Implementing the Cultural Formulation Interview in a Community Clinic to Improve Appointment Retention: A Pilot Study

2021 ◽  
pp. appi.ps.2020009
Author(s):  
Neil Krishan Aggarwal ◽  
Daniel Chen ◽  
Peter Lam ◽  
Roberto Lewis-Fernández
Keyword(s):  
Pilot Study ◽  
Cultural Formulation ◽  
Community Clinic ◽  
Cultural Formulation Interview

scholarly journals The Development of the DSM-5 Cultural Formulation Interview-Fidelity Instrument (CFI-FI): A Pilot Study

2014 ◽  
Vol 25 (3) ◽  
pp. 1397-1417 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
Andrew Glass ◽  
Amilcar Tirado ◽  
Marit Boiler ◽  
Andel Nicasio ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
Cultural Formulation Interview

The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

2020 ◽  
Vol 57 (4) ◽  
pp. 496-514 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
G. Eric Jarvis ◽  
Ana Gómez-Carrillo ◽  
Laurence J. Kirmayer ◽  
Roberto Lewis-Fernández
Keyword(s):  
Clinical Practice ◽  
Social Science Research ◽  
Science Research ◽  
Cultural Dimensions ◽  
Cultural Formulation ◽  
Simplified Approach ◽  
Clinician Training ◽  
Dsm 5 ◽  
Training Research ◽  
Cultural Formulation Interview

While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ranging from 1 to 460 participants. In all pilot CFI studies 960 unique subjects were enrolled, and in final CFI studies 739 were enrolled. Studies focused on how the CFI affects clinical practice; explored the CFI through research paradigms in medical communication, implementation science, and family psychiatry; and examined clinician training. In most studies, patients and clinicians reported that using the CFI improved clinical rapport. This evidence base offers an opportunity to consider implications for training, research, and clinical practice and to identify crucial areas for further research.

scholarly journals How Do Clinicians Prefer Cultural Competence Training? Findings from the DSM-5 Cultural Formulation Interview Field Trial

2015 ◽  
Vol 40 (4) ◽  
pp. 584-591 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
Peter Lam ◽  
Enrico G. Castillo ◽  
Mitchell G. Weiss ◽  
Esperanza Diaz ◽  
...  
Keyword(s):  
Cultural Competence ◽  
Field Trial ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
Competence Training ◽  
Cultural Formulation Interview

scholarly journals Respiratory health screening for opiate misusers in a specialist community clinic: a mixed-methods pilot study, with integrated staff and service user feedback

BMJ Open ◽  
2016 ◽  
Vol 6 (10) ◽  
pp. e012823 ◽  
Author(s):  
Caroline Anne Mitchell ◽  
Alice Pitt ◽  
Joe Hulin ◽  
Rod Lawson ◽  
Fleur Ashby ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Service User ◽  
Respiratory Health ◽  
Health Screening ◽  
User Feedback ◽  
Community Clinic

scholarly journals The Cultural Formulation Interview: Progress to date and future directions

2020 ◽  
Vol 57 (4) ◽  
pp. 487-496
Author(s):  
Roberto Lewis-Fernández ◽  
Neil Krishan Aggarwal ◽  
Laurence J. Kirmayer
Keyword(s):  
Cultural Context ◽  
Help Seeking ◽  
Scale Up ◽  
Implementation Strategies ◽  
Transcultural Psychiatry ◽  
Cultural Formulation ◽  
Treatment Expectations ◽  
Future Directions ◽  
Dsm 5 ◽  
Cultural Formulation Interview

The Cultural Formulation Interview (CFI) developed for DSM-5 provides a way to collect information on patients’ illness experience, social and cultural context, help-seeking, and treatment expectations relevant to psychiatric diagnosis and assessment. This thematic issue of Transcultural Psychiatry brings together articles examining the implementation and impact of the CFI in diverse settings. In this editorial introduction we discuss key areas raised by these and other studies, including: (1) the potential of the CFI for transforming current psychiatric assessment models; (2) training and implementation strategies for wider application and scale-up; and (3) refining the CFI by developing new modules and alternative protocols based on further research and clinical experience.

scholarly journals Update on the Cultural Formulation Interview

2020 ◽  
Vol 18 (1) ◽  
pp. 40-46 ◽  
Author(s):  
G. Eric Jarvis ◽  
Laurence J. Kirmayer ◽  
Ana Gómez-Carrillo ◽  
Neil Krishan Aggarwal ◽  
Roberto Lewis-Fernández
Keyword(s):  
Cultural Formulation ◽  
Cultural Formulation Interview

Culture in la clínica: Evaluating the utility of the Cultural Formulation Interview (CFI) in a Mexican outpatient setting

2017 ◽  
Vol 54 (4) ◽  
pp. 466-487 ◽  
Author(s):  
Alyssa M. Ramírez Stege ◽  
Kristin Elizabeth Yarris
Keyword(s):  
Mental Illness ◽  
Outpatient Setting ◽  
Cultural Factors ◽  
Clinical Settings ◽  
Cultural Formulation ◽  
Factors Influencing ◽  
Health And Illness ◽  
Promising Development ◽  
Cultural Formulation Interview

While the classification of psychiatric disorders has been critiqued for failing to adequately account for culture, the inclusion of the Cultural Formulation Interview (CFI) in the DSM-5 has been viewed as a promising development for the inclusion of cultural factors in diagnosis and treatment of mental illness. In this study, we assess the appropriateness, acceptability, and clinical utility of the CFI among outpatients in a Mexican psychiatric hospital. Our assessment included observations of psychiatric residents’ application of the CFI with 19 patients during routine outpatient visits, along with pre- and post-CFI interviews to determine providers’ and patients’ views of the CFI. The CFI was generally well received by providers and patients, viewed as a way of building trust and increasing providers’ understanding of contextual factors influencing mental illness, such as social support. However, the CFI questions specifically related to “culture” were of limited effect and both patients and providers did not view them as useful. We discuss implications for the clinical assessment of cultural factors influencing mental health and illness and for the incorporation of the CFI in Mexican clinical settings.

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