scholarly journals The Power of Prejudice: Cross-cultural Competency and Muslim Populations

2020 ◽  
Vol 3 (1) ◽  
pp. 73-87
Author(s):  
Rania Awaad, M.D. ◽  
Aneeqa Abid ◽  
Soraya Fereydooni
Keyword(s):  
Mental Health ◽  
Cultural Competency ◽  
Poor Mental Health ◽  
Cross Cultural ◽  
Patient Centered ◽  
Religious Minority ◽  
Competent Patient ◽  
Cross Cultural Communication ◽  
Centered Care ◽  
Muslim Patient

Oh people! We created you from a male and a female and made you into nations and tribes so that you may know one another. Verily the noblest of you in the sight of Allah is the Most God-fearing of you. Surely, Allah is All-Knowing, All-Aware. (49:13) This oft-cited Quranic verse encapsulates the Islamic worldview on the raison d’être of different groups of people and ethnicities, thereby highlighting the importance of cross-cultural communication and Islam’s role in transcending these differences. The same worldview can be adopted in psychiatric practice to provide culturally competent patient-centered care. This paper introduces a clinical vignette of a Muslim patient with poor mental health and her experiences living in the US as a religious minority. The vignette frames the following discussion in the context of rising hate in the country and brings to light the consequences of Islamophobia on the mental health of American Muslim populations. The psychology of outgroup hate is explained by analyzing the literature produced on the interrelated topics of stereotypes, discrimination, prejudice, and xenophobia, and concludes with tools available for cross-cultural competency in a clinical setting.

Forensic Issues and Caregivers of the Elderly

2017 ◽  
Author(s):  
Gary Epstein-Lubow ◽  
Elizabeth Tobin-Tyler
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Mental Health Treatment ◽  
Ethical Issues ◽  
The Elderly ◽  
Patient Centered Care ◽  
Health Condition ◽  
Patient Centered ◽  
Centered Care ◽  
Laws And Policies

Providing patient-centered care for an elderly individual with a mental health condition requires clinicians and family caregivers to work together. This chapter provides a description of a mental health treatment model, the triadic model of caregiving, in which service delivery for a patient includes clinicians communicating with family members or caregivers. Description of the mental health workforce to support patient-centered care is provided along with laws and policies that support family caregivers in their aid of patients. The associated legal responsibilities and ethical issues related to working with patients who have impaired decision-making capacity due to a mental health or substance use condition are explained, including capacity, competence, informed consent, advance care planning, guardianship, fiduciary responsibilities, and ethical concerns.

scholarly journals A multilevel study of patient-centered care perceptions in mental health teams

2020 ◽  
Author(s):  
Francois Durand ◽  
Marie-Josée Fleury
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Interprofessional Collaboration ◽  
Patient Centered Care ◽  
Multidisciplinary Teams ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care

Abstract Background: The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams.Method: A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings. Results: This study showed that belief in interprofessional collaboration’s relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams’ ability to respond to its challenges. It is also related to individuals’ beliefs central to the delivery of interprofessional care.

scholarly journals A Multilevel Study of Patient-Centered Care Perceptions In Mental Health Teams

2020 ◽  
Author(s):  
Francois Durand ◽  
Marie-Josée Fleury
Keyword(s):  
Mental Health ◽  
Interprofessional Collaboration ◽  
Patient Centered Care ◽  
Multidisciplinary Teams ◽  
Patient Centered ◽  
Cross Sectional ◽  
Team Processes ◽  
Interprofessional Care ◽  
Centered Care ◽  
The Impact

Abstract Background: The combination of interprofessional collaboration in teams and patient-centered care is a necessary amalgamation when it comes to delivering complex mental healthy care and services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines the impact of predictors of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration, informal role self-efficacy in multidisciplinary mental health teams.Method: Cross-sectional multilevel design using self-administered bilingual validated questionnaires.Results: This study showed that belief in interprofessional collaboration’s impact on patient-centered perceptions is increased in teams with high collaboration. We also showed that collaboration is a mediator; that is, a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: In terms of research our results are in line with recent theorising on team processes and specifically established collaboration as key in a multilevel examination of predictors of patient-centered care perceptions. In terms of practice, we showed that multidisciplinary teams should know that working hard on collaboration as an answer to the complexity of patient-centered care impacts the teams’ ability to respond to its challenges but also impacts individuals’ beliefs central to the delivery of interprofessional care.

scholarly journals Insight into Patients’ Experiences of Cancer Care in Taiwan: An Instrument Translation and Cross-Cultural Adaptation Study

2018 ◽  
Vol 15 (8) ◽  
pp. 1772 ◽  
Author(s):  
Tsung-Hsien Yu ◽  
Kuo-Piao Chung ◽  
Yu-Chi Tung ◽  
Hsin-Yun Tsai
Keyword(s):  
Cancer Patient ◽  
Patient Experience ◽  
Cultural Adaptation ◽  
Cancer Care ◽  
Expert Panel ◽  
Cross Cultural ◽  
Patient Centered ◽  
Cross Cultural Adaptation ◽  
Centered Care ◽  
Experience Survey

Background: Since Taiwan launched the Cancer Prevention Act in 2003, several prevention strategies and early detection programs have been implemented to reduce the incidence, morbidity and mortality rates of cancer. However, most of the programs have concentrated on healthcare providers. Evaluations from the patient’s perspective have been lacking. Thus, in this study a cancer patient experience questionnaire was developed in the Taiwanese context and a preliminary nationwide investigation was conducted on the status of cancer care from the patient’s perspective. Methods: An extensive literature review was first conducted to collect information on the existing instruments used to measure the cancer patient’s experience. Thereafter, a multidisciplinary expert panel was convened to select an optimal instrument based on the IOM’s six domains for evaluating patient-centered care. The European Organisation for Research and Treatment of Cancer (EORTC) translation procedure was applied to the questionnaire for cross-cultural adaptation. A nationwide field test was then implemented at certificated cancer care hospitals. Results: Fifteen questionnaires were collected for the literature review. The expert panel selected the National Cancer Patient Experience Survey based on the IOM’s recommendations. After cross-cultural translation of the questionnaire, a total of 4000 questionnaires were administered in 19 certificated cancer care hospitals and two major cancer patient associations, with 1010 being returned (25.25% response rate). Most of the respondents were middle-aged, and 70% were female. The respondents reported they had a good experience with cancer care, except for “Home care and support” and “Finding out what was wrong with you”. Stratified analysis was conducted, with the results showing that the cancer patients’ experiences varied depending on their sociodemographic and cancer-related characteristics. Conclusions: A Taiwanese version of the cancer patient experience survey questionnaire was developed. Its results showed that the cancer patient’s experiences varied, depending on the patient’s age, cancer type, and cancer history. This study can be used as a basis to establish a patient-centered care model for cancer care in Taiwan.

scholarly journals Cross-cultural medical education: Can patient-centered cultural competency training be effective in non-Western countries?

2008 ◽  
Vol 30 (7) ◽  
pp. 719-721 ◽  
Author(s):  
Ming-Jung Ho ◽  
Grace Yao ◽  
Keng-Lin Lee ◽  
Mary Catherine Beach ◽  
Alexander R. Green
Keyword(s):  
Medical Education ◽  
Cultural Competency ◽  
Cross Cultural ◽  
Patient Centered ◽  
Western Countries ◽  
Competency Training ◽  
Cultural Competency Training

Cross-cultural Training of Residents and Medical Students in Global Child Health

2018 ◽  
pp. 183-200
Author(s):  
Fernando S. Mendoza ◽  
Ronald D. Garcia ◽  
Donald A. Barr
Keyword(s):  
Health Care ◽  
Health Care Professional ◽  
Cultural Competency ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Clinical Skills ◽  
Cross Cultural ◽  
Cultural Communication ◽  
Cross Cultural Communication ◽  
Social Environmental

The global migration of children and families from one country to another has increased diversity of pediatric populations worldwide, requiring pediatric health care professionals to develop skills in cross- cultural communication. This necessitates the development of communication skills adapted for cultural and linguistic differences and an understanding of the unique social determinants that may affect newcomers to a host country, including the process of acculturation. Effective cross-cultural communication requires understanding one’s implicit biases that might affect the patient interaction and having appropriate interpreter services. Overall, cross-cultural communication is centered on obtaining the patient’s and family’s perspective of the patient’s malady to develop a therapeutic relationship that builds trust between the health care professional and the patient/family. Cultural competency curriculums developed to achieve this goal include the following 5 domains:Students’ understanding of the definition and rationale of cultural competencyInfluence of cultural/environmental factorsUnderstanding the effect of stereotyping on medical decision-makingHealth disparities and factors influencing healthCross-cultural clinical skills Effective cross-cultural communication requires humility on the part of the health care professional as well. Although the term cultural competency implies an achievable competency, the true goal is to achieve efficacious cross-cultural communication skills, which become refined over time with interaction with patients from a variety of cultures, languages, and social-environmental backgrounds. With the growing diversity of children in the United States and in many other countries globally, the development and continued refinement of these skills is necessary to maintain clinical excellence in pediatric care around the world.

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