The definition and rationale for cultural competence will be presented. Rationales include 1) improved quality of care focusing on patient-centered care and equitable care, 2) ACGME accreditation standards for psychiatry residency training programs. Next, a road map to cultural issues in DSM-5 will be provided in all 3 sections and appendix of DSM-5. Finally, two tools for culturally competent care in DSM-5 will be presented: 1) Outline for Cultural Formulation and 2) Cultural Formulation Interview. It consists of patient and informant versions and 12 Supplemental Modules. These materials are relevant to the care of SMI patients, who are disproportionately from minority racial/ethnic groups. Every SMI patient has a cultural identity which interacts with the cultural identity of the clinician, so the cultural features of their relationship needs to be understood and utilized to provide optimal clinical care. Understanding the cultural concepts of distress as well as the cultural stressors and supports are needed for optimal differential diagnosis and treatment planning.

Learning Objectives

• Define the 5 parts of the DSM-5 Outline for Cultural Formulation and apply it in clinical assessment of patients with SMI.
• Identify the 16 questions of the DSM-5 Cultural Formulation Interview and apply it in clinical assessment of patients with SMI.
• List the 12 Supplementary Modules of the DSM-5 Cultural Formulation Interview and apply them in the clinical assessment of patients with SMI.

Target Audience

Nurse/nurse practitioner, psychiatrist, psychologist

Instructional Level

Introductory; Intermediate

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: September 11, 2020
Program End Date: July 9, 2023

Ongoing Interdisciplinary Discussion Board

If there are any topics covered in this webinar that you would like to discuss with colleagues in the mental health field, post a question or comment on SMI Adviser’s Webinar Roundtable Topics discussion board (https://smiadviser.org/discussion).This is an easy way to network and share ideas with other clinicians who participate in this webinar.

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, nursing continuing professional development contact hours (NCPD, formerly CNE), CE credit for psychologists, or a certificate of participation may do so by completing all sections of the course, including the evaluation. A multiple-choice quiz is provided based on the content. A passing score of 75% must be achieved. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), NCPD certificate (nurses), CE certificate (psychologists), or certificate of participation (other disciplines) showing the completion date and hours earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content.

Nurse/Nurse Practitioners

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.

Faculty and Planner Disclosures

Instructor

• Francis Lu, MD, is the Luke and Grace Kim Endowed Professor in Cultural Psychiatry, Emeritus at the University of California, Davis. Dr. Lu has contributed to the areas of cultural psychiatry including the interface with religion/spirituality, psychiatric education, diversity/inclusion, mental health equity, and psychiatry/film. Dr. Lu reports no financial relationships with commercial interests. 

Planners

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
• Amy N. Cohen, PhD, American Psychiatric Association. Reports no financial relationships with commercial interests.
• Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.
• Donna Rolin, PhD, APRN, University of Texas, Austin. Reports no financial relationships with commercial interests.

Reviewers

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. (Reviewed on 9/5/2023)
• Amy N. Cohen, PhD, American Psychiatric Association. Reports no financial relationships with commercial interests. (Reviewed on 8/24/2023)
• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. (Reviewed on 8/18/2023)
• Donna Rolin, PhD, APRN, University of Texas, Austin. Reports no financial relationships with commercial interests. (Reviewed on 9/5/2023)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIadviserhelp@psych.org for technical assistance