Sociocultural Issues in Psychiatry

A Casebook and Curriculum

Edited by Nhi-Ha T. Trinh and Justin A. Chen

Focuses on the theoretical underpinnings of cultural psychiatry and developing in clinicians the ability to translate theory into practice across contexts and populations
Features case studies with diverse populations that apply to clinical scenarios
Provides guidance on how to develop continuing education curricula

Sociocultural Issues in Psychiatry

A Casebook and Curriculum

Edited by Nhi-Ha T. Trinh and Justin A. Chen

Description

As the demographics shift within the US population, the importance of culture on mental health diagnosis and treatment has become critical for education and clinical training in psychiatry. While it's impossible to gain an in-depth understanding of every culture, clinicians need to have the skills and knowledge required to provide culturally respectful care for an increasingly diverse clinical population. By explaining fundamental concepts in cultural psychiatry using a case-based format, clinicians and educators in the mental health fields will be able to reduce cultural clashes and unproductive clinical encounters. Although similar books have focused on providing guidelines for working with discrete populations (e.g., African Americans, Asian Americans, LGBTQ), the purpose of Sociocultural Issues in Psychiatry is to enhance clinicians' knowledge and skills by translating theory into practice across diverse patient populations and clinical contexts. Mental health clinicians at all levels, trainees, or practitioners, will benefit from the content and education provided in this book.

Sociocultural Issues in Psychiatry

A Casebook and Curriculum

Edited by Nhi-Ha T. Trinh and Justin A. Chen

Foreword

1. Introduction to Sociocultural Psychiatry
2. Culture as a Multidimensional Construct
3. Culture in the DSM-5
4. Global Psychiatric Epidemiology
5. Social Determinants of Psychiatric Illness
6. Psychiatry and Its Checkered Past: Perspectives on Current Practice
7. Minority Stress Theory and Internalized Prejudice: Links to Clinical Psychiatric Practice
8. Identifying and Working with Diverse Explanatory Models of Mental illness
9. Religion and Spirituality in Psychiatric Care: An Experiential Seminar Model Addressing Barriers to Discussing Religion and Spirituality
10. Gender and Sexuality: Shame and Safety in the Psychiatric Encounter
11. Implicit Bias in Mental Health Care
12. Responding to Patients' Provider Preferences
13. Navigating Cultural Challenges in Patient-Clinician Dyads
14. Teaching Sociocultural Psychiatry Throughout the Lifespan

Sociocultural Issues in Psychiatry

A Casebook and Curriculum

Edited by Nhi-Ha T. Trinh and Justin A. Chen

Author Information

Nhi-Ha Trinh, MD, MPH, serves as the Director for the MGH Department of Psychiatry Center for Diversity as well as the Director of Multicultural Studies and the Director of Clinical Services at the MGH Depression Clinical and Research Program. As Assistant Professor of Psychiatry at Harvard Medical School and Associate Director, HMS Holmes Society, she is committed to medical student and psychiatry resident education and mentorship. Her academic work focuses on Sociocultural issues in psychiatry and she shares her passion for this topic as course Co-Director of the MGH/McLean Residency Sociocultural Curriculum. Dr. Trinh earned her medical degree at the University of California, San Francisco, and her Master of Public Health at the University of California at Berkeley, specializing in Epidemiology. She completed residency training in Adult Psychiatry at the Mass General/McLean Adult Psychiatry Training Program and a fellowship in Geriatric Psychiatry at McLean Hospital.

Justin A. Chen, MD, MPH, is Medical Director of Ambulatory Psychiatry and Co-Director of Primary Care Psychiatry at Massachusetts General Hospital. His interests include cross-cultural psychiatry, stigma, racial/ethnic disparities in mental health service utilization, and medical education. He has regularly chaired symposia related to these topics at annual meetings of the American Psychiatric Association and the Society for the Study of Psychiatry and Culture. He is dedicated to teaching and mentorship, serving as Associate Director of Medical Student Education in Psychiatry at Harvard Medical School, as a Training Mentor and Co-Director of the longitudinal Sociocultural Psychiatry curriculum for MGH/McLean psychiatry residents, and as an Assistant Professor at Harvard Medical School. As Executive Director and Co-Founder of the MGH Center for Cross-Cultural Student Emotional Wellness, a nonprofit consortium of clinicians, educators and researchers, he delivers talks and trainings for families, clinicians, and educators throughout the United States on promoting the emotional health and psychological resilience of diverse student populations. Dr. Chen received his undergraduate and medical degrees from Yale University. He completed his residency in adult psychiatry at MGH/McLean followed by a Master of Public Health degree in Clinical Effectiveness at the Harvard-T.H. Chan School of Public Health and a Dupont-Warren Research Fellowship focused on improving engagement of depressed Chinese immigrants into mental health care at South Cove Community Health Center.

Contributors:

Gowri G. Aragam, MD
Resident, Adult Psychiatry
Adult Psychiatry Residency Training Program
Massachusetts General Hospital/ McLean Hospital (MGH/McLean)
Boston, Massachusetts

Tony B. Benning, MBChB, MSC, PGDIP, MRCPsych (UK), FRCPC,PhD
Clinical Instructor in Psychiatry
Department of Medicine
University of British Columbia
Consultant Psychiatrist
Maple Ridge Mental Health Center and
Ridge Meadows Hospital
Vancouver, British Columbia, Canada

Justin A. Chen, MD, MPH
Assistant Professor of Psychiatry
Harvard Medical School
Medical Director, Ambulatory Psychiatry Services
Massachusetts General Hospital
Boston, Massachusetts

Chun-Yi Joey Cheung, BS
Research Coordinator
Depression Clinical and Research Program
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Christine Crawford, MD, MPH Fellow
Child and Adolescent Psychiatry Division of Child and Adolescent Psychiatry
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Andrew Cruz, MD
Resident, Adult Psychiatry
Adult Psychiatry Residency Training Program
Massachusetts General Hospital/ McLean Hospital (MGH/McLean)
Boston, Massachusetts

Jiaying Ding, MDiv
Graduate Student
Harvard Divinity School
Cambridge, Massachusetts

Erin C. Dunn, ScD, MPH
Assistant Professor of Psychiatry
Harvard Medical School
Psychiatric and Neurodevelopmental Genetics Unit
Center for Genomic Medicine
Massachusetts General Hospital
Boston, Massachusetts

Anne Emmerich, MD
Instructor of Psychiatry
Harvard Medical School
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Andrea S. Heberlein, PhD
Senior Lecturer
Boston College
Chestnut Hill, Massachusetts

Esther Howe, BA
Program Coordinator
Depression Clinical and Research Program
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Josepha A. Immanuel, MD
Clinical Faculty
Baylor College of Medicine
Child, Adolescent and Adult Psychiatrist
Legacy Community Health
Houston, Texas

David Shumway Jones, MD, PhD
A. Bernard Ackerman Professor of the Culture of Medicine
Harvard University
Cambridge, Massachusetts

Maya Nauphal, BA
Research Coordinator
Depression Clinical and Research Program
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Kristen Nishimi, MPH
PhD Candidate
Department of Social and Behavioral Sciences
Harvard T.H. Chan School of Public Health
Psychiatric and Neurodevelopmental Genetics Unit
Center for Genomic Medicine
Massachusetts General Hospital
Boston, Massachusetts

Siobhan M. O'Neill, MD
Assistant Professor
Department of Psychiatry
Massachusetts General Hospital
Harvard Medical School
Boston, Massachusetts

Michaela Owusu, MD, MSc
Fellow, Child and Adolescent Psychiatry
Division of Child and Adolescent Psychiatry
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Christopher M. Palmer, MD
Assistant Professor of Psychiatry
Harvard Medical School
Director, Department of Postgraduate and Continuing Education
McLean Hospital
Belmont, Massachusetts

Ranna Parekh, MD, MPH
Deputy Medical Director
Director, Diversity and Health Equity
American Psychiatric Association
Washington, DC

Maria C. Prom, MD
Resident, Adult Psychiatry
Adult Psychiatry Residency Training Program
Massachusetts General Hospital/ McLean Hospital (MGH/McLean)
Boston, Massachusetts

Judith Puckett, MD
Resident, Adult Psychiatry
Adult Psychiatry Residency Training Program
Massachusetts General Hospital/ McLean Hospital (MGH/McLean)
Boston, Massachusetts

Kimberly L. Reynolds, MD
Assistant Professor of Clinical Pediatrics
University of Miami Miller School of Medicine
Pediatric Hospitalist
Holtz Children's Hospital at Jackson
Memorial Medical Center
Miami, Florida

Kira Knight Rodriguez, MD, MS
Association of University Centers on Disabilities (AUCD)
Diversity Fellow, Mailman Center for Child Development
University of Miami Miller School of Medicine
Miami, Florida

Loucresie Rupert, MD
Medical Director of Psychiatry
Winona Health
Adult, Child and Adolescent Psychiatrist
Insightful Consultant, LLC
Winona, Minnesota

Lisa Sangermano, BA
Research Coordinator
Depression Clinical and Research Program
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Priya Sehgal, MD, MA
Child and Adolescent Psychiatry Fellow
Cambridge Health Alliance
Harvard Medical School
Cambridge, Massachusetts

Maya Son,MD
Resident, Adult Psychiatry
Adult Psychiatry Residency Training Program
Massachusetts General Hospital/ McLean Hospital (MGR/McLean)
Boston, Massachusetts

Leslie Tarver, MD, MPH
Resident, Adult Psychiatry
Adult Psychiatry Residency Training Program
Massachusetts General Hospital/ McLean Hospital (MGR/McLean)
Boston, Massachusetts

Julianne Torrence, LICSW
Director
Department of Performance and Quality Improvement
Connecticut Junior Republic
Litchfield, Connecticut

Nhi-Ha T. Trinh, MD, MPH
Assistant Professor of Psychiatry
Harvard Medical School
Director, Psychiatry Center for Diversity
Director of Multicultural Studies and of Clinical Services
Depression Clinical and Research Program
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Alexander C. Tsai, MD, PhD
Associate Professor of Psychiatry
Harvard Medical School
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Sociocultural Issues in Psychiatry

A Casebook and Curriculum

Edited by Nhi-Ha T. Trinh and Justin A. Chen

Reviews and Awards

"This is a high-quality book that discusses a topic that is underrepresented in mental healthcare. To my knowledge, there are few books that provide a comprehensive review of sociocultural issues in mental health. The best aspects of this book stem from the fact that it is written by experts in the field. The flow of the chapters is intuitive and linear, which makes the book easy to follow. The use of extensive references and resources makes it easy to access further reading." -- Chad R Percifield, Doodys