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Marquine MJ, Jimenez D. Cultural and linguistic proficiency in mental health care: a crucial aspect of professional competence. Int Psychogeriatr 2020; 32:1-3. [PMID: 32008601 PMCID: PMC7755080 DOI: 10.1017/s1041610219000541] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- María J Marquine
- Department of Psychiatry, University of California San Diego, San Diego, CA, USA
| | - Daniel Jimenez
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
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Perspectives on Training Needs for Geriatric Mental Health Providers: Preparing to Serve a Diverse Older Adult Population. Am J Geriatr Psychiatry 2019; 27:728-736. [PMID: 31101582 PMCID: PMC6599578 DOI: 10.1016/j.jagp.2019.03.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 02/26/2019] [Accepted: 03/20/2019] [Indexed: 02/06/2023]
Abstract
An increasingly diverse population of older adults requires a diverse workforce trained to address the problem of differential healthcare access and quality of care. This article describes specific areas of training focused on addressing health disparities based on ethnic differences. Culturally competent care by mental health providers, innovative models of mental health service delivery such as collaborative care, and expansion of the mental health workforce through integration of lay health workers into professional healthcare teams, offer potential solutions and require training. Cultural competency, defined as respect and responsiveness to diverse older adults' health beliefs, should be an integral part of clinical training in mental health. Clinicians can be trained in avoidance of stereotyping, communication and development of attitudes that convey cultural humility when caring for diverse older adults. Additionally, mental health clinicians can benefit from inter-professional education that moves beyond professional silos to facilitate learning about working collaboratively in interdisciplinary, team-based models of mental health care. Finally, familiarity with how lay health workers can be integrated into professional teams, and training to work and supervise them are needed. A growing and diversifying population of older adults and the emergence of innovative models of healthcare delivery present opportunities to alleviate mental health disparities that will require relevant training for the mental health workforce.
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Okereke OI, Lyness JM, Lotrich FE, Reynolds CF. Depression in Late-Life: a Focus on Prevention. FOCUS (AMERICAN PSYCHIATRIC PUBLISHING) 2013; 11:22-31. [PMID: 24729758 PMCID: PMC3982610 DOI: 10.1176/appi.focus.11.1.22] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Depression is a leading cause of disease burden, disability and distress for millions of older adults. Thus, prevention of late-life depression is a priority research area. This article addresses the science of late-life depression prevention with the following: 1) an introduction to the Institute of Medicine framework of universal, selective and indicated prevention as it pertains to late-life depression, with particular attention to successes of indicated and selective prevention in primary care; 2) a discussion of how biomarkers can be integrated into prevention research, using interferon-alpha-induced depression as a model; 3) an outline for expansion of prevention to non-specialist care delivery systems in Low and Middle Income Countries - thus, extending the reach of current successful approaches; 4) a description of a novel approach to simultaneous testing of universal, selective and indicated prevention in late-life depression, with emphasis on study design features required to achieve practical, scalable tests of health impact.
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Affiliation(s)
- Olivia I Okereke
- Channing Division of Network Medicine (OIO), Department of Medicine, and Department of Psychiatry (OIO), Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Psychiatry (JML), University of Rochester School of Medicine & Dentistry, Rochester, NY, United States; University of Pittsburgh Medical Center (FEL), Pittsburgh, PA, United States; Department of Psychiatry (CFR), University of Pittsburgh School of Medicine, and Department of Behavioral and Community Health Sciences (CFR), Graduate School of Public Health, Pittsburgh, PA, United States
| | - Jeffrey M Lyness
- Channing Division of Network Medicine (OIO), Department of Medicine, and Department of Psychiatry (OIO), Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Psychiatry (JML), University of Rochester School of Medicine & Dentistry, Rochester, NY, United States; University of Pittsburgh Medical Center (FEL), Pittsburgh, PA, United States; Department of Psychiatry (CFR), University of Pittsburgh School of Medicine, and Department of Behavioral and Community Health Sciences (CFR), Graduate School of Public Health, Pittsburgh, PA, United States
| | - Francis E Lotrich
- Channing Division of Network Medicine (OIO), Department of Medicine, and Department of Psychiatry (OIO), Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Psychiatry (JML), University of Rochester School of Medicine & Dentistry, Rochester, NY, United States; University of Pittsburgh Medical Center (FEL), Pittsburgh, PA, United States; Department of Psychiatry (CFR), University of Pittsburgh School of Medicine, and Department of Behavioral and Community Health Sciences (CFR), Graduate School of Public Health, Pittsburgh, PA, United States
| | - Charles F Reynolds
- Channing Division of Network Medicine (OIO), Department of Medicine, and Department of Psychiatry (OIO), Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Psychiatry (JML), University of Rochester School of Medicine & Dentistry, Rochester, NY, United States; University of Pittsburgh Medical Center (FEL), Pittsburgh, PA, United States; Department of Psychiatry (CFR), University of Pittsburgh School of Medicine, and Department of Behavioral and Community Health Sciences (CFR), Graduate School of Public Health, Pittsburgh, PA, United States
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