scholarly journals Religious competence as cultural competence

2012 ◽  
Vol 49 (2) ◽  
pp. 245-260 ◽  
Author(s):  
Rob Whitley
Keyword(s):  
Mental Health ◽  
African Americans ◽  
Cultural Competence ◽  
Psychiatric Services ◽  
Psychiatric Practice ◽  
Service Satisfaction ◽  
Spiritual Needs ◽  
Religion And Spirituality ◽  
Culturally Competent ◽  
Ambivalent Attitude

Definitions of cultural competence often refer to the need to be aware and attentive to the religious and spiritual needs and orientations of patients. However, the institution of psychiatry maintains an ambivalent attitude to the incorporation of religion and spirituality into psychiatric practice. This is despite the fact that many patients, especially those from underserved and underprivileged minority backgrounds, are devotedly religious and find much solace and support in their religiosity. I use the case of mental health of African Americans as an extended example to support the argument that psychiatric services must become more closely attuned to religious matters. I suggest ways in which this can be achieved. Attention to religion can aid in the development of culturally competent and accessible services, which in turn, may increase engagement and service satisfaction among religious populations.

scholarly journals Praying with a patient constitutes a breach of professional boundaries in psychiatric practice

2011 ◽  
Vol 199 (2) ◽  
pp. 94-98 ◽  
Author(s):  
Rob Poole ◽  
Christopher C. H. Cook
Keyword(s):  
Religious Beliefs ◽  
General Medical Council ◽  
Psychiatric Practice ◽  
Spiritual Needs ◽  
Medical Council ◽  
Religion And Spirituality ◽  
Professional Boundaries

SummaryThe extent to which religion and spirituality are integrated into routine psychiatric practice has been a source of increasing controversy over recent years. While taking a patient's spiritual needs into account when planning their care may be less contentious, disclosure to the patient by the psychiatrist of their own religious beliefs or consulting clergy in the context of treatment are seen by some as potentially harmful and in breach of General Medical Council guidance. Here, Professor Rob Poole and Professor Christopher Cook debate whether praying with a patient constitutes a breach of professional boundaries in psychiatric practice.

Detained – what's my choice? Part 1: Discussion

2008 ◽  
Vol 14 (3) ◽  
pp. 172-180 ◽  
Author(s):  
Glenn Roberts ◽  
Eluned Dorkins ◽  
James Wooldridge ◽  
Elaine Hewis
Keyword(s):  
Mental Health ◽  
Personal Experience ◽  
Social Inclusion ◽  
Mental Health Problems ◽  
Personal Responsibility ◽  
Health Problems ◽  
Psychiatric Services ◽  
Psychiatric Practice ◽  
Personal Recovery ◽  
Collaborative Dialogue

Choice, responsibility, recovery and social inclusion are concepts guiding the ‘modernisation’ and redesign of psychiatric services. Each has its advocates and detractors, and at the deep end of mental health/psychiatric practice they all interact. In the context of severe mental health problems choice and social inclusion are often deeply compromised; they are additionally difficult to access when someone is detained and significant aspects of personal responsibility have been temporarily taken over by others. One view is that you cannot recover while others are in control. We disagree and believe that it is possible to work in a recovery-oriented way in all service settings. This series of articles represents a collaborative dialogue between providers and consumers of compulsory psychiatric services and expert commentators. We worked together, reflecting on the literature and our own professional and personal experience to better understand how choice can be worked with as a support for personal recovery even in circumstances of psychiatric detention. We were particularly interested to consider whether and how detention and compulsion could be routes to personal recovery. We offer both the process of our co-working and our specific findings as part of a continuing dialogue on these difficult issues.

scholarly journals Culturally Competent Commissioning; Meeting the Needs of Canada’s Diverse Communities: The Road Map to a Culturally Competent Mental Health System for All

2017 ◽  
Vol 36 (4) ◽  
pp. 83-96
Author(s):  
Tiwalola Foluke Kolapo
Keyword(s):  
Mental Health ◽  
Cultural Competence ◽  
Good Practice ◽  
Culturally Competent ◽  
The Road ◽  
Needs Assessments ◽  
Road Map ◽  
Healthcare Experiences ◽  
Provision Of Care ◽  
Dementia Services

Cultural competence has proven to be a very efficient tool in reducing healthcare disparities and improving healthcare experiences, compliance with therapy, and reducing incidents of misdiagnosis. This effect is because professionals are recognizing the value and significance of including the person in need of services in their assessment and decision making. While this rationale has also long been considered part of good practice among healthcare professionals (providers) within the mental health arena and nursing care and the success of its use has been reported widely in the provider and insurance arena, the notion seems to have escaped the commissioning arena. Commissioners are responsible for specifying, procuring, and monitoring services and are missing out on the value of completing culturally competent needs assessments for their localities. Synonymous with cultural competence is “person-centred care.” In recent times, cultural competence has contributed much to the commissioning of dementia services in a bid to improve and promote person-centred care. It could be argued that there is no person-centred care without cultural competence, which, in simplistic terms, can be defined as care that is undertaken in partnership with the recipient and is of value and significance to the recipient. Culturally competent commissioning and provision of care is therefore to be recommended as capable of addressing quality issues and the problematic variation in services available.

scholarly journals From taking to using medication: recovery-focused prescribing and medicines management

2013 ◽  
Vol 19 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Elina Baker ◽  
Jason Fee ◽  
Louise Bovingdon ◽  
Tina Campbell ◽  
Elaine Hewis ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Services ◽  
Health Services ◽  
Well Being ◽  
Psychiatric Services ◽  
Psychiatric Practice ◽  
Medicines Management ◽  
The Relationship ◽  
Recovery Tools

SummaryMental health services are increasingly supporting recovery-oriented practice as a basis for service delivery. There is considerable overlap between the values and approaches associated with recovery-based practice and those already endorsed as good psychiatric practice. However, these agreed principles may not be consistently applied and further steps may be needed if the reorientation of the relationship between psychiatrists and people using psychiatric services is to fully reflect recovery principles. This article describes ways in which psychiatric practice could develop, including conceptualising medication as one of many possible recovery tools that a person can actively use to support their well-being, and a range of practices available to professionals to support people in taking up an active stance in relation to medication. It also identifies recovery-supportive practices for when someone is unable to fully participate in decision-making, owing to crisis, loss of capacity or concerns about safety.

The Intersection of Religion and Sexual Orientation: Pedagogy and Challenges

2015 ◽  
Vol 20 (1) ◽  
pp. 157-178
Author(s):  
Claire L. Dente
Keyword(s):  
Sexual Orientation ◽  
Social Work ◽  
Cultural Competence ◽  
Educational Policy ◽  
Social Work Education ◽  
Social Work Students ◽  
Religion And Spirituality ◽  
Culturally Competent ◽  
Diversity Issues ◽  
Work Education

The Council on Social Work Education's (CSWE) 2008 Educational Policy and Accreditation Standards (EPAS) included the goal of competency in the ability to “engage diversity and difference in practice.” This goal continued efforts to raise awareness of diversity issues for clients articulated in earlier EPAS. Social work education has included cultural competence in areas of difference including sexual orientation and religion and spirituality. Undergraduate social work students should understand the complexity of this intersection to provide culturally competent services to lesbian, gay, bisexual, transgender, and queer clients, and to understand religious backgrounds that may not include affirmative messages on sexual orientation. This article presents an overview of the intersection of religion/spirituality and sexual orientation, and recommends audiovisual materials that can highlight salient issues for BSW students in pedagogy on this intersection.

Ethics in Transcultural Psychiatry

2017 ◽  
Vol 41 (S1) ◽  
pp. S51-S51
Author(s):  
M. Schouler-Ocak
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Cultural Competence ◽  
Mental Health Care ◽  
Cultural Differences ◽  
Minority Groups ◽  
Transcultural Psychiatry ◽  
Culturally Competent ◽  
Cultural Backgrounds ◽  
Competing Interest

Global migration and the increasing number of minority groups, including immigrants, asylum seekers, refugees and ethnic minorities, mean that increasingly, psychiatrists and patients may come from different cultural backgrounds. Therefore, cultural differences between patients and clinicians have become a matter of growing importance to mental health care as western societies have become increasingly diverse. This talk will attempt to illustrate how attention to these cultural differences enriches the discussion of ethics in mental health care. This talk will also attempt to underline that cultural competence is able to enhance the ethical treatment of mental health of patients from different cultural backgrounds. Consequently, to be culturally competent, a clinician must be sensitive, knowledgeable, and empathetic about cultural differences. Therefore, cultural competence is a concrete, practical expression of bioethics ideals. According to Hoop et al. in 2008, it is a practical, concrete demonstration of the ethical principles of respect for persons, beneficence (doing good), nonmaleficence (not doing harm), and justice (treating people fairly), the cornerstones of ethical codes for the health professions.In this talk the complex relationship between culture, values, and ethics in mental health care will be analyzed and discussed.Disclosure of interestThe author declares that he has no competing interest.

Delivering Psychological Services to Religious and Spiritual Clients

2019 ◽  
pp. 145-162
Author(s):  
Gina Magyar-Russell
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Recent Progress ◽  
The United States ◽  
Psychological Services ◽  
Religion And Spirituality ◽  
Culturally Competent ◽  
Future Directions ◽  
Beliefs And Practices

Spiritual and religious beliefs and practices in the United States are becoming increasingly diverse. This chapter reviews some of the fundamental problems and obstacles to providing culturally competent and compassionate mental health care to religious and spiritual clients, highlights the recent progress that has been made toward better serving the mental health needs of these clients, and provides a summary of best practices and future directions. Although religious and spiritual individuals continue to be underserved, there is increasing consensus among mental health professionals that religion and spirituality represent important cultural and clinical dimensions associated with treatment outcomes. As such, the field continues to work toward narrowing the gap in service delivery for religious and spiritual individuals seeking psychotherapy.

scholarly journals Does psychiatry need religion and spirituality in its treatment approach? Narcissism as an example

2016 ◽  
Vol 22 (1) ◽  
pp. 6
Author(s):  
Manfred Bohmer
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Approach ◽  
The Self ◽  
Psychiatric Practice ◽  
Religion And Spirituality ◽  
Psychotherapeutic Treatment ◽  
The Core ◽  
The Difference

<p><strong>Background:</strong> Although religion and spirituality are increasingly recognised as important in the understanding and treatment of patients, there are also concerns about their role in psychiatry. The recommendation for the integration of spirituality in the approach to psychiatric practice highlights the importance to further think about this practice.</p><p><strong>Objective:</strong> To contribute to the debate on the role of spirituality in psychiatry by considering the opinions of two prominent thinkers in this field, the theologian Tillich, and the psychoanalyst Symington.</p><p><strong> Method:</strong> The approach of Tillich and Symington to mental health problems are compared. Narcissism is focussed on, since Symington describes narcissism as the core of all pathology and states that the prime aim of psychoanalysis is the transformation of narcissism. The contributions of Kohut and Kernberg are also briefly discussed.</p><p><strong> Results:</strong> In Symington’s opinion more than psychoanalysis is needed to help those in the grip of narcissism. Tillich emphasises the difference between existential anxiety and anxiety due to psychopathology. Psychotherapy can only heal the latter. Yet he also states that we are incapable of change without self-acceptance. For this a larger experience of acceptance or grace is needed, since we are incapable of offering ourselves this type of acceptance.</p><p><strong> Conclusion:</strong> In the struggle to get a grip on narcissism, good nurturing experiences, transformative selfobjects, a confrontation with the darker sides of the self and the message of ultimate acceptance are needed. Religion and spirituality have an important contribution to make to psychiatric or psychotherapeutic treatment.</p><p><strong>Keywords: </strong>Narcissism; religion; spirituality; psychoanalysis</p>

scholarly journals The value of work in the 1980s

1989 ◽  
Vol 13 (5) ◽  
pp. 231-233 ◽  
Author(s):  
Geoff Shepherd
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Services ◽  
The Other ◽  
Psychiatric Disabilities ◽  
Ambivalent Attitude ◽  
The One ◽  
The Way

Mental health professionals seem to have a curiously ambivalent attitude towards work. On the one hand, it is generally accepted that the experience of unemployment is often associated with severe social and psychological distress. On the other, we seem reluctant to strive to provide work for those patients who have the greatest social and psychiatric disabilities and for whom work, in all its forms, may have the greatest benefit. I don't wish to speculate on the psychological roots of this ambivalence, although I suspect that it stems, at least in part, from the way in which we all feel about our own jobs. However, there are other reasons why the concept of work has always sat uneasily within the context of psychiatric services.

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