Components of cultural competence in three mental health programs.
| Autor: | Siegel C; Statistical Sciences and Epidemiology Division, Nathan S. Kline Institute for Psychiatric Research, 140 Old Orangeburg Rd., Orangeburg, NY 10962, USA. siegel@nki.rfmh.org, Haugland G, Reid-Rose L, Hopper K |
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| Jazyk: | angličtina |
| Zdroj: | Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2011 Jun; Vol. 62 (6), pp. 626-31. |
| DOI: | 10.1176/ps.62.6.pss6206_0626 |
| Abstrakt: | Objective: The aim of this study was to identify components of cultural competence in mental health programs developed for cultural groups by community and mental health professionals from these groups. Methods: Three programs were studied: a prevention program primarily serving African-American and Afro-Caribbean youth, a Latino adult acute inpatient unit, and a Chinese day treatment program in a community-based agency. Nine study-trained field researchers used a semistructured instrument that captures program genealogy, structure, processes, and cultural infusion. Program cultural elements were identified from field notes and from individual and group interviews of consumers and staff (N=104). A research-group consensus process with feedback from program staff was used to group elements by shared characteristics into the program components of cultural competence. Results: Components included communication competencies (with use of colloquialisms and accepted forms of address); staff in culturally acceptable roles; culturally framed trust building (such as pairing youths with mentors), stigma reduction, friendly milieus (such as serving culturally familiar foods and playing music popular with the culture), and services; and peer, family, and community involvement (including use of peer counselors and mentors, hosting parent weekends, and linking clients with senior center and community services). Conclusions: Incorporating these components into any program in which underserved cultural populations are seen is recommended for improving cultural competence. |
| Databáze: | MEDLINE |
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