0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
INFLUENTIAL PUBLICATION   |    
Cultural Consultation: A Model of Mental Health Service for Multicultural Societies
Laurence J. Kirmayer, M.D.; Danielle Groleau, Ph.D.; Jaswant Guzder, M.D.; Caminee Blake, Ph.D.; Eric Jarvis, M.D., M.Sc.
FOCUS 2006;4:125-125.
View Author and Article Information

(Reprinted with permission from Kirmayer LJ, Groleau D, Guzder J, Blake C, Jarvis E: Cultural consultation: a model of mental health service for multicultural societies.

Can J Psychiatry, April 2003; 48(3):145—153
)

Copyright 2006 American Psychiatric Association

text A A A

Abstract

Objectives: 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. Methods: 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. Results: 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. Conclusion: 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 Teaser
Figures in this Article

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 63.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 63.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 6.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 64.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles