建立多元文化心理咨询团队:在学术医疗中心建立和维持多元文化心理咨询团队。

IF 2.5 4区 医学 Q2 PSYCHIATRY Harvard Review of Psychiatry Pub Date : 2023-07-01 DOI:10.1097/HRP.0000000000000372
Stephanie Pinder-Amaker, Jeffrey P Winer, Lauren P Wadsworth, Caitlin M Nevins, Andrew Peckham, Jacob A Nota, Courtney Beard
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引用次数: 0

摘要

摘要:COVID-19的协同流行、种族不公正和卫生不平等引发了美国医院系统和治疗机构前所未有的承诺,通过增加历史上受压迫和服务不足的社区获得医疗服务的机会来解决健康差距。然而,医院系统无法真正提供符合多元文化的护理,更广泛地说,无法持续地实践文化谦逊,只会加剧患者的不信任,以及我们试图减轻的有害健康和社会后果。这篇透视文章描述了一个多学科的精神健康提供者团队的发展,他们致力于提供符合文化的精神健康治疗,同时促进包容性的工作环境。我们概述了多元文化心理咨询团队(MPCT)的起源、设计、流程和结构,并讨论了在最初两年维持该模式的成功和挑战。我们建议,在努力增加不同患者获得护理的机会的同时,应优先考虑系统性地灌输文化谦逊、多元文化反应性临床护理和对提供者提供护理的支持。我们提供MPCT作为支持这些目标的模式。
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Making an MPCT: Building and Sustaining a Multicultural Psychology Consultation Team (MPCT) Within an Academic Medical Center.

Abstract: The synergistic epidemics of COVID-19, racial injustice, and health inequities sparked an unprecedented commitment from US hospital systems and treatment settings to address health disparities by increasing access to care for historically oppressed and underserved communities. However, the inability of hospital systems to actually provide multiculturally responsive care and, more broadly, to consistently practice cultural humility will only exacerbate patient distrust and the deleterious health and social outcomes we seek to mitigate. This perspective article describes the development of a multidisciplinary team of mental health providers committed to delivering culturally responsive mental health treatment while promoting inclusive workplace environments. We outline the Multicultural Psychology Consultation Team's (MPCT) origin, design, process, and structure and discuss successes and challenges in maintaining the model in its first two years. We recommend that systemic infusion of cultural humility, multiculturally responsive clinical care, and support for providers delivering care be prioritized in concert with efforts to increase access to care for diverse patients. We offer MPCT as a model for supporting these aims.

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来源期刊
CiteScore
7.50
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more. In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.
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