scholarly journals Organizational cultural competence consultation to a mental health institution

2012 ◽  
Vol 49 (2) ◽  
pp. 165-184 ◽  
Author(s):  
Kenneth Fung ◽  
Hung-Tat (Ted) Lo ◽  
Rani Srivastava ◽  
Lisa Andermann

Cultural competence is increasingly recognized as an essential component of effective mental health care delivery to address diversity and equity issues. Drawing from the literature and our experience in providing cultural competence consultation and training, the paper will discuss our perspective on the foundational concepts of cultural competence and how it applies to a health care organization, including its programs and services. Based on a recent consultation project, we present a methodology for assessing cultural competence in health care organizations, involving mixed quantitative and qualitative methods. Key findings and recommendations from the resulting cultural competence plan are discussed, including core principles, change strategies, and an Organizational Cultural Competence Framework, which may be applicable to other health care institutions seeking such changes. This framework, consisting of eight domains, can be used for organizational assessment and cultural competence planning, ultimately aiming at enhancing mental health care service to the diverse patients, families, and communities.

2012 ◽  
pp. 229-233
Author(s):  
Fulvio Moirano

The article describes the changes in the health care professions and in the social roles. Starting from the present situation, some evidences are analyzed in order to provide some insights on the evolution of the Italian Health Care Service. Notably two kinds of factors are taken into considerations: internal ones (that is, health care organization and professions) and external ones.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanh Ngo ◽  
Priscilla Ennals ◽  
Serhat Turut ◽  
Elizabeth Geelhoed ◽  
Antonio Celenza ◽  
...  

2012 ◽  
Vol 5 (2) ◽  
pp. 108-111 ◽  
Author(s):  
Matamua Iokapeta Sina Enoka ◽  
Aliilelei Tenari ◽  
Tupou Sili ◽  
Latama Peteru ◽  
Pisaina Tago ◽  
...  

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Julian Beezhold ◽  
Drozdstoy Stoyanov ◽  
Vladimir Nakov ◽  
Helen Killaspy ◽  
Wolfgang Gaebel ◽  
...  

Abstract Background: The Bulgarian Ministry of Health invited the European Psychiatric Association (EPA) to evaluate Bulgarian mental health care service provision in 2018. Bulgarian mental health services face very significant challenges including a legacy of historic underfunding, internal conflicts, poor planning, and the emigration of very high numbers of younger skilled staff that had followed accession to the European Union. There were significant disputes between stakeholders regarding the way forward and had been at least two unsuccessful previous external agency interventions that had attempted to find solutions. Method: This EPA position paper describes in detail the EPA mission to Bulgaria including methodology, findings, recommendations, and finally the positive actions and changes that are now underway as a result of the EPA report and intervention aimed at contributing towards improving Bulgarian mental health services. Results: After meetings with multiple stakeholders in the Bulgarian mental health system and analysis of data on service delivery, workforce, funding and configuration the EPA Panel agreed a list of twenty recommendations for change. Conclusions: The EPA mission, with the collaboration of multiple stakeholders in Bulgaria, was successful in stimulating high level government action to improve mental health services. Despite longstanding differences, it was possible to involve the stakeholders in constructive dialogue. The importance of “speaking with one voice” was a key lesson learned.


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