Dialog Across Cultures: Therapy for Diverse Families

Neha Sharma; Margaret Cary; Nayla M Khoury; Khalid I Afzal; Deepika Shaligram; Rakin Hoq; Erin L Belfort; John Sargent

doi:10.1016/j.chc.2022.05.002

Dialog Across Cultures: Therapy for Diverse Families

Child Adolesc Psychiatr Clin N Am. 2022 Oct;31(4):603-614. doi: 10.1016/j.chc.2022.05.002. Epub 2022 Sep 7.

Authors

Neha Sharma¹, Margaret Cary², Nayla M Khoury³, Khalid I Afzal⁴, Deepika Shaligram⁵, Rakin Hoq⁶, Erin L Belfort⁷, John Sargent⁸

Affiliations

¹ Tufts University School of Medicine, Tufts Medical Center, 800 Washington Street #1007, Boston, MA 02111, USA. Electronic address: nsharma@tuftsmedicalcenter.org.
² Oregon Health Authority and Yellowhawk Tribal Health Center, Confederated Tribes of the Umatilla, 800 Northeast Oregon Street, Portland, OR 97232, USA.
³ Department of Psychiatry, SUNY Upstate Medical University, 713 Harrison Street, Syracuse, NY 13210, USA.
⁴ Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL 60457, USA.
⁵ Department of Psychiatry & Behavioral Sciences, Boston Children's Hospital/Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
⁶ NYU School of Medicine, Hassenfeld Children's Hospital at NYU Langone, 1 Park Avenue, 7th Floor, New York, NY 10016, USA.
⁷ Tufts University School of Medicine, Maine Medical Center, 66 Bramhall Street, Portland, ME 04102, USA.
⁸ Tufts University School of Medicine, Tufts Medical Center, 800 Washington Street #1007, Boston, MA 02111, USA.

PMID: 36182213
DOI: 10.1016/j.chc.2022.05.002

Abstract

Child and adolescent psychiatrists (CAPs) work at the intersections of families, cultures, and systems, which affect engagement in care, assessment, and treatment planning. There are several practical strategies that CAPs can apply to practice cultural humility, to join with families, to facilitate difficult conversations and to work through misalignment. Culturally inclusive family-based care can promote greater understanding and lead to stronger outcomes with families as well as help mitigate mental health impact of structural racism and social inequities.

Keywords: Acculturation; Cultural factors; Cultural humility; Diverse families; Family-based care; Mental health.

Publication types

Review

MeSH terms

Adolescent
Child
Delivery of Health Care
Family*
Humans
Psychiatry*