scholarly journals Clinical Training with Undocumented Latinx Immigrant Minors: Case Examples and Reflections using the Multicultural Developmental Supervisory Model (MDSM) as a Framework.

2020 ◽  
Vol 9 (3) ◽  
pp. 127-141
Author(s):  
B.E. Galicia ◽  
C.A. Bailey ◽  
M. Briones ◽  
K.Z. Salinas ◽  
A,C. Venta

As of 2017, the number of international immigrants worldwide increased from 220 million to 248 million, and will continue to rise [16]. Growing diversity worldwide requires a stronger emphasis on multicultural competency among mental health professionals. Learning multicultural competency skills is a career-long commitment that begins in practicum training and is modeled and reinforced through supervision. The Multicultural Developmental Supervisory Model (MDSM) is an evidence-based model that focuses on supervisory dyads and multicultural competence [12]. Using the MDSM [12] as a guide reflective of our training, four graduate supervisees share their supervision experiences in learning to conduct clinical interviews in Spanish with undocumented Latinx immigrant minors in government custody in the United States, a rising population with unique clinical considerations. Our supervisor includes her experience in training and fortifying beginning mental health professionals’ skills in conducting these evaluations. In this contribution, we illustrate our trajectory from different training developmental stages, including the process of conceptualizing clinical cases, and transitioning languages in conducting clinical interviews, as well as considering our own cultural identities in clinical work. While our experience focuses on bicultural and bilingual training in the U.S., this aspect of clinical training is growing increasingly relevant around the world, especially in Europe where 54% of tчёёhe population is multilingual [10]. Although we used the MDSM model as a helpful framework in guiding our multicultural development, empirical research is needed to examine the utility of this model.

2019 ◽  
Vol 12 (2) ◽  
pp. 71 ◽  
Author(s):  
Madhukar Trivedi ◽  
Manish Jha ◽  
Farra Kahalnik ◽  
Ronny Pipes ◽  
Sara Levinson ◽  
...  

Major depressive disorder affects one in five adults in the United States. While practice guidelines recommend universal screening for depression in primary care settings, clinical outcomes suffer in the absence of optimal models to manage those who screen positive for depression. The current practice of employing additional mental health professionals perpetuates the assumption that primary care providers (PCP) cannot effectively manage depression, which is not feasible, due to the added costs and shortage of mental health professionals. We have extended our previous work, which demonstrated similar treatment outcomes for depression in primary care and psychiatric settings, using measurement-based care (MBC) by developing a model, called Primary Care First (PCP-First), that empowers PCPs to effectively manage depression in their patients. This model incorporates health information technology tools, through an electronic health records (EHR) integrated web-application and facilitates the following five components: (1) Screening (2) diagnosis (3) treatment selection (4) treatment implementation and (5) treatment revision. We have implemented this model as part of a quality improvement project, called VitalSign6, and will measure its success using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. In this report, we provide the background and rationale of the PCP-First model and the operationalization of VitalSign6 project.


2021 ◽  

Mental health practitioners are encountering an ever-growing number of older adults and so an up-to-date and comprehensive text addressing the special considerations that arise in the psychological assessment and treatment of this population is vital. This accessible handbook does just that by introducing the key topics that psychologists and other health professionals face when working with older adults. Each area is introduced and then the special considerations for older adults are explored, including specific ethical and healthcare system issues. The use of case examples brings the topics further to life. An important feature of the book is the interweaving of diversity issues (culture, race, sexuality, etc.) within the text to lend an inclusive, contemporary insight into these important practice components. The Pikes Peak Geropsychology Knowledge and Skill Assessment Tool is included in an appendix so readers can test their knowledge, which will be helpful for those aiming for board certification in geropsychology (ABGERO). This an ideal text for mental health professionals transitioning to work with older clients, for those wanting to improve their knowledge for their regular practice, and for trainees or young clinicians just starting out.


Author(s):  
Rachel Tribe

Psychiatrists will come into contact with service users who do not use English or the language of the country to which they have migrated. The professional responsibilities of all mental health professionals carry an obligation to serve all members of our communities equitably and impartially; this will include people who have migrated and are not fluent in the language of their chosen country of migration. Working with interpreters and cultural brokers can be an enriching and informative experience for psychiatrists, which can lead to the development of new knowledge. This is in addition to the challenging of what may be taken-for-granted knowledge, as well as the development of additional skills and ways of thinking about mental health. Interpreters and cultural brokers can, in addition to translating the language, explain relevant cultural factors, which are important to the clinical work and the meaning-making of service users and gain additional perspectives.


2020 ◽  
Vol 41 (9) ◽  
pp. 815-823
Author(s):  
Hege Skundberg-Kletthagen ◽  
Marianne Thorsen Gonzalez ◽  
Agneta Schröder ◽  
Øyfrid Larsen Moen

2019 ◽  
Vol 7 (3) ◽  
pp. 621-627 ◽  
Author(s):  
Jonathan Rottenberg ◽  
Andrew R. Devendorf ◽  
Vanessa Panaite ◽  
David J. Disabato ◽  
Todd B. Kashdan

Can people achieve optimal well-being and thrive after major depression? Contemporary epidemiology dismisses this possibility, viewing depression as a recurrent, burdensome condition with a bleak prognosis. To estimate the prevalence of thriving after depression in United States adults, we used data from the Midlife Development in the United States study. To count as thriving after depression, a person had to exhibit no evidence of major depression and had to exceed cutoffs across nine facets of psychological well-being that characterize the top 25% of U.S. nondepressed adults. Overall, nearly 10% of adults with study-documented depression were thriving 10 years later. The phenomenon of thriving after depression has implications for how the prognosis of depression is conceptualized and for how mental health professionals communicate with patients. Knowing what makes thriving outcomes possible offers new leverage points to help reduce the global burden of depression.


1997 ◽  
Vol 3 (3) ◽  
pp. 126-131 ◽  
Author(s):  
Chris Ball ◽  
Paul Mclaren

The telephone is used by all mental health professionals and many of their clients. Despite this, the telephone has been formally evaluated only occasionally. This paper reviews the literature on cognitive testing by telephone and by videoconferencing, and summarizes the different strategies employed to do this task. There remain weaknesses in the use of the telephone for cognitive testing but it could certainly be used more extensively in both clinical work and research, although the choice of test must be made with a clear view of what the assessment is designed to achieve and the limitations of the assessment instrument itself. Assessment by videoconferencing remains at an early stage of development, with much work to be done before it can be routinely employed as a clinical tool. However, videoconferencing shows promise for the future because it allows a much wider range of assessment than the telephone.


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