Systems-based Practice Cultural Considerations in Systems-based Practice Systems-based Practice: Cultural Considerations Objectives

Knowledge The resident will demonstrate an adequate knowledge of: 1) The meaning of the terms, “culture” and “cultural competence.” (1,3,6) 2) The different levels of knowledge and skills, as identified within the cultural competence continuum. (1,4,12) 3) The various cultural domains that have an impact on individual patients, including the cultural domains of individuals, families, communities, and systems. (1,4,5,10) 4) How cultural values and beliefs impact family organization, roles, and function. (1) 5) How cultural considerations impact normal emotional and cognitive development, family function, and the expression of psychopathology in children and youth. (1,4) 6) How values and beliefs of particular cultures influence the understanding of mental illness and emotional disturbances, symptomatic and linguistic expressions of psychiatric disorders, help-seeking behaviors, the use of alternative healers, negative attitudes and stigma, and expectations from treatment. (5,7,10) 7) The risk factors that impact the mental health of immigrant children and their families. (1,4) 8) Disparities that may negatively impact at-risk youth and their families. (1,4) 9) Commonly seen conflicts between systems and families. (1,3,4) 10) The opportunities for the child and adolescent psychiatrist in learning about cultural considerations. (1-12) 11) The role and limitations of evidence-based medicine, as it pertains to the care of specific minority groups, and those mental health treatments that have an evidence-base for use with minority populations. (3,11) 12) The role of linguistic competence in supporting cultural competence. (1) 13) The role of the child and adolescent psychiatrist in advocacy. (4,9,11)