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The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators
Cultural competence training is mandatory in the United States of America to alleviate minority health disparities though few studies have examined perceptions across stakeholders. We conducted separate focus groups with patients, clinicians, and administrators from the psychiatry department at one...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814393/ https://www.ncbi.nlm.nih.gov/pubmed/27065092 http://dx.doi.org/10.1186/s40064-016-2037-4 |
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author | Aggarwal, Neil Krishan Cedeño, Kryst Guarnaccia, Peter Kleinman, Arthur Lewis-Fernández, Roberto |
author_facet | Aggarwal, Neil Krishan Cedeño, Kryst Guarnaccia, Peter Kleinman, Arthur Lewis-Fernández, Roberto |
author_sort | Aggarwal, Neil Krishan |
collection | PubMed |
description | Cultural competence training is mandatory in the United States of America to alleviate minority health disparities though few studies have examined perceptions across stakeholders. We conducted separate focus groups with patients, clinicians, and administrators from the psychiatry department at one community hospital and compared responses to hospital policies. Stakeholders defined cultural competence through group-based or person-centered traits despite policies recommended person-centered approaches. Administrators and clinicians named clinician techniques for psycho-education whereas patients named these techniques for enlistment in treatment planning as equals. All groups named patient cultural views and institutional challenges as barriers to care, but only patients and administrators additionally named clinician biases as possible barriers. We discuss these discrepant perceptions and possible solutions to improve research, practice, and policy on cultural competence in mental health. |
format | Online Article Text |
id | pubmed-4814393 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-48143932016-04-10 The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators Aggarwal, Neil Krishan Cedeño, Kryst Guarnaccia, Peter Kleinman, Arthur Lewis-Fernández, Roberto Springerplus Research Cultural competence training is mandatory in the United States of America to alleviate minority health disparities though few studies have examined perceptions across stakeholders. We conducted separate focus groups with patients, clinicians, and administrators from the psychiatry department at one community hospital and compared responses to hospital policies. Stakeholders defined cultural competence through group-based or person-centered traits despite policies recommended person-centered approaches. Administrators and clinicians named clinician techniques for psycho-education whereas patients named these techniques for enlistment in treatment planning as equals. All groups named patient cultural views and institutional challenges as barriers to care, but only patients and administrators additionally named clinician biases as possible barriers. We discuss these discrepant perceptions and possible solutions to improve research, practice, and policy on cultural competence in mental health. Springer International Publishing 2016-03-31 /pmc/articles/PMC4814393/ /pubmed/27065092 http://dx.doi.org/10.1186/s40064-016-2037-4 Text en © Aggarwal et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Aggarwal, Neil Krishan Cedeño, Kryst Guarnaccia, Peter Kleinman, Arthur Lewis-Fernández, Roberto The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
title | The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
title_full | The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
title_fullStr | The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
title_full_unstemmed | The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
title_short | The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
title_sort | meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814393/ https://www.ncbi.nlm.nih.gov/pubmed/27065092 http://dx.doi.org/10.1186/s40064-016-2037-4 |
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