Cultural competence in mental health care: a review of model evaluations
Open Access
- 31 January 2007
- journal article
- review article
- Published by Springer Science and Business Media LLC in BMC Health Services Research
- Vol. 7 (1), 15
- https://doi.org/10.1186/1472-6963-7-15
Abstract
Background: Cultural competency is now a core requirement for mental health professionals working with culturally diverse patient groups. Cultural competency training may improve the quality of mental health care for ethnic groups. Methods: A systematic review that included evaluated models of professional education or service delivery. Results: Of 109 potential papers, only 9 included an evaluation of the model to improve the cultural competency practice and service delivery. All 9 studies were located in North America. Cultural competency included modification of clinical practice and organizational performance. Few studies published their teaching and learning methods. Only three studies used quantitative outcomes. One of these showed a change in attitudes and skills of staff following training. The cultural consultation model showed evidence of significant satisfaction by clinicians using the service. No studies investigated service user experiences and outcomes. Conclusion: There is limited evidence on the effectiveness of cultural competency training and service delivery. Further work is required to evaluate improvement in service users' experiences and outcomes.Keywords
This publication has 26 references indexed in Scilit:
- Suicide Prevention StrategiesJAMA, 2005
- The Hong Fook Experience: Working with Ethnocultural Communities in Toronto 1982-2002Transcultural Psychiatry, 2005
- Using film and literature for cultural competence trainingPsychiatric Bulletin, 2003
- Culturally competent healthcare systemsAmerican Journal of Preventive Medicine, 2003
- Ethnic variations in pathways to and use of specialist mental health services in the UKThe British Journal of Psychiatry, 2003
- Creating a Culturally Competent OrganizationJona: the Journal of Nursing Administration, 2003
- The interlocking paradigm of cultural competence: A best practice approachJournal of the American Psychiatric Nurses Association, 2002
- Reducing Disparities through Culturally Competent Health CareQuality Management in Health Care, 2002
- Learning to value ethnic diversity - what, why and how?Medical Education, 1999
- Ethnocultural transference and countertransference in the therapeutic dyad.American Journal of Orthopsychiatry, 1991