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Lewis-Fernández R, Aggarwal NK, Lam PC, Galfalvy H, Weiss MG, Kirmayer LJ, Paralikar V, Deshpande SN, Díaz E, Nicasio AV, Boiler M, Alarcón RD, Rohlof H, Groen S, van Dijk RCJ, Jadhav S, Sarmukaddam S, Ndetei D, Scalco MZ, Bassiri K, Aguilar-Gaxiola S, Ton H, Westermeyer J, Vega-Dienstmaier JM. Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: mixed-methods results from the DSM-5 international field trial. Br J Psychiatry 2017; 210:290-297. [PMID: 28104738 DOI: 10.1192/bjp.bp.116.193862] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Revised: 09/27/2016] [Accepted: 09/28/2016] [Indexed: 11/23/2022]
Abstract
BackgroundThere is a need for clinical tools to identify cultural issues in diagnostic assessment.AimsTo assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice.MethodMixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. The duration of CFI administration and the full diagnostic session were monitored.ResultsMixed-methods data from 318 patients and 75 clinicians found the CFI feasible, acceptable and useful. Clinician feasibility ratings were significantly lower than patient ratings and other clinician-assessed outcomes. After administering one CFI, however, clinician feasibility ratings improved significantly and subsequent interviews required less time.ConclusionsThe CFI was included in DSM-5 as a feasible, acceptable and useful cultural assessment tool.
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Affiliation(s)
- Roberto Lewis-Fernández
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Neil Krishan Aggarwal
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Peter C Lam
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Hanga Galfalvy
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Mitchell G Weiss
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Laurence J Kirmayer
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Vasudeo Paralikar
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Smita N Deshpande
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Esperanza Díaz
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Andel V Nicasio
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Marit Boiler
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Renato D Alarcón
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Hans Rohlof
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Simon Groen
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Rob C J van Dijk
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Sushrut Jadhav
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Sanjeev Sarmukaddam
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - David Ndetei
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Monica Z Scalco
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Kavoos Bassiri
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Sergio Aguilar-Gaxiola
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Hendry Ton
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Joseph Westermeyer
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
| | - Johann M Vega-Dienstmaier
- Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD, MBA, MA, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Peter C. Lam, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Hanga Galfalvy, PhD, Departments of Psychiatry and Biostatistics, Columbia University and Division of Biostatistics, New York State Psychiatric Institute, New York, New York, USA; Mitchell G. Weiss, MD, PhD, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Basel Switzerland; Laurence J. Kirmayer, MD, Division of Social & Transcultural Psychiatry, McGill University and Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada; Vasudeo Paralikar, MBBS, MD, PhD, Psychiatry Unit, King Edward Memorial Hospital, Pune, India; Smita N. Deshpande, MD, DPM, Department of Psychiatry, Post-Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India; Esperanza Díaz, MD, Department of Psychiatry, Yale University, New Haven, Connecticut, USA; Andel V. Nicasio, MSEd, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Marit Boiler, MPH, New York State Center of Excellence for Cultural Competence at the New York State Psychiatric Institute, New York, New York, USA; Renato D. Alarcón, MD, MPH, Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA and Universidad Peruana Cayetano Heredia, Lima, Peru; Hans Rohlof, MD, Centrum '45, Oegstgeest, the Netherlands; Simon Groen, MA, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands and De Evenaar Centre for Transcultural Psychiatry, GGZ Drenthe Mental Health Care, Assen, The Netherlands; Rob C. J. van Dijk, MSc, Parnassia Psychiatric Institute, The Hague, The Netherlands; Sushrut Jadhav, MBBS, MD, MRCPsych, PhD, Division of Psychiatry, University College London, London, UK; Sanjeev Sarmukaddam, PhD, Department of Biostatistics, Maharashtra Institute of Mental Health, Sassoon Govt. Hospital Campus, Pune, India; David Ndetei, MBChB, DPM, MRCPsych, FRCPsych, MD, DSc, Department of Psychiatry, University of Nairobi and Africa Mental Health Foundation, Nairobi, Kenya; Monica Z. Scalco, MD, PhD, Department of Psychiatry, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada; Kavoos Bassiri, MS, LMFT, LPCC, CGP, Richmond Area Multi-Services Inc. and Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA; Sergio Aguilar-Gaxiola, MD, PhD, Department of Internal Medicine and Center for Reducing Health Disparities, University of California, Davis, Sacramento, California, USA; Hendry Ton, MD, MS, Department of Psychiatry and Behavioral Sciences and Center for Reducing Health Disparities, University of California, Davis and Asian Pacific Community Counseling-Transcultural Wellness Center, Sacramento, California, USA; Joseph Westermeyer, MD, PhD, Department of Psychiatry, University of Minnesota and Minneapolis VA Medical Center, Minneapolis, Minnesota, USA; Johann M. Vega-Dienstmaier, MD, Department of Psychiatry, Universidad Peruana Cayetano Heredia and Hospital Nacional Cayetano Heredia, Lima, Peru
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