Rethinking cultural competence
Reads0
Chats0
TLDR
This issue of Transcultural Psychiatry presents papers from the McGill Advanced study Institute in Cultural Psychiatry on ‘‘Rethinking Cultural Competence from International Perspectives,’’ which was held in Montreal, April 27 and 28, 2010, and shows how conceptual analysis and critique of cultural competence can point toward ways to improve the cultural responsiveness, appropriateness and effectiveness of clinical services, and in doing so contribute to reducing health disparities.Abstract:
In recent years, cultural competence has become a popular term for a variety ofstrategies to address the challenge of cultural diversity in mental health services.This issue of Transcultural Psychiatry presents papers from the McGill AdvancedStudy Institute in Cultural Psychiatry on ‘‘Rethinking Cultural Competencefrom International Perspectives,’’ which was held in Montreal, April 27and 28, 2010. Selected papers from the meeting have been supplemented withother contributions to the journal that fit the theme. Taken together, thesepapers show how conceptual analysis and critique of cultural competence canpoint toward ways to improve the cultural responsiveness, appropriateness andeffectiveness of clinical services, and in doing so contribute to reducinghealth disparities.Cultural diversity poses challenges to mental health services for many reasons.Culture influences the experience, expression, course and outcome of mentalhealth problems, help-seeking and the response to health promotion, preventionor treatment interventions. The clinical encounter is shaped by differencesbetween patient and clinician in social position and power, which are associatedwith differences in cultural knowledge and identity, language, religion and otheraspects of cultural identity. Specific ethnocultural or racialized groups may sufferhealth disparities and social disadvantage as a result of the meanings and mater-ial consequences of their socially constructed identities. In some instances, cul-tural processes may create or constitute unique social and psychological problemsor predicaments that deserve clinical attention. In culturally diverse societies,the dominant culture, which is expressed through social institutions, includingthe health care system, regulates what sorts of problems are recognized and whatkinds of social or cultural differences are viewed as worthy of attention.A large literature shows the importance of social determinants of healthincluding social status, employment, education, wealth and social supportread more
Citations
More filters
Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice
TL;DR: The publication of Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice marks a watershed in the treatment of Indigenous mental health issues.
Journal ArticleDOI
Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition
Elana Curtis,Rhys Jones,David Tipene-Leach,Curtis Walker,Belinda Loring,Sarah-Jane Paine,Papaarangi Reid +6 more
TL;DR: A definition for cultural safety is proposed that is more fit for purpose in achieving health equity, and the essential principles and practical steps to operationalise this approach in healthcare organisations and workforce development are clarified.
Journal ArticleDOI
Mental health and psychosocial wellbeing of Syrians affected by armed conflict.
TL;DR: Sociocultural knowledge and cultural competency can improve the design and delivery of interventions to promote mental health and psychosocial wellbeing of Syrians affected by armed conflict and displacement, both within Syria and in countries hosting refugees from Syria.
Journal ArticleDOI
Cultural competence and evidence-based practice in mental health: Epistemic communities and the politics of pluralism.
TL;DR: Attention to the nature of clinical evidence and to the importance of cultural context in illness and healing can help both EBP and CC move beyond their current limitations and contribute to the evolution of mental health services that respond effectively to cultural diversity.
References
More filters
Journal ArticleDOI
Performance measures of cultural competency in mental health organizations.
TL;DR: The authors utilized numerous documents created by advisory groups, expert panels and multicultural focus groups to develop performance measures for assessing the cultural competency of mental health systems.
Journal ArticleDOI
Multicultural Medicine and the Politics of Recognition
TL;DR: Clinical attention to and respect for cultural difference can provide experiences of recognition that increase trust in and commitment to the institutions of the larger society, and help sustain a cultural community through recognition of its distinct language, knowledge, values, and healing practices.
Journal ArticleDOI
Nursing, Indigenous peoples and cultural safety: so what? Now what?
Stout,Bernice Downey +1 more
TL;DR: Cultural safety is a powerful nursing concept conceived by Irihapeti Ramsden, a Maori nurse as mentioned in this paper, and it has been widely used in the nursing of Indigenous people.
Journal ArticleDOI
Cultural Competence, Evidence-Based Medicine, and Evidence-Based Practices
TL;DR: The author aims to stimulate a greater degree of mutual engagement and integration of these paradigms by examining epistemological, philosophical, and methodological overlap and discrepancy.
Journal ArticleDOI
Eradicating essentialism from cultural competency education.
TL;DR: The ethnogenetic perspective must be fully integrated into medical education if medical schools are to produce physicians who will be truly qualified to give competent patient care in the authors' increasingly complex societies.
Related Papers (5)
Anthropology in the clinic: the problem of cultural competency and how to fix it
Arthur Kleinman,Peter Benson +1 more
Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education
Structural competency: Theorizing a new medical engagement with stigma and inequality
Jonathan M. Metzl,Helena Hansen +1 more