Culture, Primary Care, and Community Mental Health

Moffic, H. Steven; Cheney, Charles C.; Barrios, Francisco X.; Adams, George L.; Tristan, Michael P.; Gonzalez, Ignacio D.

doi:10.1080/00207411.1979.11448835

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…A new attempt at integrating mental health care into medicine requires certain leadership characteristics. Such a psychiatric leader needs to be able to understand the culture of medicine; have a reasonably good fund of medical knowledge; respect that patients may be more comfortable seeking psychiatric care in general medicine settings; gracefully accept that primary care doctors are currently paid more than psychiatrists for the same treatment; and find ways to overcome the reimbursement problems that impaired such previous efforts, as described by Moffic (1979). If that can be accomplished, as Sederer (2014) indicates has begun to happen in New York State, the potential ethical benefits for patient care are immense.…”

Section: Special Skills For Special Systemsmentioning

confidence: 99%

Ethical Leadership for Psychiatry

Moffic

Sabin

2014

Oxford Handbooks Online

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Solutions for the current challenges in mental health care worldwide require improved ethical leadership and administration. Though psychiatrists have the broadest training for stewardship, other disciplines and patient consumers provide their own potential. Business leadership and ethics also need consideration. How to meld the strengths and ethical principles of the various mental health care constituencies is a major global task, but one that can be met. Possible ethical ways to do so are to use emotional intelligence and a culture of compassionate love to prioritize the professional and personal needs of the staff, and to have more leadership provided by formerly disenfranchised prosumers and/or leaders from marginalized cultures. Those responsible for mental health care systems must include the representative viewpoints of all stakeholders. One country, the USA, is highlighted for what can be generalized to other countries, supplemented by some important differences found in other societies.

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Section: Special Skills For Special Systemsmentioning

confidence: 99%

Ethical Leadership for Psychiatry

Moffic

Sabin

2014

Oxford Handbooks Online

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“…Most public health facilities serve patients from a range of cultural backgrounds. Unfortunately, people from minority cultures tend to receive inferior treatment (Moffic et al, 1979), as the health system is geared mostly to cater for the mainstream cultural groups. Even in those countries where multiculturalism is the official policy, there are no signs or instructional materials in any but the mainstream languages.…”

Section: Culture and Healthmentioning

confidence: 99%

The ethics and conduct of cross‐cultural research in developing countries

Olweny

1994

Psycho-Oncology

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Bioethics is the study of moral problems as they relate to health‐care delivery. The Hippocratic Oath laid the foundation of medical ethics as we know it today. Advances in medical technology have moved attention away from traditional ethical concepts, which are now either taken for granted or have been accorded the back seat. Contemporary ethical issues that occupy the minds of ethicists include euthanasia, advance directives, in vitro fertilization, surrogate motherhood and transplantation. Some of these are of less concern in developing countries than in the developed world. In developing countries, the ethics of cross‐cultural research, the ethics of scarcity and sacrifice, and the activities and ethics of multinational companies assume far greater importance. This discussion will concentrate on the ethics and conduct of cross‐cultural research in developing countries. The other important topics of scarcity, sacrifice and multinational activity will be covered elsewhere. Culture is the integrated patterns of human knowledge, beliefs and behaviour of a given community. Culture provides individuals with their identity. To work effectively with people it is necessary to view the world from their perspective. This is particularly important when dealing with people from cultures different from one's own. The world is functionally shrinking and there is interdependence not only in the traditional areas of communication and information transfer but also in the economic, environmental, demographic and migration areas. The concept of ‘global health village’ has now become a reality. In the past, researchers seem to have been motivated to conduct studies in developing countries for a variety of reasons. Whereas some of these are laudable, others are of more dubious ethical implications. This article focuses on issues related to the structural design, process and outcome of such research. Anyone contemplating conducting research in developing countries, especially cross‐cultural research, must keep three main points in mind. In particular, the collective wisdom of both foreign and local investigators should be pooled to determine the appropriate research question(s) relevant to the needs of the target population. If human subjects are required for the study, ethical obligations based on the principle of respect for the person and respect for the autonomy of study subject must prevail. Finally constant checks and balances must be in place to ensure benefit of the research, not only to science and society but to individual subjects as well.

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Sociocultural guidelines for clinicians in multicultural settings

1983

Psych Quart

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With the increasing cultural pluralism of the United States, clinicians are more likely to encounter patients from a variety of sociocultural backgrounds. Since this background influences the presentation of disorders and response to treatment, it behooves clinicians to possess guidelines for culturally appropriate practice. The answer is not necessarily in detailed knowledge of specific cultures. Rather, as clinicians we need to know how to consider language variations, the culture of our patients, and our own cultural backgrounds. Sensitivity to such issues may enhance the treatment of all patients.

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Culture, Primary Care, and Community Mental Health

Cited by 4 publications

References 17 publications

Ethical Leadership for Psychiatry

Ethical Leadership for Psychiatry

The ethics and conduct of cross‐cultural research in developing countries

Sociocultural guidelines for clinicians in multicultural settings

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