are culturally sensitive treatment plans possible?

Of these, 67 met the inclusion criteria in the second selection phase and were eligible to be included in the final synthesis (Fig 1). Doorenbos AZJ Clemma; Corpuz Rebecca; Forquera Ralph; Buchwald Dedra. Anderson LMS S. C.; Fullilove M. T.; Fielding J. E.; Normand J.; Task Force Community Preventive, Se. They are populating allgeographic regions across urban, suburban,and rural areas. Fung KL Hung-Tat; Srivastava Rani; Andermann Lisa. 10 Tips to Help Find Culturally Sensitive Health Care - AARP These are topics that are usually sensitive for most people. Developing Culturally Sensitive Healthcare Systems ADAA reserves the right to delete these posts immediately upon notice. Bekaert reports that even though a language and advocacy services was installed at Horton General Hospital (UK), relatives were still translating for patients due to costly systems [88]. At least three people have been killed, including a child, and many have been injured after a shopping centre was hit by Russian missiles in Kramatorsk, eastern Ukraine. Another option would be to improve the research methods in order to be able to evaluate single components of complex interventions. Teaching council in Sri Lanka: a post disaster, culturally sensitive and spiritual model of group process. Disclaimer. Fourteen studies were randomized controlled trials (RCTs) [2740] with two cluster randomizations [27, 28]. How does the developmental stage of the client influence the treatment plan? ADAA does not provide psychiatric, psychological, or medical advice, diagnosis, or treatment. The real objective of the ADAA blog post commenting function is to promote discussion and understanding, not to convince others that your opinion is "right." false. In a patient-centered culturally sensitive healthcare intervention program based in two community-based primary care clinics in the US cultural sensitivity ratings of providers behaviors and attitudes by African American patients increased significantly (F (1, 14) = 4.549, p = .05) after provider training and more at the intervention clinic than at the control clinic, however, the differences were not significant [55]. Clinical barriers occur in patient/provider interactions and can be seen as sociocultural differences which are not identified, accepted or understood. In addition, interventions needed to be located explicitly in a healthcare organization, otherwise they were excluded from the review. Prior to this first screening phase all raters screened 100 randomly chosen articles each and reached an interrater reliability of = 0.7 (main authorfirst rater) and = 0.8 (main authorsecond rater). Federal government websites often end in .gov or .mil. Specifically, the absence of interpreter services and of culturally and linguistically adapted materials, increased wait times among CLDP populations and problems in referrals to specialist care cause dissatisfaction and inequalities. The Asian tsunami on December 26, 2004, has had a profound impact on the mental health of large numbers of people in several South Asian nations. In addition to strategies on the individual and organizational level, the model points out how change within healthcare organization can be implemented and how patients can better access culturally competent healthcare, which was not as thoroughly considered by previous models. For some cultural groups, who have been subject to discrimination, trusting the established mental health system can be challenging. More than 90% of the questioned oversea nurses found the support strategies useful, especially personal support and a welcoming atmosphere upon arrival and orientation. The advocates or liaisons who are integrated into the clinic team work lower stress for patients and providers through improved communication, increased safety of treatment, improved understanding, trust and connectedness, which in turn leads to higher efficacy of treatment and greater improvements in applying health recommendations in an outpatient oncology clinic (USA) as well as in primary care community clinics (Israel) [74, 79]. Four articles were added from a manual search. Bethesda, MD 20894, Web Policies Over 2,100 hospital staff members attended the workshops. It continues to be more difficult for an African-American or Latino to access effective health services for anxiety and depression. Cultural sensitivity practices can be applied to any type of therapy; these practices may help the client feel more comfortable, making the treatment more effective. Culturally Competent Care for Latino Patients U.S. Department of Health & Human Services. Chow WS M.; Shiida T.; Hirosue A.; Law S.; Leszcz M.; Sadavoy J. Minorities constitute a large proportion of the health care work force. var AdButler = AdButler || {}; AdButler.ads = AdButler.ads || []; Therefore, the staff willhelp in making a good treatment plan that meets the needs of thepatient. 8600 Rockville Pike The second spreadsheet incorporated study characteristics and results: outcome measures, study type, study participants (N, ethnicity) and main results (S3 Table). She also completed a Post-Doctoral Masters in Clinical and Translational Research in 2006 and is now the Principal Investigator (R25MD007607) and Director of this program. No group changes in postpartum depressive symptoms were identified compared to treatment as usual after a preventive postpartum depression intervention that put value on integrating different aspects of Latino culture at a public sector womens clinic (USA). Lopes AP, Macedo TF, Coutinho ES, Figueira I, Ventura PR. and transmitted securely. Culturally Sensitive Treatment - an overview | ScienceDirect Topics Kalister HN R. D.; Read L.; Walters C.; Hrachovec J.; Graham E. A. Pharmacy-based evaluation and treatment of minor illnesses in a culturally diverse pediatric clinic, Archives of pediatrics & adolescent medicine, The transition of overseas qualified nurses and midwives into the Australian healthcare workforce. Some limitations must be considered. The selection process was divided into two screening phases. All relevant data are within the manuscript and its Supporting Information files. The site is secure. 2015 Nov;86(11):1427-35; quiz 1436-7. doi: 10.1007/s00115-015-4360-3. Federal government websites often end in .gov or .mil. RCTs compared one to three interventions with the control intervention, which was typically treatment as usual. HHS Vulnerability Disclosure, Help state in their scoping review that the main cultural competence interventions in 57 of 83 studies were declared beneficial for the primary outcome as well as for secondary outcomes in 13 studies. A model integrating those interventions is proposed. The components of identified culturally competent healthcare interventions and their assigned categories are available in the S4 Table. In order to determine their effects, studies were checked for results relating to single components. She is an active member of several professional organizations, such as the Anxiety and Depression Association of America where she recently received the Member Recognition Award for her work on the Multicultural and the Womens Mental Health Special Interest Groups. eCollection 2014. Wennerstrom AB Tap; Harden-Barrios Jewel; Price-Haywood Eboni G. Integrating community health workers into a patient-centered medical home to support disease self-management among Vietnamese Americans: Lessons learned. Are culturally sensitive treatment plans possible? The treatment that will work for each individual is different. Community Nutrition DT 120 Flashcards | Quizlet Abubakar I, Aldridge RW, Devakumar D, Orcutt M, Burns R, Barreto ML, et al. Culturally sensitive therapy is an important part of providing effective mental health care. Moststudies used cognitive- behavioral strategies and included Latinos and African Americans. 100% (1 rating) Top Expert. Involvement if families. Culturally sensitive therapy is an approach to psychotherapy that emphasizes the therapist's understanding of a client's background and belief system as it relates to their race, ethnicity,. Importantly, only the results which indicate a relation between an isolated component or strategy and an outcome measure are considered. Data collection and management. 432 articles were finally included for the full-text screening. In order to be considered eligible regarding their content, studies had to examine interventions that aim to improve healthcare utilization, provision or treatment for CLDP and/or cultural competence in healthcare facilities (criterion 3). The number of participants ranged from 6 [41] to 5963 [43] participants. By submitting a response, comment or content, you agree that such submission is non-confidential for all purposes. CNL 610 Topic 4 DQ 2.pdf - Are culturally sensitive treatment plans It is therefore not surprising that there are cultural differences in the way anxiety and depression is manifested and treated. Are culturally sensitive treatment plans possible? why or why not After the implementation of a Cambodian menu for postpartum women at Saints Medical Center (USA) in combination with a staff training program on breastfeeding, there were no significant difference between breastfeeding initiation rates among Cambodian women and non-Cambodians (66.7% Cambodian vs.68.9% non-Cambodian p = .874), although before its implementation Cambodian mothers were significantly less likely to initiate breastfeeding than non-Cambodian mothers (16.7% Cambodian vs. 60.6% non-Cambodian p = .003) [63]. Anderson at al. If you are in crisis please dial 988 for the Suicide & Crisis Lifeline. Culturally sensitive treatment plans are possible as long as the counselor is practicing cultural competency and are actively trying to learn each individual culture . The review reveals that the majority of culturallysensitive treatments for depression employed an evidence-based bottom-up approach, which involvedgeneral and practical adaptations, such as translating materials or infusing specific cultural values. Why or Why not? PDF A Critical Review of Culturally Sensitive Treatments for Depression The existing therapeutic interventions for orgasmic disorders Users acknowledge and agree that they may be individually liable for anything they communicate using ADAAs blogs, including but not limited to defamatory, discriminatory, false or unauthorized information. ADAA wants to ensure the integrity of this service and therefore, use of this service is limited to participants who agree to adhere to the following guidelines: 1. Infect Dis Poverty. Crosscultural opening in German outpatient mental health care serviceExplorative study of structural and procedural aspects. The majority of studies were conducted in the United States (n = 51; 76%). Qualitative studies included four case studies [8790], and the methods of data collection used were interviews [9092], focus groups [89, 93] or open-ended questions [88]. Find a doctor who E ngages you and involves you when making decisions about your care. Kanter JWS-R A. L.; Rusch L. C.; Busch A. M.; West P. Initial Outcomes of a Culturally Adapted Behavioral Activation for Latinas Diagnosed With Depression at a Community Clinic, A Culturally Competent Relaxation Intervention for Latino/as: Assessing a Culturally Specific Match Model, Tomando Control: a culturally appropriate diabetes education program for Spanish-speaking individuals with type 2 diabetes mellitusevaluation of a pilot project. Culturally Sensitive Therapy | Psychology Today Beune EvC E. P. M.; Beem L.; Mohrs J.; Agyemang C. O.; Ogedegbe G.; Haafkens J. in cultural competence was observed after a bilevel cultural competence intervention at a community mental health center in the US [45]. Telepsychiatry services for Korean immigrants, Culturally Based Intervention Development: The Case of Latino Families Dealing With Schizophrenia. Promoting Darfuri women's psychosocial health: developing a war trauma counsellor training programme tailored to the person. Su XY, Lau JT, Mak WW, Choi KC, Feng TJ, Chen X, Liu CL, Liu J, Liu D, Chen L, Song JM, Zhang Y, Zhao GL, Zhu ZP, Cheng JQ. A ''migrant friendly hospital'' initiative in Geneva, Switzerland: Evaluation of the effects on staff knowledge and practices. Service provided by pharmacist was comparable to the service provided at the standard acute care clinic; patients were more likely to have shorter wait time (<15-minute wait) and were more likely to receive written information than patients evaluated by physicians. The search was conducted in August 2016 and updated in January 2017 to include studies published during/after August 2016. Regional situation analysis, practices, experiences, lessons learned and ways forward, European Region. At the Martha Eliot Health Center (USA) Latino/a patients with anxiety participating in an allocentric (the tendency to define oneself in relationship to others) relaxation intervention, which was considered more appropriate for the Latin culture, practiced allocentric imagery exercises significantly (p < .01; M = 3.1, SD = 1.8) more often than idiocentric imagery exercises (M = 2.1, SD = 2.2) [48]. The option of having an ethnic meal was not chosen because patients did not trust the mechanism of provision at Horton General Hospital (UK) [88], and it was considered enjoyable but not essential by women refugees at an ambulatory healthcare facility [75]. Indeed, the demand for culturally competent healthcare systems has reached the political levels of diverse countries. Are culturally sensitive treatment plans possible? Watkins et al. In the context of a clinic-based colorectal cancer screening promotion program (USA), the integration of a CHW in combination with mailed educational material on colorectal cancer screening increased the number of screenings to 31% compared to 26% in the control group among Hispanic patients but the differences were not significant (p = .28) [30]. Individual cultural competence among healthcare providers was examined most frequently [12, 20]. Promoting changes within the organization. Galvin SG X.; Feldman-Winter L.; Chaudhuri J.; Merewood A. Adapting ACT to serve culturally diverse communities: a comparison of a Japanese and a Canadian ACT team. Consequences can include inequalities and discrimination in different areas [2]. Answer: Yes, culturally sensitive treatment plans are possible because it is feasible to deliver the treatment . The LEARN guidelines are useful in developing a culturally sensitive treatment plan. What Is Culturally Sensitive Health Care? - GoodRx Culture affects the way we express our thoughts, behaviors and emotions. ADAA reserves the right to remove or edit a post containing offensive material as defined by ADAA. O'Shaughnessy RN Julia; Chiumento Anna; Hassan Amira; Rahman Atif. Analyses of Medical subject Headings (MeSH) and of key terms of related articles were used to identify search terms. The general characteristics of included studies are summarized in Table 1. Someone from a culture where it is common to know psychological terms, could easily describe anxiety and depression using those specific words. Importantly, the developed model does not claim to be comprehensive or completed but rather serves as an empirical baseline that needs to be verified and further developed. A systematic review on race and racial concordance on patient-physician communication studies demonstrated that racial discordance is related to poorer communication [94]. The funders did not play any role in the study design, data collection, decision to publish, or preparation of the manuscript. National Library of Medicine Although culture can affect both the way anxiety and depression is expressed and how treatment is accessed, there is no evidence that the treatment for these conditions does not work in all cultures and ethnicities. These materials focus on the challenges that can confront Hispanics . There are different definitions, names and implementation guidelines for the concept of cultural competence or cultural competency [12, 17]. Hamilton LJL, Carlos F.; Presson Angela P.; Klitzner Thomas S. Effects of a Medical Home Program for children with special health care needs on parental perceptions of care in an ethnically diverse patient population. J Relig Health. Would you like email updates of new search results? The challenge in each local situation is to find the optimal means of adapting tools such as . Careers. This discussion question meets the following CACREP Standard: 2.F.5.h. The Sick-Kids Cultural Competence Initiative at the Hospital for Sick Children (Canada) established a Champion program in which cultural competence champions obtained advanced cultural competence education and became designated change agents and role models. sharing sensitive information, make sure youre on a federal coined an acronym that serves as a reminder to clinicians about the multi-faceted nature of multi-cultural therapy (MCT) in terms of what they need to be ADDRESSING: Age and generational influences, Developmental disabilities and Disabilities obtained in later life), Religion and spiritual orientation, Ethnic and racial identity, Socioeconomic s. After the recruitment of a bilingual Russian internist at the Denver Medical Center (USA) with the goal of improving diabetes care for Russian patients, there was a significant reduction in diastolic blood pressure and cholesterol (p < .0002) among Russian diabetes patients. Many nonverbal gestures can be universally translated across all cultural groups. EPMA J. In some other cultures, anxiety and depression might not even be expressed in words. This scoping review aims to collect components and strategies from evaluated interventions that provide culturally competent healthcare for CLDPs within healthcare organizations and to examine their effects on selected outcome measures. All nurses who were supported by the program remain employed [67]. official website and that any information you provide is encrypted Understanding the concept of culturally sensitive communication is essential for clinicians to increase their awareness and understanding of best practice when communicating with culturally diverse patients and families. Cultural sensitivity and cultural responsiveness are big terms in many service industries. Yu JC Lucia Perfetti; Chandra Lalita; Dias Agnelo; Lai Ting-Fun May. The counselor would need to be practicing cultural competency. Nevertheless, we chose to include all different groups to create a broad overview of generally possible strategies. Anxiety & Depression Association of America, ADAA Blog Content and Blog Comments Policy, Evidence-based Tips & Strategies from our Member Experts, Major Depressive Disorder (MDD) Peer to Peer Community, Body-Focused Repetitive Behaviors (BFRBs), Adult ADHD (Attention Deficit Hyperactive Disorder), Types of Mental Health Care Professionals, Pediatric Brochure for Pediatric Primary Care Providers and Parents, Diversity, Equity, and Inclusion Resources, Alies Muskin Career Development Leadership Program. A model integrating the results is proposed. A culturally competent intervention of education and care for black women with type 2 diabetes. Psychological health outcomes such as reduction in symptoms of mental illness [28, 33, 35, 36, 47, 48, 52, 59, 61, 85] and in regard to health, concepts such as self-efficacy [34, 73, 86] or distress [49, 51] were assessed the most frequently. After adjusting for duplicates 8,801 records remained for the title and abstract screening, and 455 studies met criteria for inclusion in the first selection phase. Through the update in January 2017, an additional 542 publications were found. ADAA will remove these posts immediately upon notice. Diaz E, Ortiz-Barreda G, Ben-Shlomo Y, Holdsworth M, Salami B, Rammohan A, et al. In the full-text screening the remaining articles were screened by two independent researchers. Vargas RBR G. W.; Jackson C. A.; Rodriguez R.; Freeman H. R. Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. use of non-traditional medicines. Why or Why not? 6. The use of culturally specific substance use disorder treatment: Both raters met on a regular basis throughout the screening process to ensure a high level of consensus and to discuss any uncertainties. These can lead to mistrust, dissatisfaction, decreased adherence and poorer health outcomes [8]. A Regional Health Collaborative Formed By NewYork-Presbyterian Aims To Improve The Health Of A Largely Hispanic Community, Effectiveness of a Community Health Worker as Sole Diabetes Educator: Comparison of CoDE with Similar Culturally Appropriate Interventions, Journal of health care for the poor and underserved. , 2014 ) . PDF Culturally Sensitive Treatment and Ethical Practice - APA Divisions J Abnorm Child Psychol. In order to reduce these disparities, the promotion of cultural competence in healthcare organizations has been a political goal. This is an open access article distributed under the terms of the, GUID:17D9CC03-26ED-45AB-B5E4-79D180E27C0A, GUID:CB66ED5F-CBEC-49F1-BBE0-AFAE8EDE93BE, GUID:E4820309-625F-4920-AC33-C9E5169BF457, GUID:04241244-0E61-47DC-BA13-EE8FC17A7D90, GUID:CC8E2565-99A5-4B07-BDB4-AB0EBBD39763, For a world on the move: The UN Summit for Refugees and Migrants. HbA1c and systolic blood pressure also decreased, albeit not significantly [69]. Improving Cultural Competence. Before Evaluation of a patient activation and empowerment intervention in mental health care. These are primarily related to improving access to culturally competent healthcare for CLDP: telemedicine, outreach methods and the creation of community health networks. ADAA provides this Website blogs for the benefit of its members and the public. If you disagree with a participant 's post or opinion and wish to challenge it, do so with respect. An official website of the United States government. In this review comparative studies were available but generally compared an innovative culturally competent health intervention to treatment as usual. Obviously, these groups are very heterogeneous and their needs and perceived barriers to healthcare may differ substantially. Nevertheless, inequalities in access to healthcare exist worldwide and are related to the legal and socioeconomic status of each individual and the laws and policies of each country [3, 4]. This led to a 9.2% decrease of mean visits per patient to the emergency department following implementation of the model (p = 0.001). Rockville, MD; 2016. This model provides 20 strategies on four different levels. This knowledge about health has been shown to be higher among members of more privileged groups. Cultural safety and belonging for refugee background women attending group pregnancy care: An australian qualitative study. The right doctor will T alk to you about your whole life, not just your medical problems. Integration of community health workers (CHW) to educate patients during home or clinic visits. In the first screening phase, studies evaluating interventions located at healthcare organizations and aiming to improve cultural competence of healthcare facilities and/or healthcare for CLDP were included. document.write('<'+'div id="placement_331089_'+plc331089+'">'); Culturally sensitive treatment plans are possible; as it is possible to provide the treatment that is in . Please note: ADAA is not a direct service organization. Culturally competent healthcare - A scoping review of strategies Cultural characteristics are developed through . Please include at least two scholarly journal articles in your posting. Black or Latina navigators were integrated at Capital Breast cancer Center (USA) for women with abnormal mammogram results to ensure follow-up screenings among a population with low screening rates. Patients in a culturally focused psychiatric consultation intervention program for Latino Americans with depression agreed that it is more important that their providers speak their language than that they have the same cultural background [82]. A review and conceptual model. Accessibility Goncalves MC Benjamin; Mulvaney-Day Norah; Alegria Margarita; Kinrys Gustavo. These are often intertwined with individual factors such as low health literacy, employment status, fear of stigma, language barriers or differences in health beliefs and behaviors [27]. Similarly, do not ask for personal information from other participants. Karen G. Martinez-Gonzalez, MD, MSc is a child and adolescent psychiatrist in San Juan, Puerto Rico. In the event that the setting of the intervention was not identifiable in title or abstract, studies were nonetheless included in order to be examined in full text screening.

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