARAJ Amritha
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 4(3), September 2009, pp.30-36.
- Publisher:
- Emerald
New Zealand has a growing Asian community, and therefore the need for a culturally competent and appropriate health care service is becoming paramount. Consultation with health organisations within the mental health sector has revealed a gap in the knowledge of graduates entering the workforce regarding Asian mental health needs. In addition, tertiary education institutions expressed a need for training material regarding Asian mental health. With this in mind, an interactive, self-administrative CD-Rom was compiled and presented to tertiary education establishments across New Zealand. This CD-Rom comprises three modules: self-reflection; Asian philosophy; and mental health issues. Positive feedback from students and teachers has suggested that this resource will be an invaluable contribution to the development of a culturally competent health workforce. The authors argue that continuing education with regards to cultural competence is not just for qualified health professionals but needs to be integrated as part of student training.