DSM-5 Cultural Formulation Interview (CFI)
The Outline for Cultural Formulation, a tool intended to help health professionals gather and organize culturally-relevant clinical information, was included in DSM-IV-TR. DSM-5 has refined the Outline and introduced a Cultural Formulation Interview (with both patient and informant versions) and 12 supplementary modules.
- Explanatory Model
- Level of Functioning
- Social Network
- Psychosocial Stressors
- Spirituality, Religion & Moral Traditions
- Cultural Identity
- Coping and Help-Seeking
- Clinician-Patient Relationship
- School-Age Children and Adolescents
- Older Adults
- Immigrants and Refugees
Other interviews have been developed by Mezzich and colleagues as well as others.
CCS Outline for Cultural Formulation
The McGill-JGH Cultural Consultation Service has developed two extended versions of the Cultural Formulation based on the DSM-IV outline. The guidelines for cultural assessment and formulation are intended to help the consultant collect, organize and integrate information pertaining to a cultural consultation. Two versions are available:
- Version A, developed by the Cultural Consultation Service at the JGH, is an elaboration of the cultural formulation in DSM-IV. The first sections summarize information usually collected in a comprehensive psychiatric history but with questions added to address common issues and experiences for immigrants, refugees and members of ethnocultural minorities. The crucial section focuses directly on the cultural formulation.
- Version B, developed by the Transcultural Child Psychiatry Clinic at the Montreal Children’s Hospital, is designed as a semi-structured interview to be used by a researcher interviewing a clinician/consultant after the fact. As a result, it is more retrospectively focused, aimed at reconstructing a case that may have been followed in treatment for some time.
Culture, Context and Psychiatric Diagnosis: A Manual for Interviewing According to the Cultural Formulation in DSM-IV
The Transcultural Centre in Stockholm Sweden developed a manual with guidelines for conducting clinical interviews to produce a cultural formulation according to DSM-IV-TR. This portion of the manual provides a translation of the questions and probes suggested for an interview to elicit information for a cultural formulation following the DSM-IV guidelines.
Brief Cultural Interview
The Brief Cultural Interview 2009 (BCI-09) is an anthropologically revised version of the cultural formulation that includes specific questions covering the four categories of the CFD: cultural identity, cultural explanations of illness, cultural factors in the psychosocial environment and functioning and cultural elements in the relationship between individual and clinician. BCI-09 is authored by Dutch transcultural psychiatrist Hans Rohlof. The BCI-09 can be used after a free registration. You can register by email with Simon Groen.
A video demonstration of a fictional sample case of CFI by Dr. Roberto Lewis-Fernández and a volunteer actress. Please note this is a fictional case for demonstration purposes only. This video demonstration is produced by the Center of Excellence for Cultural Competence and uploaded on the CECC Youtube Channel.
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