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Common mental health problems in immigrants and refugees: general approach in primary care.

https://arctichealth.org/en/permalink/ahliterature142408
Source
CMAJ. 2011 Sep 6;183(12):E959-67
Publication Type
Article
Date
Sep-6-2011
Author
Laurence J Kirmayer
Lavanya Narasiah
Marie Munoz
Meb Rashid
Andrew G Ryder
Jaswant Guzder
Ghayda Hassan
Cécile Rousseau
Kevin Pottie
Author Affiliation
Division of Social and Transcultural Psychiatry, McGill University, Montréal, Que. laurence.kirmayer@mcgill.ca
Source
CMAJ. 2011 Sep 6;183(12):E959-67
Date
Sep-6-2011
Language
English
Publication Type
Article
Keywords
Canada - epidemiology
Cultural Characteristics
Emigrants and Immigrants
Health Status Indicators
Humans
Language
Mental Disorders - diagnosis - epidemiology - therapy
Prevalence
Primary Health Care
Refugees
Risk factors
Abstract
Recognizing and appropriately treating mental health problems among new immigrants and refugees in primary care poses a challenge because of differences in language and culture and because of specific stressors associated with migration and resettlement. We aimed to identify risk factors and strategies in the approach to mental health assessment and to prevention and treatment of common mental health problems for immigrants in primary care.
We searched and compiled literature on prevalence and risk factors for common mental health problems related to migration, the effect of cultural influences on health and illness, and clinical strategies to improve mental health care for immigrants and refugees. Publications were selected on the basis of relevance, use of recent data and quality in consultation with experts in immigrant and refugee mental health.
The migration trajectory can be divided into three components: premigration, migration and postmigration resettlement. Each phase is associated with specific risks and exposures. The prevalence of specific types of mental health problems is influenced by the nature of the migration experience, in terms of adversity experienced before, during and after resettlement. Specific challenges in migrant mental health include communication difficulties because of language and cultural differences; the effect of cultural shaping of symptoms and illness behaviour on diagnosis, coping and treatment; differences in family structure and process affecting adaptation, acculturation and intergenerational conflict; and aspects of acceptance by the receiving society that affect employment, social status and integration. These issues can be addressed through specific inquiry, the use of trained interpreters and culture brokers, meetings with families, and consultation with community organizations.
Systematic inquiry into patients' migration trajectory and subsequent follow-up on culturally appropriate indicators of social, vocational and family functioning over time will allow clinicians to recognize problems in adaptation and undertake mental health promotion, disease prevention or treatment interventions in a timely way.
Notes
Cites: Prehosp Disaster Med. 2008 Jul-Aug;23(4):322-718935946
Cites: Int J Soc Psychiatry. 2007 Jan;53(1):85-9417333954
Cites: Health Serv Res. 2007 Apr;42(2):727-5417362215
Cites: Fam Pract. 2007 Apr;24(2):145-5117283216
Cites: J Nerv Ment Dis. 2007 Mar;195(3):189-9517468677
Cites: Matern Child Health J. 2007 May;11(3):257-6717171544
Cites: Patient Educ Couns. 2007 Jun;66(3):327-3617339093
Cites: Arch Womens Ment Health. 2007;10(3):93-10117497307
Cites: Can J Psychiatry. 2007 May;52(5):287-9417542379
Cites: Can J Psychiatry. 2007 May;52(5):295-30417542380
Cites: Am J Public Health. 2007 Jul;97(7):1269-7417538066
Cites: J Immigr Minor Health. 2007 Oct;9(4):281-9017347889
Cites: Soc Psychiatry Psychiatr Epidemiol. 1999 Sep;34(9):464-910541666
Cites: J Am Acad Child Adolesc Psychiatry. 1999 Nov;38(11):1426-3210560230
Cites: J Gen Intern Med. 2000 Jun;15(6):381-810886472
Cites: JAMA. 2000 Aug 2;284(5):604-1110918707
Cites: Soc Sci Med. 2001 May;52(9):1343-5811286360
Cites: J Clin Psychiatry. 2001;62 Suppl 13:22-8; discussion 29-3011434415
Cites: Psychiatr Clin North Am. 2001 Sep;24(3):523-3811593861
Cites: JAMA. 2002 Aug 7;288(5):611-2112150673
Cites: Aust N Z J Psychiatry. 2002 Aug;36(4):499-50312169149
Cites: Lancet. 2002 Oct 5;360(9339):1056-6212383986
Cites: Psychiatr Q. 2002 Winter;73(4):271-9512418357
Cites: Am J Public Health. 2003 Feb;93(2):232-812554575
Cites: Soc Sci Med. 2003 Aug;57(3):503-1212791492
Cites: J Immigr Health. 2003 Jan;5(1):19-2814512755
Cites: Child Abuse Negl. 2003 Nov;27(11):1277-9014637302
Cites: J Am Acad Child Adolesc Psychiatry. 2004 Jan;43(1):24-3614691358
Cites: Br J Psychiatry Suppl. 2004 Feb;46:s10-614754813
Cites: Br J Gen Pract. 2004 Mar;54(500):171-615006121
Cites: Annu Rev Public Health. 2004;25:357-7615015925
Cites: Can J Public Health. 2004 May-Jun;95(3):I4-815191125
Cites: Can J Public Health. 2004 May-Jun;95(3):I9-1315191126
Cites: Br Med Bull. 2004;69:33-4815226195
Cites: Br Med Bull. 2004;69:129-4115226202
Cites: Soc Sci Med. 2004 Oct;59(8):1613-2715279920
Cites: J Paediatr Child Health. 2004 Sep-Oct;40(9-10):562-815367154
Cites: Ann Intern Med. 1978 Feb;88(2):251-8626456
Cites: Am Psychol. 1994 Aug;49(8):701-88092613
Cites: Med J Aust. 2006 Oct 2;185(7):357-6117014402
Cites: Transcult Psychiatry. 2006 Sep;43(3):418-4417090626
Cites: PLoS Med. 2006 Oct;3(10):e29417076546
Cites: Birth. 2006 Dec;33(4):323-3117150072
Cites: J Consult Clin Psychol. 2006 Dec;74(6):1116-2017154740
Cites: J Nerv Ment Dis. 2006 Dec;194(12):925-3417164631
Cites: Transcult Psychiatry. 2006 Dec;43(4):577-9117166947
Cites: Transcult Psychiatry. 2006 Dec;43(4):671-9117166953
Cites: J Immigr Minor Health. 2007 Oct;9(4):349-5717380388
Cites: Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S122-3317931131
Cites: Transcult Psychiatry. 2007 Sep;44(3):359-9317938152
Cites: Soc Psychiatry Psychiatr Epidemiol. 2008 Nov;43(11):866-7118500481
Cites: Arch Gen Psychiatry. 2008 Nov;65(11):1250-818981336
Cites: J Immigr Minor Health. 2009 Feb;11(1):46-5618266107
Cites: Clin Child Psychol Psychiatry. 2009 Apr;14(2):273-9619293323
Cites: J Gen Intern Med. 2009 Apr;24(4):443-919089505
Cites: J Gen Intern Med. 2009 Apr;24(4):450-619165548
Cites: Br J Psychiatry. 2009 Apr;194(4):306-1219336779
Cites: Soc Sci Med. 2009 Jul;69(2):246-5719539414
Cites: JAMA. 2009 Aug 5;302(5):537-4919654388
Cites: J Consult Clin Psychol. 2009 Oct;77(5):1000-519803580
Cites: Transcult Psychiatry. 2009 Sep;46(3):383-40519837778
Cites: Soc Psychiatry Psychiatr Epidemiol. 2009 Dec;44(12):1023-919294322
Cites: Am J Public Health. 2009 Dec;99(12):2247-5419834004
Cites: Transcult Psychiatry. 2009 Dec;46(4):539-8320028677
Cites: Transcult Psychiatry. 2009 Dec;46(4):623-4120028680
Cites: J Immigr Minor Health. 2010 Apr;12(2):234-4119408119
Cites: Matern Child Health J. 2011 Oct;15(7):866-7518256913
Cites: J Child Psychol Psychiatry. 2006 Dec;47(12):1197-21017176375
Cites: Am J Public Health. 2007 Jan;97(1):84-9017138908
Cites: Am J Public Health. 2007 Jan;97(1):52-917138909
Cites: Br J Psychiatry. 2007 Jan;190:6-1017197650
Cites: Health Psychol. 2007 Jan;26(1):96-10417209702
Cites: J Affect Disord. 2007 Feb;98(1-2):99-10816890296
Cites: Health Hum Rights. 2006;9(2):164-7917265759
Cites: BMC Health Serv Res. 2007;7:1517266765
Cites: Soc Sci Med. 2007 Mar;64(6):1204-1517188787
Cites: Can J Psychiatry. 1995 Mar;40(2):67-727788620
Cites: Child Dev. 1996 Feb;67(1):70-888605835
Cites: Int J Soc Psychiatry. 1998 Spring;44(1):22-349574849
Cites: Int J Geriatr Psychiatry. 1998 Nov;13(11):801-129850877
Cites: Med Clin North Am. 1999 Jul;83(4):1103-20, viii10453265
Cites: J Health Soc Behav. 1999 Sep;40(3):193-20710513144
Cites: Can J Psychiatry. 2004 Oct;49(10):663-7215560312
Cites: Soc Psychiatry Psychiatr Epidemiol. 2005 Jan;40(1):78-8415624079
Cites: Am J Psychiatry. 2005 Jan;162(1):12-2415625195
Cites: Soc Sci Med. 2005 Mar;60(6):1359-7015626530
Cites: Can J Public Health. 2005 Jan-Feb;96(1):49-5115682696
Cites: Transcult Psychiatry. 2004 Dec;41(4):445-6415709645
Cites: Am J Orthopsychiatry. 2005 Jan;75(1):27-3915709848
Cites: Women Health. 2004;40(1):21-4015778130
Cites: Lancet. 2005 Apr 9-15;365(9467):1309-1415823380
Cites: Med Care Res Rev. 2005 Jun;62(3):255-9915894705
Cites: J Am Board Fam Pract. 2005 Jul-Aug;18(4):282-9615994474
Cites: Soc Psychiatry Psychiatr Epidemiol. 2005 Jun;40(6):489-9616003599
Cites: JAMA. 2005 Aug 3;294(5):602-1216077055
Cites: Can J Public Health. 2005 Mar-Apr;96 Suppl 2:S30-4416078554
Cites: Community Ment Health J. 2005 Oct;41(5):581-9716142540
Cites: Br J Psychiatry. 2006 Jan;188:58-6416388071
Cites: Can J Psychiatry. 2006 Mar;51(4):205-916629344
Cites: Patient Educ Couns. 2006 May;61(2):236-4515967625
Cites: Transcult Psychiatry. 2006 Mar;43(1):56-7116671392
Cites: Public Health. 2006 Sep;120(9):809-1616876836
Cites: Transcult Psychiatry. 2007 Sep;44(3):418-3917938154
Cites: Psychiatr Serv. 2007 Dec;58(12):1547-5418048555
Cites: Transcult Psychiatry. 2007 Dec;44(4):596-61318089641
Cites: Soc Psychiatry Psychiatr Epidemiol. 2008 Feb;43(2):121-3118060523
Cites: J Child Psychol Psychiatry. 2008 Mar;49(3):276-9418081765
Cites: Eur J Public Health. 2008 Apr;18(2):156-6117631490
Cites: Can J Psychiatry. 2008 Feb;53(2):121-418357931
Cites: Psychiatr Serv. 2008 Jun;59(6):683-618511590
Cites: Int Rev Psychiatry. 2008 Jun;20(3):317-2818569183
Cites: J Aging Health. 2008 Sep;20(6):615-5218768704
Cites: BMC Public Health. 2008;8:29318713455
Cites: Soc Sci Med. 2008 Nov;67(10):1596-60318755530
PubMed ID
20603342 View in PubMed
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Cultural consultation: a model of mental health service for multicultural societies.

https://arctichealth.org/en/permalink/ahliterature185540
Source
Can J Psychiatry. 2003 Apr;48(3):145-53
Publication Type
Article
Date
Apr-2003
Author
Laurence J Kirmayer
Danielle Groleau
Jaswant Guzder
Caminee Blake
Eric Jarvis
Author Affiliation
Division of Social and Transcultural Psychiatry, McGill University, Culture and Mental Health Research Unit, Sir Mortimer B Davis-Jewish General Hospital, Montreal, Quebec. laurence.kirmayer@mcgill.ca
Source
Can J Psychiatry. 2003 Apr;48(3):145-53
Date
Apr-2003
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Cultural Diversity
Culture
Female
Humans
Language
Male
Mental Disorders - diagnosis - ethnology - therapy
Mental Health Services - organization & administration - standards
Middle Aged
Models, organizational
Psychiatry - education - standards
Psychology, Clinical - education - standards
Public Policy
Quebec
Referral and Consultation
Sex Factors
Abstract
This paper reports results from the evaluation of a cultural consultation service (CCS) for mental health practitioners and primary care clinicians. The service was designed to improve the delivery of mental health services in mainstream settings for a culturally diverse urban population including immigrants, refugees, and ethnocultural minority groups. Cultural consultations were based on an expanded version of the DSM-IV cultural formulation and made use of cultural consultants and culture brokers.
We documented the service development process through participant observation. We systematically evaluated the first 100 cases referred to the service to establish the reasons for consultation, the types of cultural formulations and recommendations, and the consultation outcome in terms of the referring clinician's satisfaction and recommendation concordance.
Cases seen by the CCS clearly demonstrated the impact of cultural misunderstandings: incomplete assessments, incorrect diagnoses, inadequate or inappropriate treatment, and failed treatment alliances. Clinicians referring patients to the service reported high rates of satisfaction with the consultations, but many indicated a need for long-term follow-up.
The cultural consultation model effectively supplements existing services to improve diagnostic assessment and treatment for a culturally diverse urban population. Clinicians need training in working with interpreters and culture brokers.
PubMed ID
12728738 View in PubMed
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A diversity of voices: the McGill 'Working with Culture' seminars.

https://arctichealth.org/en/permalink/ahliterature115037
Source
Cult Med Psychiatry. 2013 Jun;37(2):347-64
Publication Type
Article
Date
Jun-2013
Author
Jaswant Guzder
Cécile Rousseau
Author Affiliation
McGill University, Montreal, QC, Canada. jaswant.guzder@mcgill.ca
Source
Cult Med Psychiatry. 2013 Jun;37(2):347-64
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Canada
Cultural Competency - education
Curriculum
Group Processes
Humans
Mental health services
Narrative Therapy
Prejudice - psychology
Psychotherapy - education
Teaching - methods
Vulnerable Populations - psychology
Abstract
The Working with Culture seminar is offered as a course during the month long Annual McGill Summer Program for Social and Transcultural Psychiatry, attended by local and international participants each May since 1994. The article outlines some of the premises and pedagogical approaches of this clinically oriented biweekly seminar series with discussions and didactic teaching on cultural dimensions of mental health care. The course readings, seminar topics and invited speakers focus mainly on therapist client encounters constructed by the multiple voices with dimensions of psychiatric, social, historical, legal, ethical, political, systemic and intra-psychic domains. The dual leadership emphasizes the gaps and complementarity amongst voices, and it invites and supports a destabilizing decentering process and the creation of solidarities amongst participants. Applying a bio-psychosocial case study method, each 3-h seminar engages the participants in a critical dialogue on apprehending the enmeshment of social suffering with psychiatric disorders whilst examining the usefulness and the limits of cultural formulation models. The seminar working group and teaching approach acknowledges cultural hybridity as a dynamic process marked by continuous therapist attunement to uncertainty or 'not knowing' which implies a dethroning of an expert position.
Notes
Comment In: Cult Med Psychiatry. 2013 Jun;37(2):390-723564248
PubMed ID
23549711 View in PubMed
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