Starting mental health services in Cambodia

Somasundaram, Daya; Put, Willem van de; Eisenbruch, Maurice; Jong, Joop T. V. M. de

doi:10.1016/s0277-9536(98)00415-8

Cited by 63 publications

(61 citation statements)

References 15 publications

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“…Hence, treatment was delivered in a community setting that supported the acquisition of coping skills, and we adopted community standards for the style of important meetings between individuals. Nonetheless, there are indications, from service development efforts in Cambodia (Somasundaram, van de Put, Eisenbruch, & de Jong, 1999), that use of a nearby clinic setting also would have been acceptable to patients.…”

Section: Addressing Treatment Challenges-setting and Languagementioning

confidence: 99%

Modifying Exposure-Based CBT for Cambodian Refugees with Posttraumatic Stress Disorder

Otto

Hinton

2006

Cognitive and Behavioral Practice

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Cambodian refugees represent a severely traumatized population living in the United States. In this paper, we describe the modification of a cognitive-behavior therapy program to facilitate delivery of an exposure-based treatment for posttraumatic stress disorder while addressing some of the challenges brought by differences in language and culture between providers and patients. Our treatment modifications include the use of metaphors and culturally relevant examples to aid the communication of core concepts by interpreters, an emphasis on teaching the "process" of exposure therapy rather than relying on specific exposure practice in the group setting, a focus on interoceptive exposure to allow more effective group practice and to address culturally specific symptom interpretations, attention to the way in which treatment procedures interacted with culturally specific beliefs, and efforts to integrate treatment services within the community. Although data are limited, results to date suggest that this modified treatment was acceptable to patients and offered benefits on the order of large effect sizes.

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Section: Addressing Treatment Challenges-setting and Languagementioning

confidence: 99%

Modifying Exposure-Based CBT for Cambodian Refugees with Posttraumatic Stress Disorder

Otto

Hinton

2006

Cognitive and Behavioral Practice

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“…In implementing a training program, developers can draw upon available training materials, (Patel, 2003;World Health Organization, 1996, teaching guides (Cantillon, 2003;Farrow, 2003;Green, 2001;Jaques, 2003;Prideaux, 2003), curricula (Mubbashar, 1998), and reports or evaluations of previous training initiatives Mohit et al, 1999;Somasundaram, Van de Put, Eisenbruch, & de Jong, 1999;Ventevogel & Kortmann, 2004a).…”

Section: Science-and Context-informed Trainingmentioning

confidence: 99%

The ISTSS/Rand Guidelines on Mental Health Training of Primary Healthcare Providers for Trauma-Exposed Populations in Conflict-Affected Countries

et al. 2006

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Mental health care for trauma-exposed populations in conflict-affected developing countries often is provided by primary healthcare providers (PHPs), including doctors, nurses, and lay health workers. The Task Force on International Trauma Training, through an initiative sponsored by the International Society for Traumatic Stress Studies and the RAND Corporation, has developed evidence- and consensus-based guidelines for the mental health training of PHPs in conflict-affected developing countries. This article presents the Guidelines, which provide a conceptual framework and specific principles for improving the quality of mental health training for PHPs working with trauma-exposed populations.

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“…Part of this can be explained by a pervasive pattern of social discrimination against persons with intellectual disabilities, but much of it has to do with a distinct lack of resources within the Cambodian state and a much smaller presence on the ground of nongovernmental organizations (NGOs) working in the field of intellectual as opposed to physical disabilities. There is a noticeable lack of adequately trained personnel, medical or otherwise, who can diagnose and understand individual disabilities or degrees of severity of disability, and there is little distinction made between psychological and psychiatric approaches (Somasundaram et al 1999). Specific conditions, such as schizophrenia or Tourette syndrome or even post-traumatic stress disorder, are often overlooked or dissolved into one or the other categories (Eisenbruch, de Jong, and van de Put 2004).…”

Section: Persons With Intellectual and Cognitive Disabilitiesmentioning

confidence: 99%

Disability and democracy in Cambodia: an integrative approach to community building and civic engagement

Zook

2010

Disability & Society

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The political framework through which the various communities of disabled persons in Cambodia advocate for and claim their rights is complex and confusing. Both governmental and non-governmental actors engage this political framework through the mobilization of persons from the various disabled communities, competing in the civic sphere through issue-oriented advocacy in ways that seek to influence the process of democratic governance. While the status of disabled rights in Cambodia is still comparatively weak, it is argued here that this civic engagement has allowed disabled communities to find common cause with nondisabled persons and groups in the project of deepening the roots of democracy in Cambodia. This article discusses the demographic composition of disability, the framework of political action that addresses disability issues and the practice of civic engagement and activism by disabled and non-disabled communities in Cambodia.

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Starting mental health services in Cambodia

Cited by 63 publications

References 15 publications

Modifying Exposure-Based CBT for Cambodian Refugees with Posttraumatic Stress Disorder

Modifying Exposure-Based CBT for Cambodian Refugees with Posttraumatic Stress Disorder

The ISTSS/Rand Guidelines on Mental Health Training of Primary Healthcare Providers for Trauma-Exposed Populations in Conflict-Affected Countries

Disability and democracy in Cambodia: an integrative approach to community building and civic engagement

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