Francis Lu | University of California, Davis (original) (raw)

Papers by Francis Lu

The American Journal of Geriatric Psychiatry, 2018

In this session, three cases illustrating the treatment dilemmas associated with the use of antip... more In this session, three cases illustrating the treatment dilemmas associated with the use of antipsychotic medication in elderly patients with MNCD, stroke and psychosis will be presented. Through discussion of their evaluation and treatment, participants will learn to prioritize indications for the use of antipsychotic medication, identify and implement appropriate alternatives to the use of antipsychotic medication, manage the neurologic and cardiovascular stroke risks associated with antipsychotic medication use and manage antipsychotic medication related metabolic syndrome which can increase stroke risk.

Psychiatric Services

The scarcity of bilingual psychiatrists, as well as appropriate mental health services for popula... more The scarcity of bilingual psychiatrists, as well as appropriate mental health services for populations with limited English proficiency, has led to inequitable health outcomes. A fellowship program was developed, which draws from a clinical model staffed by bilingual (Spanish-English) professionals from racial-ethnic minority groups, to address access to care and the structural determinants of health. This new Hispanic Psychiatry Fellowship focuses on health inequality and racism in policy and leadership, clinical care for Spanish-speaking patients, cultural psychiatry, recovery, forensics, substance use, and education. This column describes the program's development, first 2 years of implementation, and feasibility indicators for use in creating similar programs.

Psychiatric Services, 2022

OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from... more OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from providers with limited knowledge of military culture. The 16-item core DSM-5 Cultural Formulation Interview (CFI) was designed to integrate cultural factors into assessment and treatment of mental disorders. Although the CFI was designed for use with all patients, it is unknown whether the CFI adequately assesses military culture. The authors describe a methodology to determine the need for specific CFI versions and how to create a version for use with persons affiliated with the military. METHODS Published articles on cultural competence in the military were systematically reviewed. Cultural domains were abstracted from each article, inductively coded, and hierarchically organized for assessment against the core CFI. A military CFI was created with additional implementation instructions, questions, and probes when the core CFI was inadequate for eliciting relevant cultural domains. RESULTS Sixty-three articles were included. Coding revealed 22 military culture domains, of which only five would be elicited in the core CFI without additional guidance. Twelve of 16 questions in the core CFI required additional instructions, five benefited from question edits, and 10 needed additional probing questions. On the basis of these results, the authors crafted a military version of the CFI for service members, veterans, and their families. CONCLUSIONS The military CFI for clinicians assesses aspects of military culture that are not comprehensively evaluated through the core CFI. The development process described in this article may inform the creation of other versions when the core CFI does not comprehensively assess cultural needs for specific populations.

Health for sponsoring this project, and for laying the foundation for this work by developing the... more Health for sponsoring this project, and for laying the foundation for this work by developing the “National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. ” We thank the Project Officer, Guadalupe Pacheco, for his enthusiastic support. We also acknowledge our project’s team for supporting the research and writing of this draft, especially Dr. Margarita Hurtado, who provided an incredible amount of time and dedication to advising and reviewing this paper at each step of the process. We extend our warmest thanks to the members of the National Project Advisory Committee (NPAC) who generously lent their expertise, providing input and valuable feedback on an earlier draft of this paper at the first NPAC meeting on February 18, 2002. We especially would like to thank those individuals who have helped us extensively by offering us specific materials and resources, both after reviewing the preliminary draft, and at the beginning of the project as we ...

Academic Psychiatry, 2021

Objective The USA needs to produce more psychiatrists to meet projected workforce deficits. The A... more Objective The USA needs to produce more psychiatrists to meet projected workforce deficits. The American Association of Directors of Psychiatric Residency Training Directors (AADPRT) sought to examine opportunities for and obstacles to expanding or creating residencies and fellowships. Methods In November 2019, the authors conducted a survey of residency and fellowship directors. The survey gathered information about new positions, new programs, participation in interprofessional education, and loss of residency or fellowship positions. Results The survey was distributed to psychiatry residency (N=231) and fellowship (N=194) directors, with a response rate of 33.4%. One quarter of responding residencies and fellowships reported creating new programs; 24.7% of residency and 17.5% of fellowships reported expansion. The most common reason to develop or expand programs was the shortage of psychiatrists, with the local institution as the most common funding source. Fifty-seven percent reported that they had wanted to expand, but faced barriers, primarily lack of funding. Recruitment and retention of faculty are major challenges. Psychiatry departments frequently (87.5%) participate in interprofessional education, generally perceived as positive. Unfortunately, 15.7% of respondents reported loss of positions or closure of programs. Conclusions Creating and expanding residencies and fellowships are common strategies for addressing the shortage of psychiatrists. Barriers include lack of funding and challenges recruiting/retaining faculty. The loss of residency/fellowship positions or closure of programs is a worrisome trend.

Academic Psychiatry, 2021

Objective This study evaluates the effectiveness of a cultural competence and humility interventi... more Objective This study evaluates the effectiveness of a cultural competence and humility intervention for third-year medical students by assessing changes in clinical evaluation assessments in patient encounters. Methods This study examines the effect of a 1-h educational intervention on cultural competence and cultural humility for third-year medical students. Clinical assessments during observed patient encounters are compared in the clerkship before and after the intervention. The intervention adapts a previously studied cultural competence didactic and emphasizes cultural humility practices. Change in scores from the intervention cohort (clinical year 2019-2020) is compared to a pre-intervention cohort (2018-2019). Results Students who completed the intervention demonstrate greater clinical competency in "relating to patients in a respectful, caring, empathetic manner" as assessed by supervising physicians compared with pre-intervention cohort students (2.7% difference in earning top two scores in subsequent clerkship, P value 0.05, Cramer's V 0.04). Greater clinical competencies were also found in the intervention students compared with pre-intervention students in the domains "demonstrates accountability, contribution and commitment to patient care" and "develops insightful, focused, pertinent questions based on clinical scenarios" (3.8% difference in earning top two scores in subsequent clerkship, P value 0.01 and 5.1% difference, P-value 0.003 with Cramer's V of 0.05 and 0.06, respectively). Conclusions Educational interventions to improve cultural competence and cultural humility are important during clinical years to shape future physicians. Our study suggests that brief interventions may improve medical students' clinical competencies. A future study with a more robust intervention is expected to yield more substantial results.

Journal of Technology in Behavioral Science, 2021

All health care settings are challenged to provide timely and evidence-based care, particularly f... more All health care settings are challenged to provide timely and evidence-based care, particularly for culturally diverse patients with behavioral health disorders. Telepsychiatry and telebehavioral health improve access to care, yet mobile health technologies may have even more promise. A scoping review examined the research question: “What are the components of culturally competent, mobile health care, and what approaches have clinicians and systems taken to implement this care, train clinicians and evaluate outcomes?” The literature search from January 2000 to March 2020 focused on keywords in four concept areas: (1) competencies; (2) mobile health; (3) culture; and (4) clinical care. Of 2471 papers, 183 papers were directly relevant to the concepts. Few studies and professional organizations’ publications specifically discuss skills or competencies for mobile health and cultural factors. Existing telehealth competency sets (i.e., video, social media, mobile health, telebehavioral health, asynchronous) have limited cultural components, and one outline of culturally competencies exists without mention of technology. The landscape of culturally competence is expanded with cultural humility and safety constructs. New sets of mobile health and cultural competencies were constructed—with integration where possible—and training and administrative approaches are suggested. Effectiveness research is needed to implement and evaluate mobile health and cultural competencies. Research is also needed to understand how these competencies align with telehealth, rural health, and unique populations (e.g., refugees, Indigenous peoples, migrant workers, gender diverse groups). Outreach and advocacy for the inclusion of people with lived and living experience is essential to this research.

The American Journal of Geriatric Psychiatry, 2018

Catatonia and delirium occur more frequently that is recognized by clinicians. Complicating the s... more Catatonia and delirium occur more frequently that is recognized by clinicians. Complicating the situation is that catatonia and delirium can co-occur and due to the potential for similar presentations, their is risk for misdiagnosis. There is some suggestion that the two conditions are more closely related than previously thought, at least phenomenologically. This presentation will share information from the literature, research, and clinical experience to further explore the of delirium and catatonia.

mHealth, 2020

Rural health care settings are challenged to provide timely and evidence-based care, particularly... more Rural health care settings are challenged to provide timely and evidence-based care, particularly for culturally diverse patients with behavioral health disorders. Telepsychiatry and telebehavioral health improve access to care and leverage scarce resources. This scoping review from January 2000-July 2019 was conducted to see if the literature had data for two related the research questions, "What are the components of culturally competent, telepsychiatric clinical care, and what approaches have clinicians and systems taken to implement and evaluate it?" The review focused on key words in four concept areas: (I) competencies; (II) telehealth in the form of telepsychiatry, telebehavioral or telemental health; (III) culture; and (IV) health. It was done in accordance with the six-stage scoping review process in PubMed/Medline and other databases. The screeners reviewed the full-text articles for final inclusion based on inclusion (mesh of the key words) and exclusion (e.g., need for only, skills abstractly discussed) criteria. From a total of 1,118 papers, the authors found 44 eligible for full text review and found 7 papers directly relevant to the concepts. Few studies specifically discuss skills and competencies of both telehealth and cultural factors. Many organizations are attending to cultural competencies and approaches to care, but there are no specific competencies that integrate telepsychiatry or telebehavioral health with culture. Existing telepsychiatric (i.e., video, social media, mobile health) and one set telebehavioral health competencies included cultural component, including use of interpreters and language matters. Administrative adjustments are suggested to promote culturally competent care by telehealth via clinical, educational, quality improvement, program/system evaluation, and other (e.g., finance and reimbursement) interventions. More structured research is needed on development, implementation and evaluation of combined competencies in rural settings.

Psychiatric Services, 2018

Recent changes in U.S. immigration policies and enforcement have precipitated a 300% rise in arre... more Recent changes in U.S. immigration policies and enforcement have precipitated a 300% rise in arrests and planned deportations. Although some family members face deportation, other family members may have state-sanctioned status. Such mixed status puts hundreds of thousands of families at risk of forced separation and associated mental health problems. Building on cross-cultural work with refugee families and other groups and on work with families separated by parental incarceration, the authors provide recommendations to guide clinicians working with families who are separated or who fear separation. Mental health problems among separated families can in part be addressed through identifying the origins of distress, elucidating family structures and roles, strengthening communication practices, linking with legal and economic resources, and facilitating decision making through distress reduction.

International Medical Graduate Physicians, 2016

International medical graduate (IMG) physicians are a highly diverse group of individuals on the ... more International medical graduate (IMG) physicians are a highly diverse group of individuals on the basis of each person’s country of origin, acculturation, race/ethnicity, gender, age, religion/spirituality, socioeconomic status, and sexual orientation, among other background characteristics. Nonetheless, the majority migrate from middle- and low-income, tradition-centered, collectivistic societies to industrialized, individualistic societies. Upon graduation, IMG physicians are more likely to practice in underserved or rural areas and provide care to patients who are ethnic minorities, immigrants, or socially disadvantaged. IMG physicians usually undergo a stressful acculturation process to both the general culture and the healthcare subculture in the host country, in addition to coping with the stress inherent to residency training. Medical education in their home country and residency training in their host country seldom prepare them or help them cope with these challenges. This chapter provides an environmental scan and a focused review of the literature of the acculturation and cultural competency needs of IMG physicians, identifies gaps in the literature, and proposes an educational research and policy agenda for the future.

Religion and Psychiatry

Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow,... more Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow, WE, Peteet, JR, Thielman, SB and Yang, CP (2009) Religious and Spiritual Considerations in Psychiatric Diagnosis: Considerations for the DSM-V, in Religion and ...

Journal of Nervous & Mental Disease, 2013

Growing awareness of health and health care disparities highlights the importance of including in... more Growing awareness of health and health care disparities highlights the importance of including information about race, ethnicity, and culture (REC) in health research. Reporting of REC factors in research publications, however, is notoriously imprecise and unsystematic. This article describes the development of a checklist to assess the comprehensiveness and the applicability of

Family & Community Health, 2011

handbook of mental health and acculturation in asian handbook of mental health and acculturation ... more handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian erratum to: handbook of mental health and acculturation in handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian vietnamese american families’ perceptions of children’s manual nikon d90 saosey tulip photo collectionrelaxing flower photo album bad faiththe danger of religious extremism ebook f60a service manual wood pellet heating systems the earthscan expert handbook 2002 hyundai sonata repair manual mdmtv tmh general studies manual book 2013 haow gerontological nurse practitioner certified nurse volkswagen golf 1999 2005 workshop service manual repair haake dc1 k50 manual recruitaca vs v6 holden workshop manual torrent ptfl free hp service manual downloads squazl the encyclopedia of fantastic victoriana toyota manual transmission pdf yamaha xjr 1300 service repair manual handbook of mental health and acculturation in asian the age of moguls dendec truth picks observations on this thing called life two lectures upon the relations of civil law to church vitra design museum collection poster public health nursingpolicy politics and practice ebook mercury xr6 black max owners manual nufcor so many circles so many squares mandv deere 230 clc service manual gkok

Journal of Transpersonal Psychology, 1987

Templer (1976) conceptualized death anxiety as an entity subject to environmental events and hypo... more Templer (1976) conceptualized death anxiety as an entity subject to environmental events and hypothesized that high death anxiety may be treated with behavioral procedures. A variety of research efforts have dealt with the impact of death education on death anxiety and attitudes toward death. Conflicting findings have been reported concerning the effect on death anxiety (Murray, 1974;Bugen, 1978;Whelan, 1980).The education interventions used didactic, experiential, or a combination of approaches in settings ranging from one-day workshops to semester courses. Greater death anxiety reduction was noted by Bugen (1974) several weeks after the completed six I Y2~hour sessions, possibly due to additional time for reflection. In a study employing group systematic desensitization and group implosive therapy to reduce death anxiety, Testa (1981) obtained a lack of change four weeks after the sessions. He cites five other studies with negative results (Bell, 1975;

American Psychiatric Press review of …, 1995

APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...

Academic Psychiatry, 2008

Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, ... more Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, but the use of documentary and instructional films in resident and staff cultural competence training have not been extensively written about in the medical and psychological literature. This article will describe the films that have been used by the authors and suggest methods for their use in cultural competence and diversity training. A literature search was done using MEDLINE and PsychINFO and the authors were asked to describe their teaching methods. One article was found detailing the use of videotapes as a stimulus but not for cultural competence education, and two articles were found documenting the use of The Color of Fear as a stimulus for the discussion of racism. However, many educators use these films all across the country for the purpose of opening discussion about racism. Documentary, instructional, and public service announcements can be useful in teaching culturally competent assessment and treatment.

Academic Psychiatry, 2008

Academic Psychiatry, 2013

Background/Objective: Almost no literature compares current approaches to teaching cultural issue... more Background/Objective: Almost no literature compares current approaches to teaching cultural issues across U.S. psychiatry residency programs; the authors addressed this comparison. Methods: The authors administered semistructured interviews of 20 instructors with substantial experience in the teaching of cultural issues in U.S. psychiatry residency programs, regarding the content, teaching techniques, institutional context, and evaluation of their curricula over time.

The American Journal of Geriatric Psychiatry, 2018

In this session, three cases illustrating the treatment dilemmas associated with the use of antip... more In this session, three cases illustrating the treatment dilemmas associated with the use of antipsychotic medication in elderly patients with MNCD, stroke and psychosis will be presented. Through discussion of their evaluation and treatment, participants will learn to prioritize indications for the use of antipsychotic medication, identify and implement appropriate alternatives to the use of antipsychotic medication, manage the neurologic and cardiovascular stroke risks associated with antipsychotic medication use and manage antipsychotic medication related metabolic syndrome which can increase stroke risk.

Psychiatric Services

The scarcity of bilingual psychiatrists, as well as appropriate mental health services for popula... more The scarcity of bilingual psychiatrists, as well as appropriate mental health services for populations with limited English proficiency, has led to inequitable health outcomes. A fellowship program was developed, which draws from a clinical model staffed by bilingual (Spanish-English) professionals from racial-ethnic minority groups, to address access to care and the structural determinants of health. This new Hispanic Psychiatry Fellowship focuses on health inequality and racism in policy and leadership, clinical care for Spanish-speaking patients, cultural psychiatry, recovery, forensics, substance use, and education. This column describes the program's development, first 2 years of implementation, and feasibility indicators for use in creating similar programs.

Psychiatric Services, 2022

OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from... more OBJECTIVE U.S. military service members, veterans, and their families increasingly seek care from providers with limited knowledge of military culture. The 16-item core DSM-5 Cultural Formulation Interview (CFI) was designed to integrate cultural factors into assessment and treatment of mental disorders. Although the CFI was designed for use with all patients, it is unknown whether the CFI adequately assesses military culture. The authors describe a methodology to determine the need for specific CFI versions and how to create a version for use with persons affiliated with the military. METHODS Published articles on cultural competence in the military were systematically reviewed. Cultural domains were abstracted from each article, inductively coded, and hierarchically organized for assessment against the core CFI. A military CFI was created with additional implementation instructions, questions, and probes when the core CFI was inadequate for eliciting relevant cultural domains. RESULTS Sixty-three articles were included. Coding revealed 22 military culture domains, of which only five would be elicited in the core CFI without additional guidance. Twelve of 16 questions in the core CFI required additional instructions, five benefited from question edits, and 10 needed additional probing questions. On the basis of these results, the authors crafted a military version of the CFI for service members, veterans, and their families. CONCLUSIONS The military CFI for clinicians assesses aspects of military culture that are not comprehensively evaluated through the core CFI. The development process described in this article may inform the creation of other versions when the core CFI does not comprehensively assess cultural needs for specific populations.

Health for sponsoring this project, and for laying the foundation for this work by developing the... more Health for sponsoring this project, and for laying the foundation for this work by developing the “National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. ” We thank the Project Officer, Guadalupe Pacheco, for his enthusiastic support. We also acknowledge our project’s team for supporting the research and writing of this draft, especially Dr. Margarita Hurtado, who provided an incredible amount of time and dedication to advising and reviewing this paper at each step of the process. We extend our warmest thanks to the members of the National Project Advisory Committee (NPAC) who generously lent their expertise, providing input and valuable feedback on an earlier draft of this paper at the first NPAC meeting on February 18, 2002. We especially would like to thank those individuals who have helped us extensively by offering us specific materials and resources, both after reviewing the preliminary draft, and at the beginning of the project as we ...

Academic Psychiatry, 2021

Objective The USA needs to produce more psychiatrists to meet projected workforce deficits. The A... more Objective The USA needs to produce more psychiatrists to meet projected workforce deficits. The American Association of Directors of Psychiatric Residency Training Directors (AADPRT) sought to examine opportunities for and obstacles to expanding or creating residencies and fellowships. Methods In November 2019, the authors conducted a survey of residency and fellowship directors. The survey gathered information about new positions, new programs, participation in interprofessional education, and loss of residency or fellowship positions. Results The survey was distributed to psychiatry residency (N=231) and fellowship (N=194) directors, with a response rate of 33.4%. One quarter of responding residencies and fellowships reported creating new programs; 24.7% of residency and 17.5% of fellowships reported expansion. The most common reason to develop or expand programs was the shortage of psychiatrists, with the local institution as the most common funding source. Fifty-seven percent reported that they had wanted to expand, but faced barriers, primarily lack of funding. Recruitment and retention of faculty are major challenges. Psychiatry departments frequently (87.5%) participate in interprofessional education, generally perceived as positive. Unfortunately, 15.7% of respondents reported loss of positions or closure of programs. Conclusions Creating and expanding residencies and fellowships are common strategies for addressing the shortage of psychiatrists. Barriers include lack of funding and challenges recruiting/retaining faculty. The loss of residency/fellowship positions or closure of programs is a worrisome trend.

Academic Psychiatry, 2021

Objective This study evaluates the effectiveness of a cultural competence and humility interventi... more Objective This study evaluates the effectiveness of a cultural competence and humility intervention for third-year medical students by assessing changes in clinical evaluation assessments in patient encounters. Methods This study examines the effect of a 1-h educational intervention on cultural competence and cultural humility for third-year medical students. Clinical assessments during observed patient encounters are compared in the clerkship before and after the intervention. The intervention adapts a previously studied cultural competence didactic and emphasizes cultural humility practices. Change in scores from the intervention cohort (clinical year 2019-2020) is compared to a pre-intervention cohort (2018-2019). Results Students who completed the intervention demonstrate greater clinical competency in "relating to patients in a respectful, caring, empathetic manner" as assessed by supervising physicians compared with pre-intervention cohort students (2.7% difference in earning top two scores in subsequent clerkship, P value 0.05, Cramer's V 0.04). Greater clinical competencies were also found in the intervention students compared with pre-intervention students in the domains "demonstrates accountability, contribution and commitment to patient care" and "develops insightful, focused, pertinent questions based on clinical scenarios" (3.8% difference in earning top two scores in subsequent clerkship, P value 0.01 and 5.1% difference, P-value 0.003 with Cramer's V of 0.05 and 0.06, respectively). Conclusions Educational interventions to improve cultural competence and cultural humility are important during clinical years to shape future physicians. Our study suggests that brief interventions may improve medical students' clinical competencies. A future study with a more robust intervention is expected to yield more substantial results.

Journal of Technology in Behavioral Science, 2021

All health care settings are challenged to provide timely and evidence-based care, particularly f... more All health care settings are challenged to provide timely and evidence-based care, particularly for culturally diverse patients with behavioral health disorders. Telepsychiatry and telebehavioral health improve access to care, yet mobile health technologies may have even more promise. A scoping review examined the research question: “What are the components of culturally competent, mobile health care, and what approaches have clinicians and systems taken to implement this care, train clinicians and evaluate outcomes?” The literature search from January 2000 to March 2020 focused on keywords in four concept areas: (1) competencies; (2) mobile health; (3) culture; and (4) clinical care. Of 2471 papers, 183 papers were directly relevant to the concepts. Few studies and professional organizations’ publications specifically discuss skills or competencies for mobile health and cultural factors. Existing telehealth competency sets (i.e., video, social media, mobile health, telebehavioral health, asynchronous) have limited cultural components, and one outline of culturally competencies exists without mention of technology. The landscape of culturally competence is expanded with cultural humility and safety constructs. New sets of mobile health and cultural competencies were constructed—with integration where possible—and training and administrative approaches are suggested. Effectiveness research is needed to implement and evaluate mobile health and cultural competencies. Research is also needed to understand how these competencies align with telehealth, rural health, and unique populations (e.g., refugees, Indigenous peoples, migrant workers, gender diverse groups). Outreach and advocacy for the inclusion of people with lived and living experience is essential to this research.

The American Journal of Geriatric Psychiatry, 2018

Catatonia and delirium occur more frequently that is recognized by clinicians. Complicating the s... more Catatonia and delirium occur more frequently that is recognized by clinicians. Complicating the situation is that catatonia and delirium can co-occur and due to the potential for similar presentations, their is risk for misdiagnosis. There is some suggestion that the two conditions are more closely related than previously thought, at least phenomenologically. This presentation will share information from the literature, research, and clinical experience to further explore the of delirium and catatonia.

mHealth, 2020

Rural health care settings are challenged to provide timely and evidence-based care, particularly... more Rural health care settings are challenged to provide timely and evidence-based care, particularly for culturally diverse patients with behavioral health disorders. Telepsychiatry and telebehavioral health improve access to care and leverage scarce resources. This scoping review from January 2000-July 2019 was conducted to see if the literature had data for two related the research questions, "What are the components of culturally competent, telepsychiatric clinical care, and what approaches have clinicians and systems taken to implement and evaluate it?" The review focused on key words in four concept areas: (I) competencies; (II) telehealth in the form of telepsychiatry, telebehavioral or telemental health; (III) culture; and (IV) health. It was done in accordance with the six-stage scoping review process in PubMed/Medline and other databases. The screeners reviewed the full-text articles for final inclusion based on inclusion (mesh of the key words) and exclusion (e.g., need for only, skills abstractly discussed) criteria. From a total of 1,118 papers, the authors found 44 eligible for full text review and found 7 papers directly relevant to the concepts. Few studies specifically discuss skills and competencies of both telehealth and cultural factors. Many organizations are attending to cultural competencies and approaches to care, but there are no specific competencies that integrate telepsychiatry or telebehavioral health with culture. Existing telepsychiatric (i.e., video, social media, mobile health) and one set telebehavioral health competencies included cultural component, including use of interpreters and language matters. Administrative adjustments are suggested to promote culturally competent care by telehealth via clinical, educational, quality improvement, program/system evaluation, and other (e.g., finance and reimbursement) interventions. More structured research is needed on development, implementation and evaluation of combined competencies in rural settings.

Psychiatric Services, 2018

Recent changes in U.S. immigration policies and enforcement have precipitated a 300% rise in arre... more Recent changes in U.S. immigration policies and enforcement have precipitated a 300% rise in arrests and planned deportations. Although some family members face deportation, other family members may have state-sanctioned status. Such mixed status puts hundreds of thousands of families at risk of forced separation and associated mental health problems. Building on cross-cultural work with refugee families and other groups and on work with families separated by parental incarceration, the authors provide recommendations to guide clinicians working with families who are separated or who fear separation. Mental health problems among separated families can in part be addressed through identifying the origins of distress, elucidating family structures and roles, strengthening communication practices, linking with legal and economic resources, and facilitating decision making through distress reduction.

International Medical Graduate Physicians, 2016

International medical graduate (IMG) physicians are a highly diverse group of individuals on the ... more International medical graduate (IMG) physicians are a highly diverse group of individuals on the basis of each person’s country of origin, acculturation, race/ethnicity, gender, age, religion/spirituality, socioeconomic status, and sexual orientation, among other background characteristics. Nonetheless, the majority migrate from middle- and low-income, tradition-centered, collectivistic societies to industrialized, individualistic societies. Upon graduation, IMG physicians are more likely to practice in underserved or rural areas and provide care to patients who are ethnic minorities, immigrants, or socially disadvantaged. IMG physicians usually undergo a stressful acculturation process to both the general culture and the healthcare subculture in the host country, in addition to coping with the stress inherent to residency training. Medical education in their home country and residency training in their host country seldom prepare them or help them cope with these challenges. This chapter provides an environmental scan and a focused review of the literature of the acculturation and cultural competency needs of IMG physicians, identifies gaps in the literature, and proposes an educational research and policy agenda for the future.

Religion and Psychiatry

Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow,... more Lukoff, D., Cloninger, CR, Galanter, M., Gellerman, DM, Glickman, L., Koenig, HG, Lu, FG, Narrow, WE, Peteet, JR, Thielman, SB and Yang, CP (2009) Religious and Spiritual Considerations in Psychiatric Diagnosis: Considerations for the DSM-V, in Religion and ...

Journal of Nervous & Mental Disease, 2013

Growing awareness of health and health care disparities highlights the importance of including in... more Growing awareness of health and health care disparities highlights the importance of including information about race, ethnicity, and culture (REC) in health research. Reporting of REC factors in research publications, however, is notoriously imprecise and unsystematic. This article describes the development of a checklist to assess the comprehensiveness and the applicability of

Family & Community Health, 2011

handbook of mental health and acculturation in asian handbook of mental health and acculturation ... more handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian erratum to: handbook of mental health and acculturation in handbook of mental health and acculturation in asian handbook of mental health and acculturation in asian vietnamese american families’ perceptions of children’s manual nikon d90 saosey tulip photo collectionrelaxing flower photo album bad faiththe danger of religious extremism ebook f60a service manual wood pellet heating systems the earthscan expert handbook 2002 hyundai sonata repair manual mdmtv tmh general studies manual book 2013 haow gerontological nurse practitioner certified nurse volkswagen golf 1999 2005 workshop service manual repair haake dc1 k50 manual recruitaca vs v6 holden workshop manual torrent ptfl free hp service manual downloads squazl the encyclopedia of fantastic victoriana toyota manual transmission pdf yamaha xjr 1300 service repair manual handbook of mental health and acculturation in asian the age of moguls dendec truth picks observations on this thing called life two lectures upon the relations of civil law to church vitra design museum collection poster public health nursingpolicy politics and practice ebook mercury xr6 black max owners manual nufcor so many circles so many squares mandv deere 230 clc service manual gkok

Journal of Transpersonal Psychology, 1987

Templer (1976) conceptualized death anxiety as an entity subject to environmental events and hypo... more Templer (1976) conceptualized death anxiety as an entity subject to environmental events and hypothesized that high death anxiety may be treated with behavioral procedures. A variety of research efforts have dealt with the impact of death education on death anxiety and attitudes toward death. Conflicting findings have been reported concerning the effect on death anxiety (Murray, 1974;Bugen, 1978;Whelan, 1980).The education interventions used didactic, experiential, or a combination of approaches in settings ranging from one-day workshops to semester courses. Greater death anxiety reduction was noted by Bugen (1974) several weeks after the completed six I Y2~hour sessions, possibly due to additional time for reflection. In a study employing group systematic desensitization and group implosive therapy to reduce death anxiety, Testa (1981) obtained a lack of change four weeks after the sessions. He cites five other studies with negative results (Bell, 1975;

American Psychiatric Press review of …, 1995

APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...

Academic Psychiatry, 2008

Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, ... more Feature films have been used for teaching in psychiatry for many years to demonstrate diagnoses, but the use of documentary and instructional films in resident and staff cultural competence training have not been extensively written about in the medical and psychological literature. This article will describe the films that have been used by the authors and suggest methods for their use in cultural competence and diversity training. A literature search was done using MEDLINE and PsychINFO and the authors were asked to describe their teaching methods. One article was found detailing the use of videotapes as a stimulus but not for cultural competence education, and two articles were found documenting the use of The Color of Fear as a stimulus for the discussion of racism. However, many educators use these films all across the country for the purpose of opening discussion about racism. Documentary, instructional, and public service announcements can be useful in teaching culturally competent assessment and treatment.

Academic Psychiatry, 2008

Academic Psychiatry, 2013

Background/Objective: Almost no literature compares current approaches to teaching cultural issue... more Background/Objective: Almost no literature compares current approaches to teaching cultural issues across U.S. psychiatry residency programs; the authors addressed this comparison. Methods: The authors administered semistructured interviews of 20 instructors with substantial experience in the teaching of cultural issues in U.S. psychiatry residency programs, regarding the content, teaching techniques, institutional context, and evaluation of their curricula over time.