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FOCUS

Volume 18, Issue 1

Diversity, Equity, and Inclusion in Psychiatry

January 2020

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From the Guest Editor

January 2020

Diversity, Equity, and Inclusion in Psychiatry

Francisco A. Moreno, M.D.

Page:1
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.18101

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Clinical Synthesis

CME

January 2020

Diversity and Inclusion in Psychiatry: The Pursuit of Health Equity

Francisco A. Moreno, M.D., and
Jasleen Chhatwal, M.B.B.S., M.D.

Pages:2–7
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190029

Abstract
Full text
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CME

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The increasing diversity of America requires a workforce that is able to serve the mental health needs of individuals from multiple backgrounds, with a culturally proficient, inclusive, and affirming approach. To accomplish this, clinicians must be ...

CME

January 2020

Trauma-Informed Care and Cultural Humility in the Mental Health Care of People From Minoritized Communities

Noshene Ranjbar, M.D.,
Matt Erb, PT,
Othman Mohammad, M.D.,
Francisco A. Moreno, M.D.

Pages:8–15
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190027

Abstract
Full text
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- CME

Preview Abstract

The prevalence and impact of trauma constitute a public health crisis that is complicated by the cultural heterogeneity of contemporary society and a higher rate of trauma among individuals from minoritized communities. A trauma-informed care approach can ...

CME

January 2020

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Francesca Mongelli, M.D.,
Penelope Georgakopoulos, Dr.P.H.,
Michele T. Pato, M.D.

Pages:16–24
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190028

Abstract
Full text
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CME

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This article investigates the gap in access to and quality of mental health care in the United States. This work first discusses how minority populations are most affected by the treatment gap. It summarizes recent literature on the topic for better ...

CME

January 2020

The Social Determinants of Mental Health: Psychiatrists’ Roles in Addressing Discrimination and Food Insecurity

Ruth S. Shim, M.D., M.P.H., and
Michael T. Compton, M.D., M.P.H.

Pages:25–30
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190035

Abstract
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CME

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The social determinants of mental health are societal problems that disrupt optimal mental health, increase risk for and prevalence of mental illnesses, and worsen outcomes among individuals with mental illnesses. The various social determinants, two of ...

CME

January 2020

Affirmative Care Across Cultures: Broadening Application

Natasha S. Mendoza, M.S.W., Ph.D.,
Francisco A. Moreno, M.D.,
G. Alexander Hishaw, M.D.,
Albert C. Gaw, M.D.,
Lisa R. Fortuna, M.D., M.P.H.,
Anna Skubel, M.Ed.,
Michelle V. Porche, Ed.D.,
Mary Hasbah Roessel, M.D.,
Jay Shore, M.D.,
Anthony Gallegos, B.S.

Pages:31–39
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190030

Abstract
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CME

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Affirmative practice is an approach to health and behavioral health care that validates and supports the identities stated or expressed by those served. Affirmative care requires the practitioner to actively honor and celebrate identity while at the same ...

CME

January 2020

Update on the Cultural Formulation Interview

G. Eric Jarvis, M.D.,
Laurence J. Kirmayer, M.D.,
Ana Gómez-Carrillo, M.D.,
Neil Krishan Aggarwal, M.D., M.B.A.,
Roberto Lewis-Fernández, M.D., M.T.S.

Pages:40–46
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190037

Abstract
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CME

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This article reviews the clinical and research literature on the Cultural Formulation Interview (CFI) since its publication in DSM-5. The CFI is an interview protocol designed to be used by clinicians in any setting to gather essential data to produce a ...

Ask the Expert

January 2020

Engaging Remote and Underserved Populations

James L. Griffith, M.D.

Pages:47–48
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190036

Full text
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Communication Commentary

January 2020

Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients

Dorothy E. Stubbe, M.D.

Pages:49–51
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190041

First Page
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Ethics Commentary

January 2020

Diverse Patient Populations in Psychiatry: Ethical and Clinical Issues

Samuel Ricardo Saenz, M.D., M.P.H.

Pages:52–54
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190040

First Page
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Applied Armamentarium

January 2020

Clinical Issues to Consider for Clozapine Patients Who Vape: A Case Illustration

Caren Jacquetta Blacker, B.M.B.Ch., M.A.

Pages:55–57
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.20190025

Abstract
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Vaping uses an electronic nicotine delivery system (ENDS) for inhaling vaporized and aerosolized ingredients. A significant subset of the psychiatric patient population will use ENDS and may have concurrent cigarette usage. In the clinical case ...

Bibliography

January 2020

Diversity, Equity, and Inclusion in Psychiatry

Pages:58–59
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.18107

Full text
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Influential Publications

January 2020

Community Interventions to Promote Mental Health and Social Equity

Enrico G. Castillo,
Roya Ijadi-Maghsoodi,
Sonya Shadravan,
Elizabeth Moore,
Michael O. Mensah,
Mary Docherty,
Maria Gabriela Aguilera Nunez,
Nicolás Barcelo,
Nichole Goodsmith,
Laura E. Halpin,
Isabella Morton,
Joseph Mango,
Alanna E. Montero,
Sara Rahmanian Koushkaki,
Elizabeth Bromley,
Bowen Chung,
Felica Jones,
Sonya Gabrielian,
Lillian Gelberg,
Jared M. Greenberg,
Ippolytos Kalofonos,
Sheryl H. Kataoka,
Jeanne Miranda,
Harold A. Pincus,
Bonnie T. Zima,
Kenneth B. Wells

Pages:60–70
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.18102

Abstract
Full text
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Purpose of Review:We review recent community interventions to promote mental health and social equity. We define community interventions as those that involve multi-sector partnerships, emphasize community members as integral to the intervention, and/or ...

January 2020

The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults: Guideline V. Assessment of Cultural Factors

APA Work Group on Psychiatric Evaluation

Pages:71–74
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.18105

First Page
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January 2020

Addressing the Social Determinants of Mental Health: If Not Now, When? If Not Us, Who?

Ruth S. Shim, M.D., M.P.H., and
Michael T. Compton, M.D., M.P.H.

Pages:75–76
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.18104

Abstract
Full text
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In public health, recognition of the importance of the social determinants of health has led to significant shifts in practice and research. Psychiatry is making great progress in developing evidence-based, high-fidelity treatments that improve outcomes ...

January 2020

An Introduction to the Cultural Formulation Interview

Neil Krishan Aggarwal, M.D., M.B.A., and
Roberto Lewis-Fernández, M.D., M.T.S.

Pages:77–82
Published Online:24 January 2020

https://doi.org/10.1176/appi.focus.18103

Abstract
Full text
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Preview Abstract

This article explains the origins, development, and applications of the DSM-5 Cultural Formulation Interview (CFI). This work first discusses the relevance of cultural factors to all aspects of mental health care, demonstrating the need for person-...

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