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Transcultural Psychiatry, Vol. 42, No. 3, 491-504 (2005)
DOI: 10.1177/1363461505055629

A Qualitative Needs Assessment for Development of a Cultural Consultation Service

Hendry Ton

University of California, Davis, hton{at}ucdavis.edu

Alan Koike

University of California, Davis

Robert E. Hales

University of California, Davis

Jo Ann Johnson

Sacramento County Division of Mental Health

Donald M. Hilty

University of California, Davis

Cross-cultural mental health services were assessed using qualitative interviews and focus groups of 43 mental health clinicians and program directors in one of the most ethnically integrated cities in the US. The commonly used strategy of ethnic matching between clinician and patient was found to be difficult to effectively apply to an ethnically diverse and highly integrated patient population. Information from cultural-competency training was also found to be difficult to apply, particularly due to time limitations and language barriers. Implementation of a cultural consultation service, which uses in-depth cultural evaluations and case-based learning, may help bridge these service gaps.

Key Words: consultation-liaison psychiatry • cultural formulation • culture • ethnicity • mental health services


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