« We are all embedded in cultural processes and practices… we have a lot of assumptions and orientations that are cultural themselves these are not always shared with the people we work with. »
Joseph P. Gone, PhD, Associate Professor of Psychology (Clinical Area) and American Culture (Native American Studies) at the University of Michigan in Ann Arbor talks about cultural competence: what is it, what is the relationship between evidence-based practice and cultural competence and how does cultural competence relate to mental health care and mental health care for Indigenous populations in particular?
For more information on Dr. Gone, please visit his website www.gonetowar.com
The American Academy of Child and Adolescent Psychiatry (AACAP) Diversity and Culture Committee has developed practice parameters for cultural competence in child and adolescent psychiatric practice. The guidelines are based on an extensive literature review and expert consensus and include the following principles:
Source: Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . . Adolescent Psychiatry Committee on Quality, I. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice. J Am Acad Child Adolesc Psychiatry, 52(10), 1101-1115. doi: 10.1016/j.jaac.2013.06.019
« The whole trajectory of development is shaped by cultural expectations »
Dr. Jaswant Guzder, head of Child Psychiatry at the Jewish General Hospital discusses the influence of culture in her work with families. In her practice, she often encounters children and parents negotiating between two cultures, a Western one which often emphasizes individualism and the patient’s culture of origin which may put emphasis on interdependence. Dr. Guzder suggests strategies for clinicians to create a culturally safe space to share differing cultural opinions without shame or judgement. In order to provide the best care for children and families, how can clinicians understand families’ interpretation of their cultural ideas ? What is the best way forward in instilling cultural competence amongst clinicians to identify their own cultural blind spots?