This presents a challenge for future research on the effectiveness of cultural competence in healthcare. Despite the limitations of this review it provides a unique overview and categorization of culturally competent healthcare provision. In addition, interventions needed to be located explicitly in a healthcare organization, otherwise they were excluded from the review. 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. Extracted components and strategies were organized into a model, the “Model of culturally competent healthcare provision” (Fig 2).
Building a Strong Therapeutic Connection
A systematic review of reviews on cultural competence in healthcare found moderate positive effects of individual cultural competence trainings on provider outcomes (knowledge, skills, attitudes) and on access and utilization outcomes but only weak effects on patient outcomes (satisfaction, health status) . Indeed, the demand for culturally competent healthcare systems has reached the political levels of diverse countries. (For a review, see Bernal and Domenech Rodriguez 2012.) Typically, programs that provide culturally responsive services approach treatment goals holistically, including objectives to improve physical health and spiritual strength (Howard 2003). A common framework used in many healthcare training programs to highlight culturally responsive interview behaviors is the LEARN model (Berlin and Fowkes 1983). Together, this will help more people struggling with mental health and addiction challenges access certified peer support workers, helping to improve health outcomes and reduce strain on the health care system. In partnership with Peer Support Canada, the initiative aims to strengthen culturally responsive mental health supports across Canada
In one session, he disclosed that he is gay and that his family has not been supportive. Alicia stayed in therapy for several months and experienced significant improvement in her symptoms of depression. The therapist listened attentively and asked about her experiences as a Black woman, beliefs, religion, and other cultural influences that could shape her experience of depression. Her therapist seemed to instinctively understand the challenges Alicia was facing as well as her family and community dynamics. Alicia has a history of depression and recent events in her personal life and her community have heightened her feelings of hopelessness. As a foundational element of quality care, it’s listed as one of psychology’s core competencies.
Gaps in care have many contributing factors, including:
For instance, recognizing how racism, discrimination, poverty and historical trauma impact mental health and well-being. Rather than using a one-size-fits-all model, this approach integrates a client’s identity into treatment, ensuring that therapy acknowledges their values, beliefs, and lived experiences. Cultural background plays a large role in mental health and influences values and beliefs. This approach is adaptable and acknowledges how cultural influences shape an individual’s perception of health and illness.
Balance of power: Empowering youth as active participants
Content about stress and depression management, mental health stigma, and coping skills were added to address Latine mental health needs 27, 32, 54, 63, 70, 74. Familismo, or the central Latine value that emphasizes the importance of strong family loyalty, connectedness, and collective well-being was the most frequently described value and was leveraged as a cultural strength to enhance the impact of intervention components. Eleven interventions (34%) attended to Latine-specific values, principles, and orientations (Table 1). Some interventions were also delivered in local churches, a context familiar to those who practiced religiosity/spirituality 27, 41, 64. This not only increased feasibility and ease of delivery for CHWs, but also represented a community space that was seen as more accessible to clients if they had an established connection with the organization.
- While quantitative analyses should be considered preliminary given the small number of studies included, several significant associations between cultural adaptation strategies were revealed.
- It also identifies where services remain difficult to navigate, where demand is outpacing capacity, and where additional staffing and sustained investment are necessary to meet community need.
- This type of therapy is crucial for providing effective mental health care to people from various backgrounds.
- Offering psychiatry and therapy in Mandarin, Korean, Spanish, Tagalog, and Arabic is one way we uphold that commitment in Beverly Hills, South Pasadena, Fullerton, Laguna Hills, and throughout California.
- This process is ongoing and supports clinicians in noticing, understanding, and eradicating bias they may bring to the assessment process.
Psychodynamic therapy explores relational patterns and unconscious drivers of chronic anxiety to build insight, while Interpersonal Therapy (IPT) focuses on role transitions and relationship conflicts that trigger or sustain anxiety. Knowing these advantages and limits helps you choose the right exposure modality and prepares you to explore other therapy options that address anxiety through different mechanisms. VR allows precise stimulus https://www.mountaineers.org/blog/honoring-indigenous-peoples-through-education control, scalable intensity, and repeated practice in clinic sessions; however, it requires trained clinicians, equipment, and ethical oversight so simulations don’t overwhelm clients. Exposure can be in vivo (real life), imaginal (structured visualization), interoceptive (eliciting bodily sensations), or delivered via Virtual Reality (VR), and clinicians choose the format based on the target anxiety and practical constraints.
Family and community support are often crucial elements in mental health care, especially within various cultural contexts. Lyra Health, Inc. provides administrative, technology, and other related services to the professional practices it supports, and does not itself provide any mental health, medical, or other healthcare provider services. In an ever-changing political and social landscape, it’s more crucial than ever to ensure that your mental health benefits strategy is rooted in a philosophy of culturally responsive care. We do this through a network of diverse providers who are educated in culturally responsive care, so that clients can feel seen, understood, and valued in their sessions.