Working with my field supervisor I noticed that she is aware of the cultural diversity of the population that receives mental health therapy at Rincon Family Services. Everyone is different. Consequently, the mental health services that are provided in this facility, are targeted to the Hispanic population, the African-American and also the Caucasian population. During the session with a Hispanic client our empathy and personal awareness about how her culture, family traditions, her parent’s education, and the influence from her peers motivated her to break the relationship with her family, was always present when assessing her case. The client reported, she broke the rules and norms of her family when she started running away from home, having
The decision between the Therapist and Latino client is a remarkable example of the importance of being sensitize and culturally competent. The therapist appeared to have inadvertently added to the client’s stress which potentially negatively affect the worker-client relationship as well as the intervention process. My initial response to the dialog was that of confusion. Although I tried to empathize with the counselor’s method of getting the young lady to take responsibility for her actions. I totally disagreed with his lack of insensitivity to the client’s indirect message. The young lady was trying to convey her feelings about her experiences as a Latino woman. He did not take inconsideration that although humans often have similar stories.
3. Differences in values and beliefs define a person's choice for mental and physical health care. “Because health care is a cultural construct, arising from beliefs about the nature of disease and the human body, cultural issues are actually central in the delivery of health services treatment and preventive interventions” (Office of Minority Health, 2005, p. 6). It is important to acknowledge that Esmeralda fits into two categories of minority because Esmeralda is a Latina. It is important to know that Hispanic women are less likely to make full use of many social services even when they are provided to them. Hispanics normally are family oriented and that means Esmeralda will probably want to involve her family in any treatment program she
In all psychological and biological assessment, the use of culturally attuned assessments is top priority. “We may define culturally informed psychological assessment as an approach to evaluation that is keenly perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other culture-related variables as they may impact the evaluation process or the interpretation of resulting data” (Cohen, Swerdlik, & Sturman, 2013). Through this process key individuals contribute to the understanding of the client including family, friends, and coworkers input and information. Through the use of translators and other cultural affiliates clinicians are able to demonstrate a clearer understanding, a culturally applicable assessment, and ensure that the client understands the ins and outs of the assessment process. One important aspect of the implementation of the “one size fits all approach” to culturally attuned treatment and care in our mental health facilities (Cohen, Swerdlik, & Sturman, 2013). Assessment and clinical evaluations should not be a cookie cutter experience. The amount of patients that are
These health disparities are persistent and need to be addressed in order to reduce the disparities and improving the health industry. Correspondingly, many Latinx suffer from poor quality of mental health care, therefore, are discouraged to seek for treatment. In particular, many LGBTQI Latinx and Latinx in general receive, “negative experiences, related to language barriers, discrimination, or poor treatment, impact a person’s confidence in the ability of services to meet their needs (Rastogi, 2012). This emphasizes on the fact, that structural and cultural competency is needed in order to fix these gaps in the health industry and supply a marginalized population with appropriate mental health care in order to help improve health outcomes and quality of care which will eliminate the racial-ethnic gap in the health sector and reduce the linguistic and cultural barriers of patient care. Thus, health provider, physicians, and hospitals are required to become culturally competent in order to improve the quality of care of a growing population with distinct needs. Additionally, there are structural barriers that reduce the amount of LGBTQI Latinx utilizing mental health services. For instance, “Latinos who come from low socioeconomic backgrounds are at higher risk for
The importance of a cross-cultural understanding in Psychology is imperative to successful care and assistance of mental health. Understanding and acknowledging the complexities of different cultures is the beginning of a more informed approach to mental health. Cultural factors and questions play a fundamental role, however, simply acknowledging cultural differences does not necessarily provide the best individual help. Thus, a combination of cultural, demographic and individual factors are crucial initial steps to specific individual assistance. Treating individuals in context can help discern deviations from cultural factors and norms. Therefore an approach which recognises that both culture and specificity to the client is most effective. Knowing someone’s background can be fundamental to clinical help but could also reinforce cultural stereotypes, this overly simplistic view could be detrimental to treatment. Throughout this essay the impact of culture on mental health will be examined, and how the health care provider and client mediate a relationship to produce the most effective results.
Latinos have a strong culture, as well as a religious culture. Some believe many problems may be fixed with prayer as well as with traditional healers (Alegria et al. 2008a; Berenzon-Gorn 2006; Espin 1987 as cited in Lorenzo-Blanco, & Delva, 2012). They have a lot of faith in religious ceremonies and home remedies before seeking professional help. Latinos seek help with family members before anyone professional (Bermúdez, Kirkpatrick, Hecker, & Torres-Robles, 2010). Latinos most of the time have a big family size, and are always really close. Seeking help with family members, they believe will be more help if the family member has had a similar situation, and they believe their advice can help. Although Latinos don’t always seek professional help, they prefer family therapy (Szapocznik et al. 1989 as cited in Bermúdez, Kirkpatrick, Hecker, & Torres-Robles, 2010). Some prefer to work out their issue together as a family. Overall, when Latinos ask for help, they go to priests, psychiatrists, counselor, and therapists (Bermúdez, Kirkpatrick, Hecker, & Torres-Robles, 2010).
The Sanchez family is a large family that is in need of social services. Each family member has their own needs that are influenced by their culture and environment. It’s important to understand a person or system, their environment, and how they interact; the following examines the
According to the popular media report issued by CNN, latinos in general, have been struggling to find help for mental health issues amongst their ever growing population (Rodriguez, 2013). Even though Obamacare ensures affordable healthcare for 6 million latinos, it’s still not enough for the hispanic community who are suffering from mental illness to seek help (Rodriguez, 2013). The major fear in the latino community is the fact of being stigmatized when obtaining help from mental institutions and services (Rodriguez, 2013). Therefore, many community members refuse to seek help and the mental illnesses go unnoticed. And even when the mental illness are acknowledged, latinos are known for asking extended family members, the community, church leaders, and spiritual healers for help and treatment instead of admitting themselves at hospitals (Rodriguez, 2013). Many latinos feel apprehensive towards mental illnesses and therefore, searching for help seems like such a taboo in the community. Moreover, according to the National Resource Center for Hispanic Mental Health, Hispanics are a high-risk group for depression, substance abuse and anxiety. About 1 in every 7 Latinos has attempted suicide (Rodriguez, 2013). Therefore, this puts them more at risk because of the lack of efficient treatment and care for people suffering with mental illnesses in their community especially in this generation. Furthemore, many elderly Latinos in the population find this acculturation overwhelming
Due to a clinicians’ lack of understanding of Hispanic culture, feelings of alienation can result from the patient. Family and social structures are different in Hispanic culture, whereas “professional help may not be sought due to Hispanics considering substance abuse a family problem” (Reif, Horgan & Ritter, 2008). In Hispanic culture it is perceived that family issues remain in the family, thus outside help is frowned upon. When treating clients from this population, clinicians need to include the whole family in the treatment plan and to respect family
There are a number of cultural issues to consider when counseling a student who is Hispanic. A traditional Hispanic family is a close-knit group. The father is the head of the household and the mother is responsible for the home. He also may act as the final disciplinarian of the children. In Isabella’s case, her father has been deported. Given the uncertainty associated with deportation, the family unit is going through a very stressful time. If the father was the sole provider of the family, the family may enter into discussions about returning to Mexico. This may be one of the main reasons for Isabella’s anxiety.
This is a narrative of one Mexican American woman’s experiences and her views on the importance of passing down the cultural beliefs of her ancestors. In the section of the country in which I live there is a large population within the community of Mexican American culture. Although I have frequent contact with people of Mexican American heritage either through employment or interaction out in the community, I have a limited understanding of their culture. For this reason, I chose to learn more about the population of people I have frequent contact with and as a professional work with as clients in the field of mental health counseling. The quest of finding someone knowledgeable to discuss the population, their cultural background and some of their necessities, as well as some past experiences, led me towards contacting a church. This took calling two different churches before the person at the second church informed me that I needed to speak with, Mrs. Socorro Garcia head of their Hispanic Ministries. Unfortunately, Mrs. Garcia was on vacation when I called, but I was able to speak with her over the phone the following week, setting up an interview in person at her office a couple days later. This was a relief because I was becoming concerned about locating someone for a personal interview.
In a multicultural counseling perspective there are four key approaches when counseling individuals, (a) multicultural awareness of culturally learned assumptions about self and others leading to accurate assessments of clients, (b) multicultural knowledge of information, (c) multicultural skills and interventions, that are appropriate treating clients, and (d) individuals are from a variety of backgrounds, demographic status, and affiliation of cultures. The three-stage approach, will direct the counselor towards levels of multicultural competence in therapy by providing a successful outcome in the recovery process. When conducting a psychotherapy session with a client the counselor should be able to demonstrate skills, when exploring the client’s cultural background. Counselors should also be able to focus on the essential skills and pattern behaviors, when identifying cultural differences. Counseling a minority from a different culture counselors’ must be able to identify their own personal behaviors. These behaviors are crucial when counseling these individuals. First, a counselor must be able to sense the clients’ viewpoint or issue in some way. Secondly, a counselor should be specific when asking a question rather than being unclear and confusing.
As a result, it is imperative to take a look at current and historical oppressions that a client experience by being part of a minority social group or a group that does not conform to popular culture (Aviera, 2002). These oppressions will offer me a deeper insight into the source of challenges that a client faces. By merely looking at the individual without considering these oppressions, I could fail to determine what drives him to experience life the way that he does. Therefore, in order to build a practice that is useful to a different set of cultures, keeping in mind significant experiences encountered as a collective is fundamental in cultivating effective cross-cultural counseling
Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities
While gender and ethnicity may be the more apparent cultural features other things are important also, which include sexual orientation, spiritual or religious practices, political aspects, and general philosophy of life are all cultural elements that need to be incorporated into interventions and treatment options” (Cummins et al., 2012, p.237). In addition, it is important for the social worker to have cultural knowledge because it is necessary for selecting the appropriate intervention and treatment methods for that client. Furthermore, the appropriate multidimensional assessment provides the social worker with the internal culture of the client such as cognitive abilities or limitations, emotional health, and emotional responses and