While their survey could not assess the magnitude of the increase in intercommunity tension before and after the debate, they found that ”more than one-third of the sample reported having experienced personally or witnessed some form of ethnic or religious discrimination since the Charter was released” (Hassan 2019, p. 1149). In this issue, Ghayda Hassan and colleagues (2019) document the intercommunity tensions following the societal debate over the Charter of Quebec Values. 3 The silence of many francophone institutions and intellectuals-and outspoken support for the Charter by some celebrities and academics (Tessier & Montigny, 2016)-lent legitimacy to the Charter’s perspective, leaving newcomers and minority groups increasingly vulnerable to the forces of political repression and everyday prejudice. The ASI brought together an interdisciplinary group scholars to consider the role of social dynamics, cultural contexts and psychopathology in radicalization to violent extremism.
Bi-culturalism has become an important concept for Maori and Pakeha (Europeans), working in partnership in the planning and implementation of mental health services in New Zealand. Results indicate that clinicians developed a broader and patient-centred understanding of culture, and gained skills in narrative-based assessment method, management of complexity of care, competing assumptions and expectations, and clinical cultural formulation. • We developed and implemented an innovative model, cultural consultation service (CCS), to promote cultural competence of clinicians and directly improve on patient experiences and outcomes from care. • At present, there are unsystematic and diverse ways of promoting cultural competence, and their impact on clinician skills and patient outcomes is unknown.
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The component “Cultural and linguistic matching” was identified the most, more precisely in 29 studies, followed by “Use of culturally adapted/appropriate written or visual material”, which was found in 27 studies. RCTs compared one to three interventions with the control intervention, which was typically treatment as usual. All together these reviews were not able to determine the effectiveness of interventions because of the lack of comparative studies and objective outcome measures 11, 12, 17, 21–23. Other interventions that were often identified by authors of existing reviews were the recruitment of bilingual staff, the use of interpreters and the translation of treatment materials 9, 11, 12, 20. The German concept of “cultural opening”describes the process of adapting or “opening”facilities and is hence a process of organizational development which includes interventions on different levels within facilities .
Respecting the client’s culture and encouraging communication throughout the process increases client willing to engage in treatment and to adhere to the treatment plan and continuing care recommendations. Behavioral health treatment facilities maintain their own culture (i.e., the treatment milieu). At the outset of treatment, clients can feel scared, vulnerable, and uncertain about whether treatment will really help. Using Sue’s (2001) multidimensional model for https://www.mountaineers.org/blog/honoring-indigenous-peoples-through-education developing cultural competence, this chapter focuses on clinical and programmatic decisions and skills that are important in evaluation and treatment planning processes. About Peer Support CanadaPeer Support Canada (PSC) serves as the national leader and advocate for peer support across the country, dedicated to increasing its recognition, growth, and accessibility in mental health and substance use health spaces. CMHA provides advocacy, programs and resources that help to prevent mental health problems and illnesses, support recovery and resilience, and enable all Canadians to flourish and thrive.
Simulation-based training
A regional health collaborative formed by New York Presbyterian aimed to create a “medical village” by transforming clinics into patient-centered medical homes in a large Hispanic community. The ratings of acceptability on a five-point-Likert scale ranged between 3.19 to 4.69, showing a high acceptability among Korean-speaking patients who were treated by a Korean-speaking psychiatrist via webcam at two mental health centers in the US . Integration of community health workers (CHW) to educate patients during home or clinic visits. Two interventions focused on the integration of qualified oversea nurses and midwives in Australia and the UK. Use of culturally and linguistically adapted/appropriate written or visual material.
Twenty-nine studies focused on one ethnic group 27, 30–36, 39, 41, 42, 47–49, 51, 57, 69, 75, 77–80, 82–85, 87, 89, 92 while thirty-three included more than one ethnic group 28, 29, 37, 38, 40, 43–46, 50, 52–56, 58–68, 70–73, 86, 91, 93 and five studies did not report the ethnicity of their participants 74, 76, 81, 88, 90. Qualitative studies included four case studies 87–90, and the methods of data collection used were interviews 90–92, focus groups 89, 93 or open-ended questions . All mixed methods studies used congruent triangulation 72–85, except for one that chose a sequential transformative design . Other study types included controlled before and after studies 53–60, historically controlled studies 61–63, cross-sectional studies 64–67, cohort studies 68, 69 and incidence studies 70, 71. Fourteen studies were randomized controlled trials (RCTs) 27–40 with two cluster randomizations 27, 28. Included studies applied a quantitative study design in 69%, a mixed method design in 21% and 10% were qualitative studies.
- Studies have shown that when clients feel understood and respected, they are more likely to engage in therapy and follow treatment plans.
- Peer support workers play a critical role by offering specialized coping strategies, understanding, connection, and hope to people navigating mental health and substance use challenges.
- Providing psychiatry and therapy services to individuals and families across South Orange County.
- The youth justice system, which relies heavily on verbally mediated processes and spoken interactions, often presents significant challenges for young people with communication disabilities.
- CRPs are increasingly recognized as essential in youth justice systems, particularly for Indigenous and minoritized youth.
- NZ speech-language therapists have highlighted the importance of cultural competence in their practice.
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Simulation-based training immerses practitioners in controlled, real-world scenarios that mimic the complexities of their professional environments. This approach not only addresses immediate communication challenges but also contributes to the broader goals of rehabilitation, inclusion, and equity in the youth justice system. By integrating these principles, the adapted Hikairo schema shifts SLP practice toward a holistic, strengths-based model. Through personalized, achievable goals, practitioners can help youth experience success and develop critical social and linguistic competencies. Scaffolding is integral to the schema, enabling SLPs to provide structured support that gradually builds communication skills and confidence. SLPs can achieve this by co-constructing goals, seeking youth perspectives, and involving families and multidisciplinary teams in planning and decision-making..|By embedding the principles of relevance, balance of power, and scaffolding into their interventions, SLPs can foster meaningful engagement, build trust, and support transformative outcomes for youth with communication challenges. For interventions in youth justice settings, ensuring cultural relevance includes tailoring materials, activities, and services to reflect the youth’s cultural background. There remains an urgent need for further research to establish effective culturally responsive speech-language practices to support youth in justice systems. Their systematic review identified promising practices such as culturally adapted cognitive-behavioral therapy, community mentoring, and culturally relevant sexual health programs. The implementation of speech-language pathology services in culturally responsive ways is particularly important within youth justice systems given the ethnic disparities among youth in these systems.|The case manager advocates for the client (CSAT 1998a; Summers 2012), easing the way to effective treatment by assisting the client with critical aspects of life (e.g., food, childcare, employment, housing, legal problems). Case management focuses on the needs of individual clients and their families and anticipates how those needs will be affected as treatment proceeds. The goal is to help assess the need for and coordinate social, health, and other essential services for each client. Case management provides a single professional contact through which clients gain access to a range of services.|Exposure therapy is a behavioral method that reduces fear and avoidance by systematically confronting feared stimuli in a safe therapeutic context to promote habituation and new learning. Committed action planning turns big values into specific, measurable steps, increasing activity and creating evidence that anxiety doesn’t always dictate outcomes. Values clarification helps you identify what matters (e.g. relationships, creativity, community) and then commit to small, achievable actions that reflect those values even when anxiety is present. ACT focuses on practical processes you can practice in a therapy session and apply daily — mindful awareness and concrete, values‑driven goals — which the next section presents as short exercises. Acceptance and Commitment Therapy (ACT) helps reduce the impact of anxiety by changing how people relate to anxious thoughts and sensations instead of trying to eliminate them. Clinicians weave minority stress frameworks into case formulations, explicitly address identity‑linked thoughts — like internalized stigma or anticipatory vigilance — and design behavioral experiments with identity safety and community context in mind.}