Book contents
- Frontmatter
- Contents
- Contributors
- Foreword
- Preface
- Part I Theoretical background
- Part II Culture and mental health
- Part III Culture and mental disorders
- Part IV Theoretical aspects of management
- 26 Traumascape: an ecological–cultural–historical model for extreme stress
- 27 Sexual dysfunction across cultures
- 28 Therapist–patient interactions and expectations
- 29 Developing mental-health services for multicultural societies
- 30 Psychopharmacology across cultures
- 31 Psychotherapy across cultures
- 32 Psychological interventions and assessments
- 33 Spiritual aspects of management
- 34 Cultural aspects of suicide
- Part V Management with special groups
- Part VI Cultural research and training
- Cultural psychiatry: the past and the future
- Index
- References
29 - Developing mental-health services for multicultural societies
from Part IV - Theoretical aspects of management
Published online by Cambridge University Press: 11 August 2009
By
Book contents
- Frontmatter
- Contents
- Contributors
- Foreword
- Preface
- Part I Theoretical background
- Part II Culture and mental health
- Part III Culture and mental disorders
- Part IV Theoretical aspects of management
- 26 Traumascape: an ecological–cultural–historical model for extreme stress
- 27 Sexual dysfunction across cultures
- 28 Therapist–patient interactions and expectations
- 29 Developing mental-health services for multicultural societies
- 30 Psychopharmacology across cultures
- 31 Psychotherapy across cultures
- 32 Psychological interventions and assessments
- 33 Spiritual aspects of management
- 34 Cultural aspects of suicide
- Part V Management with special groups
- Part VI Cultural research and training
- Cultural psychiatry: the past and the future
- Index
- References
Summary
EDITORS' INTRODUCTION
The movement of people across the globe has been at an unprecedented scale in the twentieth century. The impact of migration has been studied more on individuals and migrant groups and less on the societies to which people migrate. The health needs of healthy migrants are different from those who may accompany them. In addition, the impact of such healthcare demands on the societies and their resources has to be studied systematically. The systems of healthcare in multicultural societies are likely to be influenced by the social status of the migrants. The development of services, especially psychiatric ones, has to take into account post-migration stress and stressors.
Minas in this chapter sets the scene for needs of migrant communities and the shape of psychiatric services that can deliver the healthcare that will be effective. Furthermore, the key features of these services for culturally diverse societies have to be effective and equitable. The main characteristics would be jointly defined by patients, carers, community and service providers, who will also determine where services are provided, how capacity is developed and respond appropriately to religious, cultural and communication needs of patients. Mental-health services have to be developed in the context of national, regional and local policies. However, Minas argues, a central requirement for reform is an understanding of the policy cycle, which has six components. These include defining the problem, diagnosing the cause of the problem, making political decisions and implementing them, followed by evaluation. The engagement of key stakeholders is an important step.
- Type
- Chapter
- Information
- Textbook of Cultural Psychiatry , pp. 388 - 401Publisher: Cambridge University PressPrint publication year: 2007
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