Psychotherapy & Liaison Skills
With the increasing diversity of the population in the US, cultural competency has become an increasingly important skill set. Consultation Liaison psychiatrists are often confronted with medical presentations which have cultural factors contributing to the complexity. Cultural factors can impact the symptom presentation, diagnosis, and treatment course, and are a critical factor to consider in the case formulation. This is reflected in the inclusion of this ability within the Milestones, the development of curricula for psychiatry trainees, and the release of the Cultural Formulation Interview in the DSM V. Despite the increasing emphasis on the need for development of these skills, the field has lagged in implementation and incorporation into training. Cultural factors continue to be obstacles in the daily practice of Consultation Liaison Psychiatry and a thoughtful approach is needed, particularly in patients with unclear diagnostic pictures. This session will include both didactic, case-based and discussion portions with the goal of learning an approach to Cultural Consultation-Liaison Psychiatry. Evidence-based culturally adapted strategies and how to approach understanding of local culture and the patient population will be discussed.
Dr. Muhammad (10 min): Will describe innovative Cultural Consultation-Liaison Psychiatry Model to approach cultural cases and avoid being " Lost in translation".
Dr. Kassab (15min): Will discuss San Diego local culture and patient population, and general themes for cultural transference and countertransference. Interdependent and independent culture will be reviewed.
Dr. Ellsworth (15 min): Will present a case to discuss the art of Cultural Formulation Interview with a focus on multiple dimensions that affect the diagnoses and course of treatment. Challenges in diagnosis and the assessment of somatic and mood symptoms within a cultural context and potential culturally indicated family interventions will be discussed.
Dr. Matialeu (15 min): Will present a case with the focus on the need to explore the subjective experiences of mental illness in diverse cultural groups, their explanatory models, and their use of indigenous forms of healing - including the so-called 'cultural therapies’.
Dr. Beizai (15 min): Will review educational resources and evidence-based culturally adapted techniques that can be used to promote cultural competency in Consultation-Liaison assessments, ongoing treatment, and supervision. The DSM V Cultural Formulation Interview (CFI) will be discussed as a research and clinical tool.
Dr. Muhammad (5 min): will close by speaking about a simple CL model to follow in cultural cases and the efforts of the UCSD Department of Psychiatry to partner with the Department of Anthropology on joint projects.
The session is intended to be an interactive symposium and at least 15 minutes will be reserved for a discussion of the current cultural practices of attendees and potential ideas each can take back to their own practices and implement.