Analysis of the Developmental Cultural Context of Arab American Youth and Implications for Mental Health Services

2011 ◽  
Author(s):  
Ramzi Hasson ◽  
Nathan Von Der Embse
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Context ◽  
Arab American

scholarly journals System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals

BJPsych Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Miharu Nakanishi ◽  
George Kurokawa ◽  
Junko Niimura ◽  
Atsushi Nishida ◽  
Geoff Shepherd ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Context ◽  
System Level ◽  
Personal Recovery ◽  
Mental Health Systems ◽  
Positive Interaction ◽  
Facilitators And Barriers

Background No co-productive narrative synthesis of system-level facilitators and barriers to personal recovery in mental illness has been undertaken. Aims To clarify system-level facilitators and barriers to personal recovery of people with mental illness. Method Qualitative study guided by thematic analysis. Data were collected through one focus group, which involved seven service users and three professionals. This group had 11 meetings, each lasting 2 h at a local research institute, between July 2016 to January 2018. Results The analysis yielded three themes: barriers inhibiting positive interaction within personal relationship networks, roots of barriers from mental health systems and the social cultural context, and possible solutions to address the roots. Barriers were acknowledged as those related to sense of safety, locus of control within oneself and reunion with self. The roots of barriers were recognised within mental health services, including system without trauma sensitivity, lack of advocacy support and limited access to psychosocial approaches. Roots from social cultural context were also found. There were no narratives relating to facilitators. A possible solution was to address the roots from systems. Social cultural change was called for that makes personalised goals most valued, with an inclusive design that overcomes stigma, to achieve an open and accepting community. Conclusions The analysis yielded system-level barriers specific to each recovery process. Roots of barriers that need transformation to facilitate personal recovery were identified within mental health services. Social interventions should be further explored to translate the suggested social cultural changes into action.

scholarly journals Clinical approaches to cultural diversity in mental health care and specificities of French transcultural consultations: A scoping review.

2019 ◽  
Author(s):  
LAURA CARBALLEIRA CARRERA ◽  
Sarah Lévesque-Daniel ◽  
Rahmeth Radjack ◽  
Marie Rose Moro ◽  
Jonathan Lachal
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Diversity ◽  
Cultural Context ◽  
Professional Training ◽  
International Literature ◽  
Scientific Publications ◽  
Migrant Families ◽  
Consultation Services

Abstract Background: Cultural context substantially affects the experience and clinical expression of psychiatric diseases, while cultural factors limit both access to and the effectiveness of care, especially for migrant families requiring the construction of specific types of services. We review the international literature on mental health services that take cultural elements into account and use these data to uncover the specificities of the French model of consultations by a group of transcultural psychotherapists. Methods: Exhaustive review of the international literature through searches of PubMed and PsycINFO. The review includes 32 articles. Results: The specificities of mental health services for migrant families are linked to the host country's migration patterns and citizenship model. In English-speaking countries, specialized services for ethnic minorities offer ethnic matching of the therapist and patient. In Canada, indirect transcultural consultation services have existed since the late 1990s. Australia emphasizes the networking of consultation services and professional training in cultural competence, while the Nordic countries (Sweden, Finland, Norway, and Denmark) focus management on trauma. In France, psychotherapy services, with flexible numbers of therapists involved according to the situation, have existed since 1990. Discussion: Most initiatives place emphasis on training and supervision, in an indirect approach not specifically focused on the patient, or offer cultural matching of patient and therapist. The French transcultural approach, on the contrary, makes the family's culture and its cultural diversity an integral part of the therapy process. Scientific publications clearly demonstrate the clinical efficacy of this method.

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