Development of Culturally Competent Mental Health Care

发展具有文化能力的心理保健

• 批准号: 7094504
• 负责人: STEVEN R LOPEZ
• 金额: $ 17.45万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-15 至 2009-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7094504
• 关键词: Hispanic Americans; behavioral /social science research tag; clinical research; culture; education evaluation /planning; health care personnel education; health care personnel performance; health care quality; health care service evaluation; health care service utilization; health disparity; health services research tag; human subject; mental health personnel; mental health services; outcomes research; patient care personnel attitude; patient care planning; patient oriented research; racial /ethnic difference; videotape /videodisc; Hispanic Americans; behavioral /social science research tag; clinical research; culture; education evaluation /planning; health care personnel education; health care personnel performance; health care quality; health care service evaluation; health care service utilization; health disparity; health services research tag; human subject; mental health personnel; mental health services; outcomes research; patient care personnel attitude; patient care planning; patient oriented research; racial /ethnic difference; videotape /videodisc

DESCRIPTION (provided by applicant): Recent national reports have called for the implementation of culturally competent mental health care. However the conceptual and empirical base of cultural competence is weak, thus limiting what our systems of care can do to respond to this call. The overall objective of this application is to address these noted limitations by (a) operationalizing an existing cultural competence model into a treatment approach, (b) producing a training protocol to accompany this model, (c) carrying out the training with a group of public mental health practitioners, and (d) assessing whether clinicians' cultural competence skills increase as a function of the training and whether patients' satisfaction, treatment retention, and functioning improve as a result of the clinicians' training. A conceptual model of cultural competence entitled "Shifting Cultural Lenses" (Lopez, 1997) will be translated into a systematic set of procedures. In addition, recent advances in culture theory will be integrated into this treatment manual. A training protocol will be produced to facilitate the implementation of the treatment approach. As a first step in developing this model, the focus of training will be in working with Latinos, the largest ethnic/racial minority group in the United States. A preliminary evaluation of the treatment manual/training protocol will be carried out with 30 mental health practitioners (nonpsychiatrists) who serve the public sector in Santa Cruz County California. A within subjects design will be applied such that both clinician and patient outcomes will be evaluated with Latino consumers in videotaped clinical interactions with a newly admitted patient prior to the training and another newly admitted patient after the training. We expect that clinicians' cultural competence skills, their therapeutic alliance, and their expression of warmth will increase after training. In addition, we expect that patients' satisfaction, treatment retention, and clinical functioning will increase after training. Qualitative (narratives) measures will also be used to assess the clinical encounter.

描述（由申请人提供）：最近的国家报告呼吁实施具有文化胜任的心理保健。然而，文化能力的概念和经验基础很薄弱，因此限制了我们的护理系统可以做出的回应。该应用的总体目的是通过（a）将现有的文化能力模型运营到治疗方法中，（b）制定培训方案以伴随该模型，（c）与一群公共心理健康从业人员进行培训，以及（d）评估临床医生的文化能力是否会增加培训和培训的培训，是否会提高培训，是否会提高培训，是否会提高培训，是否会提高培训，是否会提高培训，并逐步训练。题为“转移文化镜头”的文化能力的概念模型（Lopez，1997）将被转化为系统的一组程序。此外，文化理论的最新进展将纳入本治疗手册中。将制定培训方案以促进治疗方法的实施。作为开发该模型的第一步，培训的重点将与美国最大的族裔/种族少数民族拉丁裔合作。对治疗手册/培训方案的初步评估将与30名心理健康从业人员（非精神科医生）进行，他们为加利福尼亚州圣克鲁斯县的公共部门服务。将应用主题设计中的一个，以使临床医生和患者结果在培训前与新入院的患者进行录像的临床相互作用以及培训后的另一位新入院的患者进行录像带的临床互动。我们预计临床医生的文化能力技能，他们的治疗联盟以及训练后的温暖表达将增加。此外，我们预计训练后患者的满意度，治疗保留和临床功能将会增加。定性（叙述）措施也将用于评估临床相遇。