Lecture 10 - Developing Culturally Appropriate Psychosocial Interventions Flashcards
What is Race?
Biological, visible, physical differences, externally classified, distinguishes between large groups, highlights commonalities
What is Ethnicity?
Social characteristics of a group, includes faith and religion, language, traditions, ancestry
What is Culture?
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
Why does Culture matter in mental health?
- 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)
What does cultural formulation highlight the effect of culture on?
- 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)
What is AESOP?
Aetiology & Epidemiology of Schizophrenia and Other Psychoses
Why is Schizophrenia / Psychosis highest among African people?
- Misdiagnosis (institutional racism)
- Genes
- Cannabis
- Psycho social hyp = urbanicity, social deprivation, racism (trauma)
What are the chain of events that can explain higher diagnosis among black people?
Fear and mistrust -> delayed engagement -> more severe symptoms -> coercive care -> longer length of stays in hospitals -> family burden and breakdown (social network and relationships)
Why does NICE recommend family intervention for Schizophrenia and psychoses?
- Clinically and cost effective
- Reduces family tension
- Facilitates engagement and improved care
- Reduces relapse
- Decreases hospital stays
How should family intervention be carried out?
- 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
What is CaFI?
Culturally acceptable family intervention
Was CaFI helpful?
- Families learned more about psychosis
- Families knew where to access info
- Better relationship with relatives
- Increased confidence
- Decreased symptoms
How can parenting impact development?
Harsh and inconsistent parenting = poor late outcomes - drug use, low school attainment, delinquency and poor MH
What do Family Skills Programmes aim?
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
What are environmental challenges?
Living conditions, barriers to support - Humanitarian challenges
