Novel Brief Cultural Psychiatry Training for Residents

Díaz, Esperanza; Armah, Tichianaa; Linse, Caroline; Fiskin, Anna; Jordan, Ayana; Hafler, Janet P.

doi:10.1007/s40596-015-0279-z

Cited by 12 publications

(5 citation statements)

References 11 publications

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“…Seven studies with the final CFI version reported data on approaches to training clinicians. Four of these focused on training psychiatry residents and fellows in the CFI (Díaz et al., 2016; Mills et al., 2016; Mills et al., 2017; Padilla et al., 2016). In one study (Díaz et al., 2016), the CFI was included in a cultural psychiatry curriculum for second-year residents over four sessions.…”

Section: Resultsmentioning

confidence: 99%

“…Four of these focused on training psychiatry residents and fellows in the CFI (Díaz et al., 2016; Mills et al., 2016; Mills et al., 2017; Padilla et al., 2016). In one study (Díaz et al., 2016), the CFI was included in a cultural psychiatry curriculum for second-year residents over four sessions. In another study (Padilla et al., 2016), psychiatry residents and fellows learned the CFI in two small-group exercises.…”

Section: Resultsmentioning

confidence: 99%

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The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

Aggarwal

Jarvis

Gómez-Carrillo

et al. 2020

Transcult Psychiatry

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While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ranging from 1 to 460 participants. In all pilot CFI studies 960 unique subjects were enrolled, and in final CFI studies 739 were enrolled. Studies focused on how the CFI affects clinical practice; explored the CFI through research paradigms in medical communication, implementation science, and family psychiatry; and examined clinician training. In most studies, patients and clinicians reported that using the CFI improved clinical rapport. This evidence base offers an opportunity to consider implications for training, research, and clinical practice and to identify crucial areas for further research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

Aggarwal

Jarvis

Gómez-Carrillo

et al. 2020

Transcult Psychiatry

View full text Add to dashboard Cite

show abstract

“…What are the most effective and efficient forms of training for busy providers? A simple training module was developed for clinicians involved in the DSM-5 CFI field trial (Aggarwal et al., 2016), and subsequent studies have focused on psychiatry residents and fellows (e.g., Díaz et al., 2016; Mills et al., 2016; Padilla, Lewis-Fernández, & Benjamin, 2016). How can the methods they describe (or others) be applied to in-service instruction?…”

Section: Identifying Effective Dissemination and Implementation Stratmentioning

confidence: 99%

“…Mental health practitioners of all disciplines are gradually becoming aware of the CFI, and the pace of research on its use has stepped up (Aggarwal, Jarvis, Gómez-Carrillo, Kirmayer, & Lewis-Fernández, 2020; Jarvis, Kirmayer, Gómez-Carrillo, Aggarwal, & Lewis-Fernández, 2020). Many clinical training programs have incorporated the CFI in teaching cultural competence (e.g., Díaz, Armah, Linse, Fiskin, Jordan, & Hafler, 2016; Mills et al., 2016) and the CFI is often included in grant rounds and continuing education programs for practicing clinicians. This level of acceptance likely has occurred because the CFI meets a need in the field for a brief, skills-based, teachable method of carrying out cultural assessment with individual patients (Edwards, Burkard, Adams, & Newcomb, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Cultural Formulation Interview: Progress to date and future directions

Lewis‐Fernández

Aggarwal

Kirmayer

2020

Transcult Psychiatry

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The Cultural Formulation Interview (CFI) developed for DSM-5 provides a way to collect information on patients’ illness experience, social and cultural context, help-seeking, and treatment expectations relevant to psychiatric diagnosis and assessment. This thematic issue of Transcultural Psychiatry brings together articles examining the implementation and impact of the CFI in diverse settings. In this editorial introduction we discuss key areas raised by these and other studies, including: (1) the potential of the CFI for transforming current psychiatric assessment models; (2) training and implementation strategies for wider application and scale-up; and (3) refining the CFI by developing new modules and alternative protocols based on further research and clinical experience.

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“…In other work, researchers developed a novel curriculum for training psychiatry residents to be culturally sensitive (28). Four 90-minute training sessions were delivered in the second residency year, with CFI-related segments inserted into the second and fourth sessions.…”

Section: Trainingmentioning

confidence: 99%

Update on the Cultural Formulation Interview

Jarvis¹,

Kirmayer²,

Gómez-Carrillo³

et al. 2020

FOC

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This article reviews the clinical and research literature on the Cultural Formulation Interview (CFI) since its publication in DSM-5. The CFI is an interview protocol designed to be used by clinicians in any setting to gather essential data to produce a cultural formulation. The CFI aims to improve culturally sensitive diagnosis and treatment by focusing clinical attention on the patient's perspective and social context. Preliminary evidence indicates that the CFI can improve clinical communication by enhancing clinicianpatient rapport, allowing the clinician to obtain new, cultural data in a relatively short period, eliciting patients' perspectives on what caused their symptoms, and helping patients to become aware of their problems in more insightful ways. With practice, the CFI takes approximately 20 minutes to complete. The CFI has been evaluated internationally in the United States, Canada, Kenya, Peru, the Netherlands, India, and Mexico and generally has been found to be clinically acceptable and useful in these varied settings. Clinicians receiving as little as one hour of training on the CFI improved their ability to work with culturally diverse patients. The CFI may be more difficult to conduct with patients who have severe symptoms, including acute psychosis, suicidal behavior, aggression, and cognitive impairment. The CFI provides a simple way to begin the process of cultural assessment, and its systematic use can foster a reflective stance and promote systemic thinking in routine clinical practice about the patient's life and experience.

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Novel Brief Cultural Psychiatry Training for Residents

Cited by 12 publications

References 11 publications

The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

The Cultural Formulation Interview: Progress to date and future directions

Update on the Cultural Formulation Interview

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