Lecture 10 - Developing Culturally Appropriate Psychosocial Interventions Flashcards

1
Q

What is Race?

A

Biological, visible, physical differences, externally classified, distinguishes between large groups, highlights commonalities

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2
Q

What is Ethnicity?

A

Social characteristics of a group, includes faith and religion, language, traditions, ancestry

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3
Q

What is Culture?

A

Acquired and learned
Non biological, social aspects of human life - norms, values, beliefs
Fluid
Multi cultural at individual level - Black woman of Caribbean and Jamaican descent influenced by multiple cultures

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4
Q

Why does Culture matter in mental health?

A
  • Culture and social contexts shape individuals mental health
  • Symptoms presentation and meaning
  • Influences coping styles - how you interpret impacts how you respond
  • Influences how you seek help (religion)
  • Stigma (within families)
  • Trust (sharing outside of families)
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5
Q

What does cultural formulation highlight the effect of culture on?

A
  • Symptom expression (cultural explanation models of mental illness)
  • Definition of illness (cultural factors related to psychosocial environment)
  • Treatment (what is acceptable)
  • Cultural norms, values and beliefs influence what you see as acceptable (behaviour and well-being)
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6
Q

What is AESOP?

A

Aetiology & Epidemiology of Schizophrenia and Other Psychoses

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7
Q

Why is Schizophrenia / Psychosis highest among African people?

A
  • Misdiagnosis (institutional racism)
  • Genes
  • Cannabis
  • Psycho social hyp = urbanicity, social deprivation, racism (trauma)
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8
Q

What are the chain of events that can explain higher diagnosis among black people?

A

Fear and mistrust -> delayed engagement -> more severe symptoms -> coercive care -> longer length of stays in hospitals -> family burden and breakdown (social network and relationships)

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9
Q

Why does NICE recommend family intervention for Schizophrenia and psychoses?

A
  • Clinically and cost effective
  • Reduces family tension
  • Facilitates engagement and improved care
  • Reduces relapse
  • Decreases hospital stays
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10
Q

How should family intervention be carried out?

A
  • Including the person
  • 3 months to 1 year
  • At least 10 sessions
  • Take account the whole families preference for either single family intervention or multi family group intervention
  • Relationship between main carer and person with Schizophrenia
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11
Q

What is CaFI?

A

Culturally acceptable family intervention

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12
Q

Was CaFI helpful?

A
  • Families learned more about psychosis
  • Families knew where to access info
  • Better relationship with relatives
  • Increased confidence
  • Decreased symptoms
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13
Q

How can parenting impact development?

A

Harsh and inconsistent parenting = poor late outcomes - drug use, low school attainment, delinquency and poor MH

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14
Q

What do Family Skills Programmes aim?

A

To strengthen family protective factors such as communication, trust, problem solving, conflict resolution. Opportunities for parents and children to spend positive time together, strengthen bonding and attachment

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15
Q

What are environmental challenges?

A

Living conditions, barriers to support - Humanitarian challenges

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16
Q

What are child specific challenges?

A

Behavioural issues, fear, emotional challenges

17
Q

What are parent specific challenges?

A

Loss of control, emotional challenges, trauma and stress

18
Q

What is the Strong Families Programme?

A

Resources for families in humanitarian and challenged settings - improve parenting skills, child wellbeing and MH

19
Q

How do black African and Caribbean people have worse treatment?

A

More negative pathways
More detentions
Higer meds
More seclusion
Less therapy

20
Q

How much longer are hospital stays for black people compared to white people?

A

2.5 X longer

21
Q

How much more likely are black people diagnosed with psychosis? AESOP

A

African Caribbean = 6.7 X more
Black African = 4.1 X more

22
Q

How much more likely are black people diagnosed with Schizophrenia? AESOP

A

African Caribbean = 9 X more
Black African = 5.8 X more

23
Q

How much more likely are black people diagnosed with Manic psychosis? AESOP

A

African Caribbean = 8 X more
Black African = 6.2 X more