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‘Cultural formulation’ highlights the effect of culture on…?
Symptom expression
Definition of illness
Treatment
Describe the ethnic disparity in psychosis rates?
Elevated incidence of psychosis among minoritized groups, especially african and caribbean
Negative care pathways:
40% more likely access care via CJS
37% black vs 9% white prisoners schizophrenia / delusional
4x more MHA detentions
Describe the ethnic disparity in psychosis care
More coercive care
Worse outcomes of care
‘Culturally naive’ staff
Lack of psychological therapies
Labelled ‘hard to reach’
Describe ‘cultural competency’ in family work
Acknowledge impact of culture on family work
Relationship between ethnic adversity an psychological distress
Power and prejudice in building trusting therapeutic relationships
What % of FI users need non-family partner
60%
What were the implications of CaFI research on policies
Delivering race equality in mental health
Culturally informed care
Mental health act review
More ‘evidence based’ interventions
What are the implications of CaFI research on practices
FI more ‘individualised’
New NHS structures
What is cultural competence?
Involves understanding, respecting, and valuing the beliefs, norms, customs, languages, and traditions of different cultural groups
In order to effectively interact with people from different backgrounds
What is cultural humility?
Emphasizes self-reflection, openness to learning, and the acknowledgment of one's own limitations in understanding and interacting with people from different cultures