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EPA guidance on cultural competence training

Part of: EPA Guidance Papers

Published online by Cambridge University Press:  16 April 2020

Meryam Schouler-Ocak ,
Iris T. Graef-Calliess ,
Ilaria Tarricone ,
Adil Qureshi ,
Marianne C. Kastrup  and
Dinesh Bhugra
Meryam Schouler-Ocak*
Affiliation:
Psychiatric University Clinic of Charité at St. Hedwig's Hospital, Große Hamburger Straße 5 - 11, 10115Berlin, Germany
Iris T. Graef-Calliess
Affiliation:
Center for Transcultural Psychiatry & Psychotherapy, Wahrendorff Clinic, Sehnde/Hannover, Research group for Intercultural Psychiatry, Medical School of Hannover, Germany
Ilaria Tarricone
Affiliation:
Department of Medical and Surgical Sciences, Section of Psychiatry, Bologna University, Italy
Adil Qureshi
Affiliation:
Servei de Psiquiatria Hospital Universitari Vall d’Hebron, Barcelona, Spain
Marianne C. Kastrup
Affiliation:
Competence centre Transcultural Psychiatry, Psychiatric Center Ballerup, Copenhagen, Denmark
Dinesh Bhugra
Affiliation:
Institute of Psychiatry at King's College London, UK
*
*Corresponding author. Psychiatric University Clinic of Charité at St. Hedwig's Hospital, Große Hamburger Straße 5 - 11, 10115 Berlin, Germany. E-mail address:meryam.schouler-ocak@charite.de (M. Schouler-Ocak).
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Abstract

The stress of migration as well as social factors and changes related to the receiving society may lead to the manifestation of psychiatric disorders in vulnerable individuals after migration. The diversity of cultures, ethnicities, races and reasons for migration poses a challenge for those seeking to understand how illness is experienced by immigrants whose backgrounds differ significantly from their clinicians. Cultural competence represents good clinical practice and can be defined as such that a clinician regards each patient in the context of the patient's own culture as well as from the perspective of the clinician's cultural values and prejudices. The EPA Guidance on cultural competence training outlines some of the key issues related to cultural competence and how to deal with these. It points out that cultural competence represents a comprehensive response to the mental health care needs of immigrant patients and requires knowledge, skills and attitudes which can improve the effectiveness of psychiatric treatment. To reach these aims, both individual and organizational competence are needed, as well as teaching competence in terms of educational leadership. The WPA Guidance on Mental Health and Mental Health Care for Migrants and the EPA Guidance on Mental Health Care for Migrants list a series of recommendations for policy makers, service providers and clinicians; these are aimed at improving mental health care for immigrants. The authors of this paper would like to underline these recommendations and, focusing on cultural competency and training, believe that they will be of positive value.

Keywords

ImmigrantsMental healthEPA GuidanceCultural competenceTrainingGood clinical practice
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 3: Special issue: EPA Guidance papers , March 2015 , pp. 431 - 440
Copyright
Copyright © Elsevier Masson SAS 2015

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