Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-27T19:47:05.908Z Has data issue: false hasContentIssue false
  • English
  • Français

Cross-cultural training in mental health care – challenges and experiences from Sweden and Germany

Published online by Cambridge University Press:  15 April 2020

S. Bäärnhielm  and
M. Mösko
S. Bäärnhielm*
Affiliation:
Transcultural Centre, Stockholm County Council & Karolinska Institutet
M. Mösko
Affiliation:
University Medical Center Hamburg-Eppendorf, Department of Medical Psychology
*
*Corresponding Author. E-mail address:[email protected] (S. Bäärnhielm)
Get access

Abstract

Globalization and cultural diversity challenge mental health care in Europe. Sensitivity to culture in mental health care benefits effective delivery of care to the individual patient and can be a contribution to the larger project of building a tolerant multicultural society. Pivotal for improving cultural sensitivity in mental health care is knowledge in cross-cultural psychiatry, psychology, nursing and related fields among professionals and accordingly training of students and mental health professionals. This paper will give an overview, and a critical examination, of current conceptualisation of cross-cultural mental health training. From German and Swedish experiences the need for crosscultural training and clinical research on evaluation will be presented.

Keywords

Cross-cultureTrainingEvaluationMental healthPsychiatry
Type
Research Article
Information
European Psychiatry , Volume 27 , Issue S2: Migration and Mental Health , June 2012 , pp. S70 - S75
Copyright
Copyright © 2012 Elsevier Masson SAS

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aeder, L., Altshuler, L., Kachur, E., Barrett, S., Hilfer, A., Koepfer, S., et al.The “Culture OSCE” -Introducing a Formative Assessment into a Postgraduate Program. Educ Health (Abingdon) 2007; 20(1): 11.Google ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder (4th ed.) Text Revision. Washington, DC: Author; 2003.Google Scholar
Bäärnhielm, S., Ekblad, S., Ekberg, J., Ginsburg, B.E.Historical Reflections on Mental Health Care in Sweden. The Welfare State and Cultural Diversity. Transcult Psychiatry 2005; 42(3): 394–419.CrossRefGoogle ScholarPubMed
Bäärnhielm, S, Håkansson, B, Löfvander, M. (2011). Transkulturell medicin Läkemedelsboken, 2011-2012; Läkemedelsverket. (in Swedish). http://www.lakemedelsverket.se/upload/om-lakemedelsverket/publikationer/lakemedelsboken/LB-2011-2012/Transkulturell%20medicin.pdf.Google Scholar
Bäärnhielm S, Scarpinati Rosso M, Pattyi L. (2007). Kultur, kontext och psykiatrisk diagnostik. Manual för intervju enligt kulturformuleringen i DSM-IV. Stockholm: Transkulturellt Centrum, Stockholms läns landsting (in Swedish).Google Scholar
Bäärnhielm, S., Scarpinati Rosso, M.The cultural formulation: a model to combine nosology and patients’ life context in psychiatric diagnostic practice. Transcult Psychiatry 2009; 46(3): 406–428.CrossRefGoogle Scholar
Beach, M.C., Price, E.G., Gary, T.L., Robinson, K.A., Gozu, A., Palacio, A., et al.Cultural competence: a systematic review of health care provider educational interventions. Med Care 2005; 43; 356.CrossRefGoogle ScholarPubMed
Berlin, A., Nilsson, G., Törnkvist, L.Cultural competence among Swedish child health nurses after specific training: A randomized trial. Nurs Health Sci 2010; 12: 381–391.CrossRefGoogle Scholar
Bhui, K., Warfa, N., Edonya, P., McKenzie, K., Bhugra, D.Cultural competence in mental health care: a review of model evaluations. BMC Health Serv Res 2007; 7; 15.CrossRefGoogle ScholarPubMed
Boyle, D.P., Springer, A.Toward a Cultural Competence Measure for Social Work with Specific Populations. Journal of Ethnic And Cultural Diversity in Social Work 2001; 9(3): 53–71.CrossRefGoogle Scholar
Calliess, I.T., Ziegenbein, M., Gosman, L., et al.Interkulturelle Kompetenz in der Facharztausbildung von Psychiatern in Deutschland: Ergebnisse einer Umfrage. GMS Zeitschrift für medizinische Ausbildung 2008; 25(3): 1–12.Google Scholar
Campinha-Bacote, J.The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care. J Transcult Nurs 2002; 13(3): 181–184.CrossRefGoogle ScholarPubMed
Cantor-Graae, E.The Contribution of Social Factors to the development of Schizophrenia: A Review of Recent Findings. The Canadian Journal of Psychiatry 2007; 52(5): 277–286.CrossRefGoogle ScholarPubMed
Cooper, L.A., Roter, D.L.Patient-Provider Communication: The Effect of Race and Ethnicity on Process and Outcomes of Healthcare. In: Smedley, B.D., Stith, A.Y., Nelson, A.R., editors. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care Washington, D.C.: The National Academics Press; 2002; 552–593.Google Scholar
EU – Press release, 2618th Council Meeting, Justice of Home affairs, Brussel 2004.Google Scholar
Eurostat. Population and social conditions. Statistics in focus 2011; 34 http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-11-034/EN/KS-SF-11-034-EN.PDF.Google Scholar
Fazel, M., Wheeler, J., Danesh, J.Prevalence of serious mental disorder in 7000 refugees -systematic review. Lancet 2005; 365: 1309–1314.CrossRefGoogle ScholarPubMed
Foa, E.B., Keane, T.M., Friedman, M.J.Guidelines for Treatment of PTSD. J Trauma Stress 2000; 13(4): 539–588.CrossRefGoogle Scholar
Haq, C., Rothenberg, D., Gjerde, C., Bobula, J., Wilson, C., Bickley, L., et al.New world views: preparing physicians in training for global health work. Fam Med 2000; 32: 566–572.Google ScholarPubMed
Hinz-Rommel, W.Interkulturelle Kompetenz, ein neues Anforderungsprofil an die soziale Arbeit. Münster/New York: Waxman: 1994.Google Scholar
Hovey, J.D.Acculturative Stress, Depression, and suicidal Ideation in Mexican Immigrants. Cultur Divers Ethnic Minor Psychol 2000; 6(2): 134–151.CrossRefGoogle ScholarPubMed
Kirmayer, LJ. Multicultural Medicine and the Politics of Recognition. J Med Philos. 2011 0: 1–14 http://jmp.oxfordjournals.org/content/early/2011/07/29/jmp.jhr024.short?rss=1.Google Scholar
Kirmayer, L.K., Minas, H.The Future of Cultural Psychiatry: An International Perspective. Can J Psychiatry 2000; 45: 438–446.CrossRefGoogle Scholar
Kleinman, A., Benson, P.Anthropology in the clinic: The Problem of Cultural Competency and How to Fix it. PLoS Medicine 2006; 3(10): 1673–1676.CrossRefGoogle ScholarPubMed
Kripalani, S., Bussey-Jones, J., Katz, M.G., Genao, I.A prescription for cultural competence in medical education. J Gen Intern Med 2006; 21(10): 1116–1120.CrossRefGoogle Scholar
Lassetter, J.H., Callister, L.C.The Impact of Migration on the Health of Voluntary Migrants in Western Societies. J Transcult Nurs 2009; 20(1): 93–104.CrossRefGoogle ScholarPubMed
Lewis-Fernandéz, R., Kleinman, Cultural Psychiatry, Theoretical, Clinical and Research Issues. The Psychiatric Clinics of North America 1995; 3(18): 433–448.Google Scholar
Lie, D.A., Lee-Rey, E., Gomez, A., Bereknyei, S.Does cultural competency training of health improve patient outcomes? A systematic review and proposed algorithm for future research. J Gen Intern Med 2011; 26(3): 317–325.CrossRefGoogle ScholarPubMed
Machleidt, W.Die 12 Sonnenberger Leitlinien zur psychiatrischpsychotherapeutischen Versorgung von MigrantInnen in Deutschland. Nervenarzt 2002; 73: 1208–1212.CrossRefGoogle Scholar
Mazor, S.S., Hampers, L.C., Chande, V.T., Krug, S.E.Teaching Spanish to pediatric emergency physicians: effects on patient satisfaction. Arch Pediatr Adolesc Med 2002; 156(7): 693–695.CrossRefGoogle ScholarPubMed
Mösko, M, Gil-Martinez, F, Schulz, H. Cross-cultural opening in German outpatient mental health care service – An explorative study of structural and procedural aspects. J Clin Psychol. (resubmitted).Google Scholar
Mösko, M., Pradel, S., Schulz, H.Die Versorgung von Menschen mit Migrationshintergrund in der psychosomatischen Rehabilitation. Bundesgesundheitsblatt -Gesundheitsforschung -Gesundheitsschutz 2011; 54(4): 465–474.CrossRefGoogle Scholar
Mösko, M. Stand der psychotherapeutischen Versorgung von Frauen und Männern mit Migrationshintergrund in Deutschland. Fachtagung -AG Gender und Depression im Bündnis gegen Depression; 2011 Jun 22; Hannover.Google Scholar
National Center for Cultural Competence -Georgetown University. http://nccc.georgetown.edu/.Google Scholar
Penka, S., Krieg, S., Hunner, C., Heinz, A.Unterschiedliche Erkärungsmodelle für abhängiges Verhalten bei türkischen und deutschen Jugendlichen: Bedeutung für Prävention und Behandlungsangebote. Der Nervenarzt 2003; 74: 581–586.CrossRefGoogle Scholar
Price, E.G., Beach, M.C., Gary, T.L., Robinson, K.A., Gozu, A., Palacio, A., et al.A Systematic Review of the Methodological Rigor of Studies Evaluating Cultural Competence Training of Health Professionals. Aca Med 2005; 80(6): 578–586.CrossRefGoogle ScholarPubMed
Qureshi, A., Collazos, F., Ramos, M., Casas, M.Cultural competency training in psychiatry. European Psychiatry 2008 2008; 23: 49–58.Google ScholarPubMed
Rapps, E., Ramsden, I.Cultural safty in nursing: the New Zealand experience. In J Qual Health Care 1996; 8(5): 491–497.Google Scholar
SoS rapport. Folkhälsorapport (Public Health Report) Socialstyrelsen (Board of Social Welfare) (1997). Stockholm: Modin-Tryck (in Swedish). 1997;18.Google Scholar
Statistic Sweden. Statistical Yearbook of Sweden 2011. SCB: Örebro: 2011.Google Scholar
Statistisches Bundesamt. Bevölkerung und Erwerbstätigkeit Bevölkerung mit Migrationshintergrund – Ergebnisse des Mikrozensus 2009. Fachserie 1 Reihe 2. 2. Wiesbaden: Statistisches Bundesamt: 2010.Google Scholar
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R.A., Van Ommeren, M.Association of Toture and Other Potenially Traumatic Ecenets With Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement. A systematic Review and Meta-analysis. JAMA 2009; 5(302): 537–549.CrossRefGoogle Scholar
Sue, D.W., Sue, D.Counseling the culturally different: Theory and practice. 2nd ed. New York, NY: John Wiley & Sons; 1990.Google Scholar
Summerfield, D.How scientifically valid is the knowledge base of global mental health? BMJ 2008; 336: 992–994.CrossRefGoogle ScholarPubMed
Tervalon, M., Murray-Garcia, J.Cultural humility versus competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved 1998;(2): 117–125.CrossRefGoogle ScholarPubMed
Tseng, W-S. (2004) Culture and Psychotherapy. In: Tseng, W-S., & Streltzer, J. (Eds.) Cultural Competence in Clinical Psychiatry. USA: American Psychiatric Publishing.Google Scholar
UNHCR. UNHCR Global Trends, 2010 http://www.unhcr.org/4dfa11499.html.Google Scholar
Wade, P., Berstein, B.Culture sensitivity training and counselor's race: effects on black female client's perceptions and attrition. J Couns Psychol 1991; 38: 9–15.CrossRefGoogle Scholar
Way, B.B., Stone, B., Schwager, M., Wagoner, D., Bassman, R.Effectiveness of the New York State Office of Mental Health Core Curriculum: direct care staff training. Psychiatr Rehabil J 2002; 25: 398–402.CrossRefGoogle ScholarPubMed
Wohlfart, E., Hodzic, S., Özbek, T. (2006) Transkulturelles Denken und transkulturelle Praxis in der Psychiatrie und Psychotherapie. In: Wohlfart, E., Zaumseil, M. (eds) Transkulturelle Psychiatrie-interkulturelle Psychotherapie. Springer Medizin Verlag, Heidelberg.CrossRefGoogle Scholar
Xakellis, G., Brangman, S.A., Hinton, W.L., Jones, V.Y., Masterman, D., Pan, C.X., et al.Curricular framework: Core competencies in multicultural geriatric care. Journal of the American Geriatrics Society 2004; 52(1): 137–142.CrossRefGoogle ScholarPubMed
Yeo, S.Language barriers and access to care. Annual Review of Nursing Research 2004; 22: 59–73.Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.