‘Farming is not Just an Occupation [but] a Whole Lifestyle’: A Qualitative Examination of Lifestyle and Cultural Factors Affecting Mental Health Help‐Seeking in Australian Farmers

2019 ◽  
Vol 60 (1) ◽  
pp. 151-173
Author(s):  
Caitlin Vayro ◽  
Charlotte Brownlow ◽  
Michael Ireland ◽  
Sonja March
Author(s):  
Dorie Gilbert ◽  
Katarzyna Olcoń

Research indicates that practitioners’ cultural biases are a barrier to effective cross-cultural assessment; thus, social work practitioners must demonstrate the ability to appraise a client’s cultural context in assessing and treating mental health concerns. The Cultural Formulation Interview (CFI) in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides practitioners with a standardized cultural assessment method for use in mental health practice. This article provides a comprehensive overview of the CFI with a focus on its four domains: (a) cultural definition of the problem; (b) cultural perception of cause, context, and support; (c) cultural factors affecting self-coping and past help-seeking; and (d) cultural factors affecting current help-seeking. Conceptualizations of mental health and mental illness vary across cultural subgroups, and the nation’s changing demographics underscore the need to give particular attention to how the CFI can be useful for improving cross-cultural assessment with historically excluded or marginalized racial and ethnic groups. The CFI is an important step towards culturally grounded assessments; however, it has several conceptualization and implementation limitations, including its narrow focus on individual-level cultural explanations of distress while the effects of social inequities remain masked. The article concludes with additional considerations for cross-cultural assessment and implications for social work education and practice.


2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Behnam Shariati ◽  
Amir-Abbas Keshavarz-Akhlaghi ◽  
Arash Mohammadzadeh ◽  
Ruohollah Seddigh

Aims. The present study investigates content validity of the open-ended items in Cultural Formulation Interview in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Methods. After translating into Persian and assessing the content validity of the items and their modification by psychiatrists, the questionnaire was translated back into English by two translators and then retranslated into Persian. The final Persian version and its back-translation were submitted for approval to the DSM-5 design workshop in the United States. After obtaining the group’s approval on the back-translation and permission to use the questionnaire, samples were distributed among panel members and the content validity of the questionnaire was thus examined. Results. The content validity index (CVI) of cultural formulation interview was 0.51 and all the items were acceptable although some, especially those on the cultural perception of the context and the cultural factors affecting current help-seeking, had lower content validity ratios (CVR). Conclusion. The cultural formulation interview seems to have an overall acceptable content validity although it is weak and thus needs further studies in relation to the two domains of the cultural perception of the context and the cultural factors affecting help-seeking in the Iranian population.


2014 ◽  
Vol 65 (1) ◽  
pp. 98-105 ◽  
Author(s):  
Lindsey A. Hines ◽  
Laura Goodwin ◽  
Margaret Jones ◽  
Lisa Hull ◽  
Simon Wessely ◽  
...  

2011 ◽  
Vol 81 (4) ◽  
pp. 489-497 ◽  
Author(s):  
Matthew J. Miller ◽  
Minji Yang ◽  
Jerome A. Farrell ◽  
Li‐Ling Lin

Author(s):  
Daghagh Yazd ◽  
Wheeler ◽  
Zuo

Recently, concern has increased globally over farmers’ mental health issues. We present a systematic review of the outcomes, locations, study designs, and methods of current studies on farmers’ mental health. In particular, this review aims to fill an important gap in understanding of the potential key risk factors affecting farmers’ mental health around the world. 167 articles on farmer mental health were included in a final systematic review using a standardized electronic literature search strategy and PRISMA guidelines. The four most-cited influences on farmers’ mental health in the reviewed literature respectively were pesticide exposure, financial difficulties, climate variabilities/drought, and poor physical health/past injuries. The majority of studies were from developed countries, most specifically from the United States, Australia, and the United Kingdom. Comparative studies on the mental health of farmers and other occupational workers showed mixed results, with a larger portion identifying that psychological health disturbances were more common in farmers and farm-workers. Knowledge of farmer psychological disorder risk factors and its impacts are essential for reducing the burden of mental illness. Further research will be required on climate change impacts, developing country farmers’ mental health, and information on how to reduce help-seeking barriers amongst farmers.


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