Training Psychiatrists for Global Mental Health: Cultural Psychiatry, Collaborative Inquiry, and Ethics of Alterity

Griffith, James L.; Kohrt, Brandon A.; Dyer, Allen R.; Polatin, Peter B.; Morse, Michael; Jabr, Samah; Abdeen, Sherein; Gaby, Lynne; Jindal, Anjuli; Khin, Eindra Khin

doi:10.1007/s40596-016-0541-z

Cited by 19 publications

(9 citation statements)

References 16 publications

(31 reference statements)

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“…The results of the literature review to understand general issues in GMH training included publications examining existing GMH training [818], advocating for increased GMH research training [10] and improved GMH clinical training [1920], and discussing ethics in GMH training [21]. The search also yielded descriptions of one international GMH educational partnership [22], one graduate-level GMH training program [14], and two GMH research fellowships [910]. However, there were limited online or published curricular information from training programs in GMH and no published curricula from existing post-graduate clinical GMH fellowships.…”

Section: Resultsmentioning

confidence: 99%

“…Prior to the development of the fellowship program described here, there were only four US-based GMH fellowships, three of which focused exclusively on research [910111213]. Some of these research fellowships [910] and a graduate-level GMH program [14] have disseminated descriptions of their general structure and approach. However, a structured strategy to develop relevant competencies, learning objectives, and educational strategies for GMH training for post-graduate psychiatrists has not been described in the US or elsewhere.…”

Section: Introductionmentioning

confidence: 99%

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Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists

Buzza

Fiskin

Campbell

et al. 2018

Annals of Global Health

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Background:Despite an increase in psychiatry trainees’ interest in global mental health (GMH), there is a lack of relevant training competencies developed using educational frameworks that incorporate viewpoints from high- and low-income countries.Objective:The aim of this study was to determine competencies for a two-year post-graduate GMH fellowship for psychiatrists utilizing Kern’s six-step process as a theoretical framework for curriculum development.Methods:We conducted a targeted needs assessment via key informant interviews with a purposive sample of stakeholders (n = 19), including psychiatry trainees, generalist clinicians, medical directors, psychiatrists, researchers, and GMH educators from high- and low-resource settings in the United States and abroad. We analyzed data using a template method of thematic analysis.Findings:We tabulated learning objectives across 20 domains. Broadly, clinical objectives focused on providing supervision for short-term, evidence-based psychotherapies and on identifying red flags and avoiding harmful medication use among vulnerable populations such as children and the elderly. Non-clinical objectives focused on social determinants of health, education, and clinical supervision as part of capacity-building for non-specialists, engagement in a systems-wide project to improve care, and ethical and equitable partnerships that involve reciprocal and bidirectional education. Several competencies were also relevant for global health work in general.Conclusions:A theory-informed framework for curriculum development and a diverse set of key informants can provide educational objectives that meet the priorities of the trainees and the clinical sites in both low- and high-income settings. Limitations of this study include a small sample size and a focus on clinical needs of specific sites, both of which may affect generalizability. Given the focus on training specialists (psychiatrists), the low-resource sites highlighted the importance of educating and supervising their permanent, generalist clinicians, rather than providing direct, independent patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists

Buzza

Fiskin

Campbell

et al. 2018

Annals of Global Health

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“…Children and adolescents growing up with political violence and terrorism are vulnerable to intense psychological effects (4)(5)(6), which lead to psychiatric symptomatology (7,8). The psychiatric symptomatology varied according to the context of war that the children live in, cultural specific psychiatric symptoms, the type of the trauma, the number of ongoing traumatic and stressful events that the child has experienced, and the impact of the traumatic event on the children's mental health (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a School-Based Intervention on the Students’ Mental Health After Exposure to War-Related Trauma

El-Khodary

Samara

2020

Front. Psychiatry

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Background: After the war, which was conducted against Palestinian civilians in the Gaza Strip, the prevalence of posttraumatic stress disorder (PTSD) among children and adolescents has increased. The counselling department at the Ministry of Education in the Gaza Strip applied a counselling program in schools in order to alleviate the effect of exposure to war. The aim of the study is to investigate the effectiveness of the counselling program after exposure to war-traumatic events among Palestinian children and adolescents in the Gaza Strip. Methods: The sample consists of 572 students aged 12-18 years old. Of them, 331 (57.9%) were female and 241 (42.1%) were male. Traumatic events were measured by War-Traumatic Events Checklist (W-TECh). PTSD was measured by the Post-Traumatic Stress Disorders Symptoms Scale (PTSDSS). Anxiety symptoms were adapted from The Anxiety Symptoms Scale, and depression symptoms were measured by Child Depression Inventory. Repeated measures design was employed as the counselling program was applied in all the schools at the same time. Specifically, the data were collected from the participants before the application of the counselling program and 2 months later. Results: After applying the school-based counselling program, the prevalence of PTSD (according to DSM-V) decreased from 57.5% to 45.6% among the children and adolescents who were exposed to war-traumatic events. In addition, PTSD symptoms, and emotional, somatic and cognitive functional impairment symptoms has decreased after the implementation of the counselling program especially amongst girls. Conclusions: The school-based counselling program was effective in decreasing the PTSD symptoms among children and adolescents after the exposure to wartraumatic events.

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“…Psychiatrists now have more cultural awareness and familiarity to treat patients not only in a geographic region, but also in the mixed residents from different cultures influenced by globalization [9]. But cultural psychiatry still offers huge spaces for research and clinical practice, and we have reasons to expect that more culturalindividualized approaches would be available to patients.…”

mentioning

confidence: 99%

Cultural Psychiatry: A Promising Area for Research and Practice

Wang¹,

Fan²

2018

J Psychiatry

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Understanding the cultural backgrounds of mental health and illness, in relation to language, religion and spirituality, family structures, life-cycle stages, ceremonial rituals, and customs, along with moral and legal systems, is essential in the field of cultural psychiatry [1]. There have been many important discoveries addressing the association between culture and classification, diagnosis, and treatment of psychiatric disorders [2].

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Training Psychiatrists for Global Mental Health: Cultural Psychiatry, Collaborative Inquiry, and Ethics of Alterity

Cited by 19 publications

References 16 publications

Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists

Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists

Effectiveness of a School-Based Intervention on the Students’ Mental Health After Exposure to War-Related Trauma

Cultural Psychiatry: A Promising Area for Research and Practice

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