Cultural Issues

Question 1

Set of 16 questions from DSM-V to assess impact of culture on a patient’s clinical presentation and views toward receiving care. Four domains: cultural definition o problem, perceptions of the cause/context/support, factors affecting self-coping and past help seeking, factors affecting current help-seeking.

Answer 1

Cultural Formulation Interview (CFI)

Question 2

Explain purpose of assessment; essential for culturally sensitive treatment planning. Assesses education, career, parenting/family role, perceived culture/ethnicity, religion/spirituality, stressors and behaviors.

Answer 2

Cultural Formulation Interview (CFI)

Question 3

View of humans as evil, requiring constant discipline or self-control, or as neutral. Grounded in experience in time in here and now. View of humans as subject to environment with little control over destiny, in harmony with environment, or as master over nature.

Answer 3

Existential Human Nature Orientation

Question 4

May be individual (more frequent interpersonal interactions with outsiders than family), lineal (value group goals over individual, preference toward lineage/succession), or collateral (more focus on group goals, not family).

Answer 4

Cultural Relationship Orientations

Question 5

14 standards designed to contribute to elimination of racial and ethnic health disparities. Include offering language assistance services at not cost, verbal and written notices of rights to receive language assistance services in native language, assurance of competency of language assistance (family and friends should not be used as interpreters unless patient requests).

Answer 5

Culturally and Linguistically Appropriate Services (CLAS)

Question 6

Unstable housing, majority single women and teenage mothers, more than 50% have mental health needs, and strategies for care include outreach, colocation care, and support for individual housing needs.

Answer 6

Homeless families (special populations)