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DSM-5 Outline for Cultural Formulation and Cultura ...
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This document is a presentation from the American Psychiatric Association (APA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) on culturally competent care. It focuses on the use of the DSM-5 Outline for Cultural Formulation and the Cultural Formulation Interview as tools for providing culturally sensitive care to patients with serious mental illness (SMI).<br /><br />The presentation begins by defining cultural competence and its essential elements, such as self-assessment, valuing diversity, and responsiveness to cultural differences. It highlights the importance of cultural competence in the context of improving the quality of mental health care and addressing disparities in access and treatment.<br /><br />The document then explains the cultural issues embedded in the DSM-5, including a section on cultural considerations and gender differences. It introduces the DSM-5 Outline for Cultural Formulation, which consists of five parts: cultural identity, cultural conceptualizations of distress, psychosocial stressors and cultural features of vulnerability and resilience, cultural features of the relationship between the individual and the clinician, and overall cultural assessment.<br /><br />The Cultural Formulation Interview, a tool for assessing cultural factors in clinical care, is also discussed. It consists of 16 questions that explore the patient's cultural identity, cultural conceptualizations of distress, coping strategies, social supports, barriers to care, and preferences for treatment. Additionally, there are 12 supplementary modules available that address specific cultural factors.<br /><br />The presentation emphasizes the need for clinicians to understand their own cultural identity and be aware of potential biases when working with patients from diverse backgrounds. It suggests comparing the cultural identity of the patient to that of the clinician to identify potential challenges in communication and treatment. The importance of addressing cultural factors in treatment planning and considering biological, psychological, and sociocultural approaches is also highlighted.<br /><br />The document includes a list of recommended resources, such as books and online training modules, for further learning on cultural competence in mental health care. It concludes with references to additional literature on the topic.<br /><br />Overall, the document provides an overview of the DSM-5 Outline for Cultural Formulation and the Cultural Formulation Interview as tools to enhance culturally competent care for individuals with serious mental illness.
Keywords
American Psychiatric Association
Substance Abuse and Mental Health Services Administration
culturally competent care
DSM-5 Outline for Cultural Formulation
Cultural Formulation Interview
serious mental illness
cultural competence
mental health care
cultural factors
cultural identity
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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