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Insuring Equity by Respecting Difference: Developing Resources for Multicultural Mental Health

Insuring Equity by Respecting Difference: Developing Resources for Multicultural Mental Health. Outline. Who Are We? The Activities of the MHC Cultural Issues for the MHC Science Committee Knowledge Translation Project Your reflections. Who Are We?.

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Insuring Equity by Respecting Difference: Developing Resources for Multicultural Mental Health

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  1. Insuring Equity by Respecting Difference: Developing Resources for Multicultural Mental Health

  2. Outline • Who Are We? • The Activities of the MHC • Cultural Issues for the MHC • Science Committee Knowledge Translation Project • Your reflections

  3. Who Are We? • Project for Mental Health Commission of Canada to develop resource center to improve multicultural mental health care • Steering Committee: Laurence Kirmayer (lead); Carol Adair; Howard Chodos; Soma Ganesan; Jaswant Guzder; Francine Lemire; Brenda Leung; Hung-Tait Lo; Kwame McKenzie; Constance McKnight; Cécile Rousseau • Advisory Board: Ella Amir; Raymond Chung; Marie DesMeules; John Docherty; Chris Friesen; Isabele Hemlin; Daniel Lai; Kelly Ng; Punirma Sundar; Adina Ungureanu; Lorna Williams • Research Team: Abdel hamid Afana (Coordinator); Sudeep Chaklanabis; Antonella Clerici; Virginia Fauras; Aidan Jeffrey; Eugene Raikhel; Rob Whitley

  4. Mental Health Commission of Canada • The Commission has a 10-year mandate to develop a national mental health strategy, reduce stigma, and create a knowledge exchange centre. • The Commission was recommended by the Senate Social Affairs Committee in the first-ever national report on mental health (Out of the Shadows at Last, May 2006). • The draft framework considers diversity as the 3rd of 7 key principles, emphasizing the ideas of cultural safety and cultural competence.

  5. Diversity Projects of MHC • Review of concept of cultural safety by Aboriginal advisory group • Service development to meet the needs of immigrants, refugees, ethno-cultural groups, and racialized groups • Ensuring equity by respecting difference: Development and Evaluation of Resources for Multicultural Mental Health

  6. Insuring Equity by Respecting Difference: Development and Evaluation of Resources for Multicultural Mental Health • 5 year project developed by MHC Science Advisory Committee in collaboration with Service Committee • Focus is on applying existing knowledge in cultural psychiatry and psychology and social sciences to improve the access to and cultural responsiveness of mental health care for ethnocultural communities, minorities, immigrants, refugees and other groups • Will develop materials to address the impact of diversity in 4 broad areas: • prevention of stigma • diagnosis of mental health problems • Mobilization and support of community resources in recovery • cultural adaptation and delivery of preventive and treatment services in primary care and other health care settings

  7. Users of Multicultural Mental Health Resource Center (MMHRC) • Health providers (family physicians, nurses, social workers, specialists, mental health practitioners) • Community workers, community organizations • Families and care givers • People with lived experience of mental health problems • Health administrators, policy-makers and planners

  8. Method • Creation of network for cultural diversity in mental health • Survey of needs of potential end-users through online surveys, focus-groups and key informant interviews • Comprehensive scan and review of existing models for addressing diversity in mental health care in Canada and in other multicultural countries • Collection and development of materials for ethnocultural communities and vulnerable groups (e.g. refugees) • Deliver and assess the impact of the materials on end-users (persons living with mental illness, family care providers, health care professionals, and policy makers).

  9. Multicultural Mental Health Care in a Primary Care Setting • Improving Access to Clinical and Community Resources for Multicultural Mental Health Care • CIHR-KTA funded project • Develop resources for ongoing clinical training, clinical practice, and mental health service delivery to culturally diverse populations. • Aim: Use a variety of web-based and electronic media to bring the tools and resources needed to improve delivery of care to a diverse population into the clinician’s office and to evaluate the impact of this improved access to information on clinician cultural competence and clinical practice.

  10. A Focus on Family Physicians • Most mental health care takes place in primary care settings • Among respondents to 2002 Canadian Community Health Survey who reported using a mental health service, visits to a general practitioner were by far the most common single category of care-seeking • Focus on family physicians a first step in the development of additional resources for other primary health care practitioners, including nurses, psychologists and social workers.

  11. Types of Resource Materials • Multi-language mental health information on common mental disorders • Resources on how to access and work with interpreters and culture brokers • Information on cultural meanings of mental health and illness pertinent to the design of anti-stigma interventions • Information on cultural variations in symptoms and illness experience relevant to clinical diagnosis and treatment • Interactive online tools for assessment of mental status and neuropsychological functioning in multiple languages

  12. Types of Resource Materials • Multi-language mental health information on common mental disorders • Resources on how to access and work with interpreters and culture brokers • Information on cultural meanings of mental health and illness pertinent to the design of anti-stigma interventions • Information on cultural variations in symptoms and illness experience relevant to clinical diagnosis and treatment • Interactive online tools for assessment of mental status and neuropsychological functioning in multiple languages

  13. Types of Resource Materials • Culturally adapted treatment guidelines for common mental health problems • Clinical training and self-assessment tools • Guidelines for the design and implementation of cultural consultation, community-based collaborative care, and ethnospecific mental health services • Curriculum materials for trainers and community organizers seeking to address issues of cultural diversity in mental health care • Tools and measures for researchers to examine issues of diversity in mental health care

  14. Methods of Access and Delivery • Website • Listserv • Printed materials • Teleconferencing • Freestanding touch-screen kiosks in health centres • Presentations at meeting • Workshops • Influence key training and accreditation organizations

  15. How to Join the MMHRC Listserv Email : antonella.clerici@mail.mcgill.ca and include “Join MMHRC” in your message

  16. www.mcgill.ca/mmhrc

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