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Cultural Competence in Mental Health Treatment: Un ...
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This document provides information about cultural competence in mental health treatment. It is part of the Clinical Support System for Serious Mental Illness (CSS-SMI), which is implemented by the American Psychiatric Association (APA) and funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). The document discusses the definition of culture and cultural identity, as well as their impact on mental health treatment and assessment. It highlights the need for culturally sensitive assessments and diagnosis, and explores strategies for enhancing the therapeutic relationship and overcoming barriers to providing culturally competent treatment. The agenda includes topics such as cultural syndromes, cultural idioms of distress, and cultural explanations of distress or perceived causes. It also emphasizes the underutilization of mental health services and barriers to treatment, such as culture-bound values, class-bound values, language barriers, and experiences with microaggressions. The document mentions evidence-based practices for culturally competent treatment, including cognitive-behavioral therapy (CBT), motivational interviewing (MI), cognitive processing therapy (CPT), dialectical-behavioral therapy (DBT), and assertive community treatment (ACT). It also discusses the role of trauma in culturally competent care and addresses the importance of culturally sensitive care and trauma-informed crisis response. The document concludes by highlighting the principles of safety, trustworthiness, transparency, peer support, collaboration, mutuality, empowerment, choice, and cultural humility in overcoming challenges and barriers to culturally competent treatment.
Keywords
cultural competence
mental health treatment
Clinical Support System for Serious Mental Illness
culture
cultural identity
culturally sensitive assessments
barriers to treatment
evidence-based practices
trauma
cultural humility
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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