Furthermore, some patients in a culturally focused psychiatric consultation intervention program for Latino Americans with depression reported that even though interpreters were available, waiting for interpreters or having interpreters involved in private medical conversations was challenging . The CEVE is a “one-session clinical intervention that integrates the use of shared observations of videotaped interactions with the cultural framing of the family’s problem in a culturally congruent manner”. No group changes in postpartum depressive symptoms were identified compared to treatment as usual after a preventive postpartum depression intervention that put value on integrating different aspects of Latino culture at a public sector women’s clinic (USA). Patients in a culturally focused psychiatric consultation intervention program for Latino Americans with depression agreed that it is more important that their providers speak their language than that they have the same cultural background .
Roles
Newer approaches stress implementation of strength-based strategies that fortify cultural heritage, identity, and resiliency. The standards stress understanding relevant cultural information and communicating effectively by respecting and being responsive to clients and their cultural contexts. Exhibit 3-1 discusses the cultural matching of counselors with clients.
Strengths and supports
AI/AN researchers also carry with them unique knowledge of culturally sound and ethical research methodologies to protect communities against harm (Walters & Simoni, 2009). These views, combined with research demonstrating positive outcomes for those who seek traditional healing, has led to policy recommendations to allocate funding to tribal programs to support cultural traditions and reimburse traditional healing (see Goodkind et al., 2010; Payne, Steele, Bingham, & Sloan, 2018). A convening of traditional healers, researchers, and clinicians provided a definition of traditional healing and traditional healer, in addition to points of integration for AI/AN practices with mental health services (Moorehead, Gone, & December, 2015). Related, there has been a call for institutional health care systems supporting Native traditional practices (Goodkind et al., 2010). Western mental health care is epistemologically different from AI/AN traditional belief systems in a number of ways (Duran & Duran, 1995; Gone, 2010; Hodge et al., 2009). In addition, research has shown that AI/AN individuals may prefer Native providers for mental health treatment (e.g., Aronson, Johnson-Jennings, Kading, Smith, & Walls, 2016; Venner et al., 2012).
What Is Exposure Therapy and When Is It Effective for Anxiety?
Thematic analysis was used to understand the lived experience narratives of nine participants in relation to mental health recovery. • https://www.mountaineers.org/blog/honoring-indigenous-peoples-through-education The CCS model demonstrates that multidisciplinary workforce can acquire cultural competence skills better through the clinical encounter, as this promotes integration of learning into day-today practice. Factors of migration, ethnicity, and racialization are important social determinants of mental health.
Using a multilevel ecological framework, we take a qualitative approach to examining important cultural considerations that support successful implementation of trauma-informed services within the Latinx community. In sum, clinicians need to incorporate culture-based goals and objectives into treatment plans and establish and support open client–counselor dialog to get feedback on the proposed plan’s relevance. Counselors should be flexible in designing treatment plans to meet client needs and, when appropriate, should draw upon the institutions and resources of clients’ cultural communities. Like counselors, case managers should possess self-knowledge and basic knowledge of other cultures, traits conducive to working well with diverse groups, and the ability to apply cultural competence in practical ways.
- If you’re ready to take next steps, confirm your insurance benefits and complete an intake to be matched with a clinician who specializes in anxiety treatment.
- Other clients may resist or distrust the process based on a long history of racism and oppression.
- The culturagram is an assessment tool that helps clinicians understand culturally diverse clients and their families (Congress 1994, 2004; Congress and Kung 2005).
- The component “Involvement of the facilities’ leadership” as a strategy to implement culturally competent healthcare within facilities was identified the least, specifically in 3 studies.
- Strengths-based approaches that celebrate incremental progress are particularly effective for youth with histories of negative educational experiences.
As communities become more interconnected and multicultural, traditional one-size-fits-all approaches to mental health care often fall short. In today’s increasingly diverse societies, the need for culturally responsive therapy has never been more pressing. While cultural competence is emphasized in ethical codes and coursework, practitioners often leave training asking what culturally responsive care looks like in daily interactions with students and families.
Significant changes in any mental health outcomes among the CHW-delivered intervention group was dichotomously coded, mirroring the coding approach for mental health outcomes in the primary review . The current review extends the findings from a published systematic review conducted by members of the same research team which synthesized the evidence for CHW-delivered mental health interventions for U.S. This review describes the background and training experiences of CHWs, as well as the mental health intervention targets (e.g., depression), components (e.g., problem-solving skills, behavioral activation), and outcomes (e.g. symptom change, implementation outcomes) .