Establishing Collaborative Initiatives Between Mental Health And Primary Care Services For Ethnocultural Populations

This document is part 4 of a series of twelve toolkits. This toolkit has been developed to assist health care providers, managers, consumers and community services interested in developing and implementing collaborative mental health care initiatives, primarily through the integration of specialized services in primary health care settings. It offers practical advice on different aspects of establishing a successful collaborative initiative from identifying need to evaluation and includes checklists, work pages and resources. It may be used by individuals or groups interested in starting an initiative "from scratch" or wishing to change or expand an existing initiative. It is not intended as a guide to clinical practice or management. It has has eight companion toolkits, each of which looks at issues to consider when planning, implementing and evaluating collaborative mental health care initiatives involving eight specific populations: Aboriginal peoples, children and adolescents, ethnocultural communities, rural and isolated communities, seniors, individuals with serious mental illness, individuals with substance use disorders, and urban, marginalized populations.

Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

UNIQUE approach looks at populations the way health care workers encounter them, not by ethno-cultural/religious labels. Accessible writing style relays information in a balanced and concise manner for undergraduate and graduate students as well as health care professionals. Multidisciplinary perspective is provided by authors who represent a variety of health disciplines and cultural identities, who may be educators or practitioners, each presenting complex ideas in understandable ways and controversial ideas in a transparent way. Cultural Considerations in Care and Cultural Competence in Action boxes integrate theory into practice and invite critical self-reflection. Teaching and learning tools include learning objectives and key terms at the beginning of each chapter, plus end-of-chapter group activities, review questions, and more. NEW! New chapters on Indigenous health, sexual and gender diversity, immigrant and refugee health, and community health are added to this edition, and new topics include cultural safety, cultural humility, the impacts of racism, working with interpreters and the use of technology, palliative care, and more. NEW! UNIQUE! Cultural competence and safety perspectives throughout the text help you to be more responsive in delivering culturally safe care, and in reaching the goal of equity and culturally competent care. NEW! Discussion of cultural issues addresses power, privilege, intersectionality, equity, advocacy, and being an ally. NEW! Up-to-date content includes the latest statistics, guidelines, research, references, and resources. NEW! Evolve website enhances your understanding with review questions, unfolding case studies, and more.

Collaborative mental health care is one mechanism that can improve the mental health The requirement for additional funding and well-being of Canadians by strengthening for collaborative mental health care relationships and improving collaboration delivery. [...] Health Canada's Primary Health Care Transition Based on research conducted by the CCMHI Fund to develop and implement collaborative and this author, the paper provides an overview consumer-centred care strategies to improve of the key issues related to mental health human the mental health and well-being of Canadians resources. [...] The CCMHI recognizes that there are barriers to achieving collaboration in the delivery of mental health 1 Canadian Collaborative Mental Health Initiative Human Resources in Collaborative Mental Health Care Canadian Collaborative Mental Health Initiative What We Know WHAT WE KNOW CCMHI Research Mental Health Care Human Resource Themes An analysis of the CCMHI's research has identified both problem [...] Canadian Collaborative Mental Health Initiative What We Know Summary of Mental Health Human ii) Shortages of Mental Health Care Resources Issues Personnel and Heavy Workloads Must be Managed The literature reviews conducted by CCMHI Workloads continue to be a concern in and Health Canada30 describe the current all areas of the country, but especially situation and trends developing across Cana [...] These include problems accessing the services of specialized mental health care Legislation and Policy providers and lengthy waits between the time of referral to a mental health care provider and the Key legislative and policy issues initiation of treatment or intervention.

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.