L’ethnopsychiatrie au Québec : bilan et perspectives d’un témoin acteur clé

Sterlin, C

doi:10.7202/014811ar

Cited by 6 publications

(5 citation statements)

References 3 publications

(2 reference statements)

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“…Cultural psychiatry has attempted to meet the challenges presented by the diversity of the population in general healthcare facilities, beyond the development of ethnospecific services in some cities. At the beginning of the 1990s, combining the Canadian concepts of "multiculturalisme de convivence" (multiculturalism of living together, as opposed to that of dominance) with French ethnopsychoanalytic traditions, several plans for transcultural teams took form in the Montréal region (8,25,26). Clinical interventions with multi-ethnic populations and the indigenous are included, as well as a specific Transcultural Child Psychiatry Team (27)(28)(29), In 1999, to cope with the limitations of this system, the Cultural Consultation Service (CCS) of McGill University was created.…”

Section: Different Types Of Services Developed Across the Worldmentioning

confidence: 99%

“…There is a widely shared fear of migrant communities. For the sake of integration, homogenization of these differences is expected in the public space (25,26). Therefore, health care in France is traditionally considered to be addressed to everyone, with no specificity linked to their cultural origins and without any recognition of the obstacles that might prevent patients from access to these services, which are theoretically available to all.…”

Section: The French Model: Trans Cultural Psychotherapy Services Witmentioning

confidence: 99%

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Clinical Approaches to Cultural Diversity in Mental Health Care and Specificities of French Transcultural Consultations: A Scoping Review

et al. 2020

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Background: Cultural context substantially affects the experience and clinical expression of psychiatric diseases, while cultural factors limit both access to and effectiveness of care, especially for migrant families requiring specific types of services. We conducted a scoping review on psychiatric services adapted to cultural diversity, to compare these models of care to the French Transcultural Psychotherapy model. Methods: Systematic electronic search of databases (PubMed and PsycINFO), manual search of archives of journals dealing with transcultural psychiatry, and consultations with international experts, to identify all papers describing clinical models devoted to psychiatric care for migrants, published between January 1990 and October 2018. Narrative synthesis of the included articles. Results: The study included 29 papers. The specificities of psychiatric services for migrant families are linked to the host country's migration patterns and citizenship model. In English-speaking countries, specialized services for ethnic minorities offer ethnic matching of the therapist and patient. In Canada, indirect transcultural consultation services have existed since the late 1990s. Australia emphasizes the networking of consultation services and professional training in cultural competence, while the Nordic countries (Sweden, Finland, Norway, and Denmark) focus management on trauma. In France, psychotherapy services, with flexible numbers of therapists involved according to the situation, have existed since 1990. Discussion: Most initiatives place emphasis on training and supervision, in an indirect approach not specifically focused on the patient, or offer cultural matching of patient and therapist. The French transcultural approach, on the contrary, makes the family's culture and its cultural diversity an integral part of the therapy process.

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Section: Different Types Of Services Developed Across the Worldmentioning

confidence: 99%

Section: The French Model: Trans Cultural Psychotherapy Services Witmentioning

confidence: 99%

Clinical Approaches to Cultural Diversity in Mental Health Care and Specificities of French Transcultural Consultations: A Scoping Review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Cultural psychiatry has attempted to meet the challenges presented by the diversity of the population in general healthcare facilities, beyond the development of ethnospecific services in some cities. At the beginning of the 1990s, combining the Canadian concepts of "multiculturalisme de convivence" (multiculturalism of living together, as opposed to that of dominance) with French ethnopsychoanalytic traditions, several plans for transcultural teams took form in the Montréal region (8,25,26). In New Zealand, cultural differences are addressed through Community and Liaison Services, with access to 'cultural advisers' from the indigenous community (35).…”

Section: Different Types Of Services Developed Across the Worldmentioning

confidence: 99%

Clinical approaches to cultural diversity in mental health care and specificities of French transcultural consultations: A narrative review.

Carrera

Lévesque-Daniel

Radjack

et al. 2019

Preprint

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Background: Cultural context substantially affects the experience and clinical expression of psychiatric diseases, while cultural factors limit both access to and effectiveness of care, especially for migrant families requiring specific types of services. In France, Transcultural Psychotherapy is an original method conceived for therapy for immigrant families facing issues that cannot be solved in standard psychotherapy. We reviewed the international literature on child and adult mental health services to compare the different models of care and uncover the specificities of the French model. Methods: Systematic electronic search of databases (PubMed and PsycINFO), manual search of archives of journals dealing with transcultural psychiatry, and consultations with international experts, to identify all papers describing clinical models devoted to mental health care for migrants, published between January 1990 and October 2018. Narrative synthesis of the included articles. Results: The study included 28 papers. The specificities of mental health services for migrant families are linked to the host country's migration patterns and citizenship model. In English-speaking countries, specialized services for ethnic minorities offer ethnic matching of the therapist and patient. In Canada, indirect transcultural consultation services have existed since the late 1990s. Australia emphasizes the networking of consultation services and professional training in cultural competence, while the Nordic countries (Sweden, Finland, Norway, and Denmark) focus management on trauma. In France, psychotherapy services, with flexible numbers of therapists involved according to the situation, have existed since 1990. Discussion: Most initiatives place emphasis on training and supervision, in an indirect approach not specifically focused on the patient, or offer cultural matching of patient and therapist. The French transcultural approach, on the contrary, makes the family's culture and its cultural diversity an integral part of the therapy process. Although this approach appears clinically effective, constraints linked to the size of the therapist group limit its generalization to all situations and impose the need for alternative forms of care.

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“…Internationally, several models have sought to take cultural diversity into account in psychological treatment. Most of these initiatives have an indirect approach to care-focusing on training and supervision-, or offer cultural matching of patient and therapist [28][29][30][31][32][33][34][35]. Transcultural psychotherapy (TPT), as practiced in France, is an original therapeutic method designed to deal specifically with the difficulties encountered in psychiatric treatment of migrants.…”

Section: Introductionmentioning

confidence: 99%

Qualitative assessment of transcultural psychotherapy by adolescents and their migrant families: Subjective experience and perceived effectiveness

et al. 2020

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Objective Adolescent migrants present psychological disorders more frequently than the corresponding host population but their access to care and to follow-up are less effective. The French method of transcultural psychotherapy (TPT) was conceived to respond to these problems. Our objective is to assess how these adolescents and their families perceive the experience and effectiveness of TPT. Method We conducted semistructured interviews with the families of adolescents seen for TPT. The data were analyzed by a qualitative thematic methodology. Results We spoke to 21 participants in 8 families. The families came to TPT with a sense that the teen's current treatment was at an impasse. During the follow-up, they noted that family communication and relationships had improved, as had their connection to their culture of origin. Besides commenting on what they perceived as limitations, families identified specific elements of TPT as therapeutic. Conclusion The pronounced diversity of the group and the use of both multiperspective narration and an interpreter were specific elements driving the construction of a good therapeutic alliance, despite the initial barriers. Pursuit of the evaluation of TPT is essential to advance the psychiatric care of adolescent migrants.

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L’ethnopsychiatrie au Québec : bilan et perspectives d’un témoin acteur clé

Cited by 6 publications

References 3 publications

Clinical Approaches to Cultural Diversity in Mental Health Care and Specificities of French Transcultural Consultations: A Scoping Review

Clinical Approaches to Cultural Diversity in Mental Health Care and Specificities of French Transcultural Consultations: A Scoping Review

Clinical approaches to cultural diversity in mental health care and specificities of French transcultural consultations: A narrative review.

Qualitative assessment of transcultural psychotherapy by adolescents and their migrant families: Subjective experience and perceived effectiveness

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