“Familism” and Privacy Concerns. Another core component of Latino culture is the concept of familism. It refers to “an individuals’s strong identification attachment, and loyalty to his or her family (Hovey & King, 1996). As mentioned before, it is shown that Latinos place a strong value of familism or devotion to his or her family. Because family relationships are very close and usually the main source of help for Latinos, they value the family’s opinion when it comes to seeking mental health assistance. In addition, they seek self-confidence and pride from family members.
While many Latinos value their privacy highly, they may be reluctant to share any mental health issues with people outside their family such as counselors, co-workers,
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They provide a greater tolerance for a family member with mental disorder than non-Latino families, which may prevent or delay these individuals in seeking treatment and may worsen their conditions over time (Kouyoumdjian, 2003). Similarly, people who are related to individual with mental illness are less likely to label an individual’s behavior as mentally ill because relatives try to “normalize” the behavior and explain it. The family only seek help of a psychiatrist when they can no longer deny the illness and behavior of the family member is at its worst (Townsend, 2015a, p.16). To put another way, because of the high value placed in families and their churches, Latinos may not see the value of employing mental health …show more content…
ensure her safety is to assess her suicidal ideations and safety environment, as well as her medication compliance. In addition, it would be appropriate to assess and address any cultural and spiritual needs the client has.
The patient’s plan of care for risk for injury and self-harm violence include the following:
• Assess for self-destructive ideas and behavior q shift. The trauma may result in feelings of hopelessness and worthlessness, leading to high risk for suicide.
• Evaluate the presence of support system once. The presence of a strong support system decreases the risk for suicide.
• Determine whether substance abuse is a factor once. The abuse of substances increases the risk of suicide.
• Stay with the client to offer support and provide a feeling of security as agitation grows prn.
• Administer medications as ordered by physician. (Townsend, 2015b).
The patient’s plan of care for ineffective management of therapeutic regimen regarding medication compliance includes:
• Assess the patient medication regimen once and before discharge. o Trazadone 100 mg orally q night (antidepressant) o Lithium 300 mg orally BID (mood stabilizer) o Gabapentin 400 mg orally TID (anti-epileptic) o Abilify 10 mg orally daily (antipsychotic) o Vistaril 100 mg orally QID
Foreign-born Hispanic parents are more likely to have difficulty exploring the variation of resources and communicating. Since, the Hispanic culture tends to be highly family oriented, placing great emphasis on sharing responsibilities. Therefore, customaries may change when extended family is no longer in the proximities. First generation families bring cultural values, traditions, education, and job skills to their new homeland, where it might not be applicable or resourceful anymore. Alternating life skills are challenging without language proficiency, formal training, and educational background, leaving parents ill-equipped. Consequently, limiting their access to better-paying jobs and encumbers their economic mobility, which can stunt their ability to secure or navigate towards beneficial coverage such as health care or
One of the limitations of this study was that it only explored two nationalities, and as Umaña-Taylor and Yazedjian indicate, “do not represent the vast diversity” in regards to ethnic heritage (2006). Another limitation cited was how the study gathered its participants; the study did not include any Latino mothers who were not involved in their community. The missing data of these inaccessible contributors could have provided a wider sample, although the challenge understandably would be how to correctly involve these peoples. Umaña-Taylor and Yazedjian mention the expansion of this study could include the experiences of how other ethnically diverse multi-generational families handle the problem of integrating traditional culture with newer generations
A safety plan may be developed for individuals whose pose a risk to themselves or to others. The guiding purpose of a safety plan is to provide individuals resources to redirect their actions. Plans may list detailed sets of particular strategies to use in an effort to decrease the person’s risk of self harm. Safety plans generally include coping strategies to be used by individuals in an effort to immunize their risks. The plan is generally viewed as a collaborative effort between the treatment provider and the client. A safety plan consists of a course of action for individuals whose patterns may prove harmful to them.
Mexican-American culture has been characterized as a family-focused, community-oriented culture. Even second and third-generation Mexican-Americans place a higher value upon their relationships with others versus personal autonomy, in contrast with the dominant values of the United States. Living in extended family situations, or being influenced by extended family is much more common in Mexican culture than in other cultures. The core values of Mexican culture are said to be "familismo, personalismo, and respeto. Familismo involves placing the family ahead of individual interests, living near extended family, making collective decisions that involve one or more members of the family, and feeling responsible for and obligated to the family...Personalismo involves the building and valuing of interpersonal relationships...Respeto refers to the high regard for family and community members, especially for authority figures and the elderly" (Neff, Brabeck, Kearney 2006).
Many Latinos already provide their own type of informal kinship/foster care to those in their families and communities. In Latino culture, family is highly valued. Being an active part of the family structure is seen as an essential piece to an individual’s identity (Olsen & Skogrand, 2009). Family members typically provide support for each other when needed and stress the importance of close relationships in overcoming obstacles (Olsen & Skogrand, 2009). Latinos also place importance on connections with extended family and community
Zayas et al. (2005) states “…familism reflects the centrality of the family in the institutional structure of Latin American societies and the governing role of the family in the individual’s life and behavior…emphasizes maintenance of family cohesion, obligation and intense attachment to relative, and primacy of the family in the individual’s self-identity and social world.” The adolescent Latina is taught that family is first and is the most important, playing a large role in their life. They must strive to help out the family as much, whenever they can whether this be financially or simply taking care of younger siblings, or elder family members. As a Latina coming from a Hispanic family, this rings true as the notion of helping the family was heavily enforced and emphasized not only in my own home, but in that of fellow Latino students. During high-school, many friends
Latino’s are non-affluent people with better health than the most affluent people, which was a question to America, thence the “Latino Paradox” was established in 1960. The Paradox shows that the U.S has very high levels of depression, and new Immigrants has very low levels of depression. The theory of the Latino Paradox was Mexican families stick together under hard circumstances, conditions and helped each other solve their problems (reason being they have such good health).
The mental health disparities for Latino families who are among the largest and fastest growing ethnic minority group in the United States ( Ennis, Rios-Vargas, & Albert, 2011), reinforces the importance in understanding risk factors that contribute to the high risk of mental health issues for this population (Lawton, Gerdes, 2014). Most research has focused on the relationship between acculturation and its impact on mental health status for Latinos’ living in the U.S, but findings continue to be controversial. A synthesis of current research demonstrates that limitations in attempting to explain vulnerability issues for Latinos’ incudes lack of consistency with measurement of acculturation, limited use
As I stared into my reflection, I began questioning my identity. I felt as though the world was was condemning me for not fitting society’s image of the “typical Latino”. I began to hang my head down in shame. I was apprehensive to show my culture because I would be ridiculed for not being Latino enough.
As a latino that means you are a part of the largest growing ethnic minority, an estimated 50% faster since 1990.2 This is primarily due to the significant rate of immigrations as well as an elevated fertility rate among latino’s. Additionally traditionally family is the most important social group among latinos, thus family ties are very strong. It is not uncommon when a member of the family travels to another city or country for other members of the family to join, thus comtributing to the overall population of latinos in America. Being latino means to have a closely weaved family, where each member has a moral obligation to help family members with any problems they are going through. According to Marcia Carteret, M. Ed.
According to the National Education Association (NEA), the Hispanic culture is one of the fastest growing culture groups in America (2016). “There are 41.8 million Hispanics in America, representing 14.2 percent of the U.S. population, with estimates for growth to nearly 20 percent by the year 2050” (NEA, 2016.papa.1). The Hispanic culture believes that their family is a very
Hispanics tend to have very close family ties. In times of trouble they turn to family members for support. They more often than not make decisions as a family and not as an individual. Family
Intervention/goals Risk for self-injury related to depression/psychosis as evidenced by previous suicide attempt and suicidal behavior. Patient will verbalize feelings; express decreased anxiety and anger
The Latina women in a study conducted by Hass also reported being battered in front of their children more frequently than the non-Latina women in the shelter. Latino families are less likely to discourage or put a stop to abuse within the family than members of non-Latino families. Some sort of summation of all 3 factors.
This week clinical I felt better prepared than I did with my first week. I was able to focus a lot more on interpersonal skills and develop therapeutic relationship with my patients. In terms of Mental Status Examination (MSE), this assessment provided me with a helpful base of information from which to observe changes, progress, and monitor risks. Especially, suicide risk assessment is a gateway to patient treatment and management. The purpose of suicide risk assessment is to identify treatable and modifiable risks and protective factors that inform the patient’s treatment and safety management requirements. I got insight into how important it is to document suicide risk assessments with sufficient information. Documentation of suicide risk assessments facilitates continuity of care and promotes communication between staff members across changing shifts. It is easy for suicidal patients to “fall through the cracks” of a busy psychiatric unit that has rapid patient turnover of admissions and discharges, and mostly during shift change. Asking question such as “What is your view of the future?” or “Do you think things will get better or worse?” helped me to elicit important information regarding patients suicidal ideation. Additionally, how my patients expressed their hope about the future assisted me to identify, prioritize, and integrate risk and protective factors into an overall assessment of the patient’s suicide risk and include in MSE.