The Substance Abuse and Mental Health Services Administration's (SAMHSA) Treatment Improvement Protocol identifies several factors that affect adherence to treatment for women. These include: Socio-demographics such as age, education, race/ethnicity, and relationships
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How do you provide care to a diverse population?
Talking with Your Older Patient Providing Care to a Diverse Population Appreciating the richness of cultural, religious, and ethnic backgrounds among older patients can help to promote good health care. When you understand how different cultures view health care, you are better able to tailor questions and treatment plans to the patient's needs.
How do you assess culturally diverse individuals in clinical practice?
Clinicians may need to use an interpreter (Westermeyer 1990) or may need to conduct family interviews, and psychological tests may need modification (Marsella 1989). Many organizations have begun to address these issues in the assessment and diagnosis of culturally diverse individuals.
Why is it important for clinical trials to include diverse participants?
It is important for clinical trials to include diverse participants so the study results may have wider applicability. Learn more about why clinical trials need older and diverse patients.
Is the biopsychosocial model useful for culturally diverse individuals?
We believe that focusing on the cultural formulation enhances the usefulness of the biopsychosocial model, especially for culturally diverse individuals. The cultural formulation highlights the effect of culture on the expression of symptoms, definition of illness, and treatment.
What are some important considerations for someone working with diverse cultures?
Here are 5 ways to overcome cultural barriers at work and help employees be more mindful and respectful of cultural differences.An Example of Working with Colleagues from Multiple Cultures. ... Promote Understanding to Fight Stereotypes. ... Be Flexible with Employee Schedules. ... Host Team-Building Activities.More items...•
How do you treat diverse patients?
There are many things nurses can do to provide culturally sensitive care to an increasingly diverse nation:Awareness. ... Avoid Making Assumptions. ... Learn About Other Cultures. ... Build Trust and Rapport. ... Overcome Language Barriers. ... Educate Patients About Medical Practices. ... Practice Active Listening.
How do you ensure fair treatment to diverse clients?
5 Best Practices for Serving Diverse CustomersKnow your clientele. Spend time talking with clients to learn about where they are from. ... Seek out culture-specific knowledge of your customers. ... Recognize patterns for communicating. ... Attract diverse customers by having a diverse workforce. ... Build relationships.
How do you care for a culturally diverse patient?
To care for patients who are culturally different from them, family nurse practitioners should consider the following tips:Don't make assumptions. ... Explain every detail. ... Ask about alternative approaches to healing. ... Withhold judgments. ... Accommodate and educate.
What are cultural considerations in nursing?
Cultural competence in nursing implies the ability of health care workers to give the best medical care to patients while demonstrating cultural awareness for their beliefs, race, and values. It entails having knowledge of patients' cultural diversity and treating them with this in mind.
What is diversity healthcare?
Diversity in any workplace means having a workforce comprised of multiple races, ages, genders, ethnicities, and orientations. In other words, it refers to when the medical and administrative staff of a healthcare facility represents a wide range of experiences and background.
Why is consideration of culture important when working with diverse clients?
Embracing Cultural Competence in Social Work Practice Social workers are likely to encounter ideas, beliefs or traditions they are unfamiliar with. Through cultural competence, they can learn to navigate those differences to help clients overcome barriers to obtaining health care and other services.
How do you work effectively with diverse groups?
Managers of multicultural work groups can decrease the risk of tension and fault-lines developing and unlock the strategic potential of cultural diversity, by employing eight key practices: creating shared norms; increasing explicit communication; fostering friendships; encouraging information- sharing; strengthening ...
What are some factors you need to consider when responding to a diverse range of clients?
Staff knowledge of or sensitivity to the first language of clients.Staff understanding of the cultural nuances of the client population.Staff backgrounds similar to those of the client population.Treatment methods that reflect the culture-specific values and treatment needs of clients.More items...
What are 3 examples of strategies to help improve culturally competent care?
Here are 5 ways to help you provide culturally competent nursing care.Perform a cultural competence self-assessment. ... Obtain a certificate in cultural competence. ... Improve communication and language barriers. ... Directly engage in cross-cultural interactions with patients. ... Participate in online chats and networks.
What are the cultural considerations?
Cultural Considerations in Clinical Research. Culture is defined as the shared ideas, meanings, and values acquired by individuals as members of society (from: Health Literacy: A prescription to end confusion). Broadly, then, culture is a way of life for a group of people.
How does cultural diversity affect patient care?
Benefits of Diversity in Healthcare Increased provider comfort levels: Studies show that students who have trained at diverse schools are more comfortable treating patients from ethnic backgrounds other than their own. Boosted creativity and innovation: A wide range of perspectives can lead to better solutions.
What are the elements that affect a therapist's ability to work with a diverse population?
Elements such as race, gender, age, religion, and sexual orientation impact the client’s response to particular therapeutic approaches. A therapist must recognize and utilize the best fit and appropriate approach for each individual client. Often when working with diverse population, it becomes necessary to integrate elements from varying ...
What did Mahrer's 1989 study examine?
The Mahrer’1989 study investigated the integration of various psychotherapeutic techniques with concrete operating procedures. Mahrer utilized videotapes and transcripts to identify therapist’s behaviors that promoted client change. He believed that particular behaviors could be utilized and integrated into a range of options to achieve therapeutic goals. (Richert, 2007).
How does cultural diversity affect mental health?
Cultural diversity across the world has significant impacts on the many aspects of mental health, ranging from the ways in which health and illness are perceived, health seeking behavior, attitudes of the consumer as well as the practitioners and mental health systems.
What are the differences in cultures?
The differences in cultures have a range of implications for mental health practice, ranging from the ways that people view health and illness, to treatment seeking patterns, the nature of the therapeutic relationship and issues of racism and discrimination.
What is stigma in treatment seeking?
Stigmacan play a key role in terms of variations in treatment-seeking. Stigma can be viewed as a “mark of shame, disgrace or disapproval which results in an individual being rejected, discriminated against, and excluded from participating in a number of different areas of society” [(29), p. 16].
What is culture in the context of a tribe?
Culture is a broad and vexed term that can be defined in a range of ways, depending on the field of study and the perspective of the person using the term. As Tribe (1) argues, it is a multi-layered concept influenced by a range of issues such as gender, class, religion, language, and nationality, just to name a few.
Why are there many components to a patient's cultural identity that go beyond the concepts of ethnicity and race?
There are many components to a patient’s cultural identity that go beyond the concepts of ethnicity and race, because a person may have several cultural reference groups. For example, two Hispanic persons may come from Mexico but may have different cultural identities depending on what socioeconomic status and geographical region from which they originated. Multiple factors affect an individual’s cultural identity (Table 18—1).
How to make culturally appropriate formulations?
The first step is to show empathy during the interview and then to elicit the patient’s perspective on the illness. Next, the patient’s experience can be assessed in the context of the patient’s family, workplace, health care systems, and community. Finally, the patient’s illness can be diagnosed both through DSM-IV categories and through the patient’s cultural idioms of distress. Hinton and Kleinman’s overall schema is similar to the one developed by the National Institute of Mental Health (NIMH) Culture and Diagnosis Group (Mezzich et al. 1993). The DSM-IV outline for cultural formulation includes the following: Cultural identity of the individual. Note the individual’s ethnic or cultural reference groups. For immigrants and ethnic minorities, note separately the degree of involvement with both the culture of origin and the host culture (where applicable). Also note language abilities, use, and preferences (including multilingualism).
Why is it important to consider culture?
A consideration of culture is essential in the process of the interview, case formulation, diagnosis, and treatment of culturally diverse individuals. The evaluation of these individuals raises many issues that clinicians need to address to formulate an accurate diagnosis and treatment plan that will be acceptable to the patient.
What is the purpose of migration history?
As described by Lee (1990) (Table 18—2), the purpose of a migration history is to determine the patient’s background history and to measure their baseline functional level as well as the generational status of the patient. There are actually two parts to the migration history: the premigration history and the immigration history.A pre-migration history includes country of origin, position in the family, education, employment status, level of support, political issues, experiences of war, and traumatic events. It may be helpful to know the recent history of the region, common religious beliefs, and from which social class the patient originated. The clinician’s goal is to understand the patient’s former baseline life experience in their native country prior to migration.
What is the difference between Eastern and Western cultures?
In general, Eastern cultures favor a group identity, whereas Western cultures favor individual autonomy. Another significant difference is the concept of the body. Western societies tend to see the mind and body as separate, whereas Eastern societies tend to see the mind and body as a whole.
What are the external components of culture?
The external components include beliefs, laws, traditions, customs, morals, and habits; the internal components consist of norms, rules, standards, ideals, and values. Cultures also differ in their conception of personal identity.
What is culture in psychology?
Culture has many meanings and can be thought of as the beliefs, customs, technologic achievements, language, and history of a group of similar people (Johnson 1988). Alternatively, it can be thought of as the values, meaning, and behaviors that are transmitted by the dominant group.
Why is multicultural counseling important?
Helping those in therapeutic settings to better connect with their patients and be more sensitive to issues related to experiences of culture and race is just one reason that multicultural counseling is so important.
What are the socioeconomic backgrounds of multicultural counseling?
There are also a range of socioeconomic backgrounds to consider, with people who grew up in extreme wealth as well as those who have survived life well below the poverty line. Multicultural counseling also takes into account disabilities, health conditions, gender, sexual orientation, living conditions, and more.
How to become a multicultural counselor?
Becoming a therapist or counselor who is skilled at multicultural counseling is an ongoing process. It takes years of training, education, and on-the-job experience to become culturally competent , and multicultural counselors are always learning and adapting their methodologies to include new thinking and therapeutic strategies.
What is cultural awareness?
Cultural awareness means understanding that culture is about more than just skin color or physical appearance. Culture is a way of life, often influenced by someone’s background, surroundings, social circles, interests, and experiences. Cultural awareness is a two-way street: Not only do counselors and therapists need to be aware of other people’s cultures, but they should be introspective and reflect on their own, considering how their personal experiences have shaped their worldview.
What are the skills of a counselor?
A key skill for all counselors is the ability to connect with another person on a human level. The most important part of interpersonal skills are conversational skills, such as listening, responding, and asking thoughtful questions. Counselors and therapists must be curious and attentive to their clients, inquiring about their backgrounds, views, feelings, and emotions in a respectful, conscientious manner. They must be able to read body language and know when to continue with a line of questioning or return to it in a later session.
What are the factors that affect therapeutic experience?
Many factors can affect someone’s personal experience and thus the therapeutic experience. These include race, ethnicity, and geographic background. Religion and belief systems may also impact anything from a person’s values to how someone runs a household or raises children.
What degree do white men get in counseling?
Bachelor’s in Psychology. For many years, white men dominated the counseling field in the U.S., along with most other professions during the first 200 years of the country’s existence. Most higher learning institutions did not admit women, and few admitted men of color. This inequality still influences the counseling field today.
Abstract
This paper examines how positive psychology principles can be incorporated into clinical training and practice to work with lesbian, gay, bisexual and transgender (LGBT) clients.
Positive Social Institutions
Existing literature on institutions that foster the development of individual-level strengths in LGBT populations (Vaughan & Rodriguez, this issue) has identified several LGBT-affirming physical and social institutions that bear particular relevance for training and practice.
Fostering Strengths In-Session with LGBT Clients
Undoubtedly, strength-based approaches to clinical work were already being utilized before the development of positive psychology ( Wood & Tarrier, 2010 ), especially in counseling psychology with its roots in vocational counseling, social justice and healthy adaptation to life challenges ( Eggerth & Cunningham, 2012 ).
LGBT Strength-Based Training and Practice: Initial Recommendations
Given the host of considerations presented in this paper regarding the integration of the three pillar model of positive psychology into training and practice centered on LGBT clients, and the historical view of sexual and gender minorities through a lens of pathology, we conclude this paper by offering a number of initial recommendations for training programs and practitioners regarding strength-based approaches in clinical settings..
Conclusion
Within the past two decades, positive psychologists (i.e., Seligman & Csikszentmihalyi, 2000) amongst others have called for a greater focus on strengths and this framework can help clinicians recognize and celebrate the positive aspects of LGBT life experience s.
Acknowledgments
This work was partially supported by an Institutional National Research Service Award from the National Institute of Mental Health (5T32MH020061) and the University of Rochester CTSA award number KL2TR000095 from the National Center for Advancing Translational Sciences of the National Institutes of Health.
Footnotes
1 We use this term to reference the shared experiences of transgression of traditional gender norms and associated experiences of stigma among sexual and gender minorities ( Fassinger & Arseneau, 2007 ), acknowledging the importance of unique within-and between -group differences (e.g., Moradi, Mohr, Worthington & Fassinger, 2009) that exist within these groups..
