Cultural competency for mental health practitioners: a selective narrative review

Cultural competency in the context of health services pertains to the appropriate provision of care to a diverse population. It is broadly recognised that this requires sensitivity at policy-making, organisational and individual levels. One specific focus in the literature has been the aptitudes required of practitioners to carry out psychological interventions with minority ethnic groups. A range of theoretical and practical perspectives have emerged on what such aptitudes should be and how to attain them. However, lack of clarity over definitions has resulted in a differential focus on sub-components of the cultural competency construct, namely awareness, knowledge and skills. The current review aimed to consolidate material dispersed across the literature, to create a narrative representation of what cultural competence means to the clinical practice of individuals delivering psychotherapeutic interventions. Limitations and implications of the cultural competency approach are discussed.     

Sport psychologists' perceptions of sport and mental health practitioners

Abstract

This study surveys recently graduated sport psychology (SP) doctoral students' (N = 34) educational backgrounds, work experiences, and perceptions of the professional field of SP inside and outside the realm of academia. Special attention was given to subjects' perceptions and expectations with regard to applied work in SP, actual work experiences, and income. Findings indicate that almost all graduates are spending their time in a variety of work activities, i.e., some combination of teaching, research, consulting, administration, and coaching, with a strong emphasis on teaching in an academic institution. Gender analysis revealed that, in general, females earned 74% of what males earned; females earned 53% of what males earned outside academia. Graduates' personal comments suggest a concern about consumer demand and financial support offered applied professionals in SP as well as the adequacy of their own training to provide applied services. Implications for AAASP and SP program directors are provided.     

学校心理健康教育中的参与式教师培训初探

本研究通过参与式培训手段,提高了昆明市东华一小全体教师关心学生心理健康的意识和能力,并探讨参与式培训的可行性和有效性.多维评估结果表明本次培训取得了良好的效果,其原因在于:1.通过需求评估确定内容,增加了培训内容的针对性.2.参与式教学手段的引入,激发了学员的参与热情,提升了培训效果.3.全员培训从“面”上增进了教师积极的日常教学行为,减少了消极的日常教学行为.     

Explanatory models of mental illness: a qualitative study with Emirati future mental health practitioners

Cultural traits have an influence on the person's interpretation of mental illness, the expression of distress and help-seeking attitudes. UAE has a unique sociological context where Eastern and Western traditions coexist. Given that there is a scarcity of mental health studies and no study on the explanatory models (EM) of mental illness, it is important to examine the connections between Western biomedical approaches and traditional Emirati illness explanations and how those affect the Emirati EM. In order to explore the influence of those connections on Emirati future clinicians, the present study focuses on young Emirati psychology students in a Western-oriented university. In-depth interviews were performed regarding their EM. The results highlighted the influence of cultural traits on the EM formulation, the importance of family in the Emirati society and the impact of the UAE socio-economic and religious reality in forming the participants’ beliefs on mental illness.     

Essential content for training behavior analysis practitioners

A recent national survey of 265 behavior analysts has produced a list of 12 content areas and 108 tasks that the group felt were essential in the training of behavior analyst practitioners. The survey methodology, sample demographics, and survey results are summarized. The implications of these results are discussed as they relate to instruction in behavior analysis and the standards of practice of behavior analyst practitioners. The final task list of essential content is provided.     

The training of community mental health clinicians as infant specialists

This article describes the training program and collaborative effort between the Department of Mental Health, the Child Development Project at the University of Michigan, and community mental health agencies. The in-service training is described with special attention to content and process, including the role of case supervision. The effect of the training program as a catalyst to service development is noted.     

Liability of professional and volunteer mental health practitioners in the wake of disasters: a framework for further considerations

Qualified immunity from civil liability exists for acts of disaster mental health (DMH) practitioners responding to disasters or acts of terrorism. This article reviews current legal regimens dictating civil liability for potentially wrongful acts of DMH professionals and volunteers responding to disasters. Criteria are proposed to inform determinations of civil liability for DMH workers in disaster response, given current legal parameters and established tort law in relevant areas. Specific considerations are examined that potentially implicate direct liability of DMH professionals and volunteers, and vicarious liability of DMH supervisors for actions of volunteer subordinates. The relevance of pre-event DMH planning and operationalization of the plan post-event is linked to considerations of liability. This article concludes with recommendations to minimize liability exposure for DMH workers in response efforts.     

Migrant mental health: a model for indicators of mental health and health care consumption.

OBJECTIVE: This study explores the relationship between mental health and health care consumption among migrants in the Netherlands. DESIGN: Samples of the Turkish (n = 648), Moroccan (n = 102), and Surinamese (n = 311) populations in Amsterdam were examined. The study tested a hypothesized model of risk factors for psychiatric morbidity, indicators of well-being, and indicators of health care consumption. The model was specified on the basis of information from earlier research on the sample and literature on the topic. The model was tested and refined using structural equation modeling. MAIN OUTCOME MEASURES: Psychiatric morbidity and well-being measures were assessed with the CIDI 1.1 and MOS-sf-36 subscales, respectively. Health care consumption was assessed by the question "Have you ever consulted one or more of these professionals or health care facilities with respect to mental health problems or problems related to alcohol or drugs usage?" RESULTS: The primary result of this study was the confirmation that health care consumption among migrants is predicted by need and predisposition factors, such as health condition and sociodemographic characteristics. In addition, mental health care consumption of migrants is predicted by acculturation characteristics. This result suggests an effect of cultural and migrant-specific factors in help-seeking behavior and barriers to mental health care facilities. CONCLUSIONS: Findings confirm the existence of migrant-specific mechanisms in health care consumption. Mental health care professionals should be aware of these. However, ignoring common ground for interventions unnecessarily creates distance between migrant groups and between migrant and indigenous Dutch groups.     

Implementation and evaluation of a juvenile mental health training for law enforcement in a medium-sized jurisdiction

The need for specialized training programs that are focused on youth mental health needs, awareness of community-based services, and de-escalation skills is growing across law enforcement agencies due to calls for service that involve youth in mental health crisis. The current study evaluates a juvenile mental health training for law enforcement that was developed based on agency needs. The training was completed by 159 officers and a pre-/post-test design was used. Findings suggest that officers were satisfied with the training and improvements were seen across several training constructs (confidence, preparedness, stigma, resource awareness, and de-escalation skills). Satisfaction with the training predicted change in confidence and preparedness. Recommendations for future research and the implementation of juvenile mental health trainings are discussed.     

Feminist and community mental health center psychotherapists' expectations of mental health for women

Female (n=75) and male (n=55) community mental health center psychotherapists and feminist therapists (n=82) were given the Rosenkrantz, Vogel, Bee, Broverman, and Broverman (1968) Sex-Role Stereotype Questionnaire and were asked to rate either mentally healthy adults, females, wives, or mothers. Female community mental health center therapists and feminist therapists were found to maintain one standard of mental health; that is, their perceptions of mental health for adults, females, wives, and mothers did not differ. In contrast, male therapists perceived mentally healthy adults in more male-valued terms than they perceived mentally healthy females, wives, and mothers. Additionally, both feminist and other female therapists differed from male therapists in their perceptions of health for mothers, but not for adults and wives.This report is based on a dissertation submitted in partial fulfillment of the requirements for the doctoral degree at the College of Education, University of Maryland, 1974. The author wishes to express her appreciation to her dissertation chairperson, Dr. Janice M. Birk, for her invaluable assistance during all phases of this study.