Health care organizations are beginning to recognize the importance
of cultural competence as it relates to efficiency, quality, and
equity in the delivery of care within a competitive health care
market, and Culture, Heritage, and Diversity in Older Adult Mental
Health Care is designed to train mental health clinicians to
deliver culturally sensitive care to an increasingly diverse
patient population. Projections indicate that 35% of patients older
than age 65 will be from a racial or ethnic minority group by 2050,
compared with 11% in 1970. Today's mental health practitioners
require knowledge, sensitivity, and an understanding of
institutionalized practices and systems that undermine their
patients' health and well-being. The term culture is multifaceted
and may refer to one's belief system, values, religion, race,
socioeconomic status, ethnicity, language, sexual orientation,
geographic location, educational level, age, occupational risks and
exposures, and gender. The authors of the book examine mental
health care through these lenses, teaching the reader about
implicit biases and potential miscommunication and offering
strategies for overcoming these difficulties. The editor, who has
worked in leadership positions overseeing veterans' mental health
services, has assembled an impressive and diverse roster of
contributors, each with specific expertise in his or her assigned
subject. • The ways in which cultural competency interacts with
the six Accreditation Council for Graduate Medical Education core
competencies are explored in detail. For example, in terms of
patient care, cultural competency plays an important role in
gathering subjective data about a patient that may ultimately
impact outcomes. Teaching methods to increase cultural sensitivity
and build skills in this area are highlighted, as are training
modalities and clinician evaluation. • The effects of migration
and acculturation on mental health are examined, providing
clinicians with several theoretical frameworks for understanding
the migratory experience in older adults and exploring psychosocial
factors associated with psychological risk in aging immigrants. •
Linguistic competence, defined broadly as effective communication
with individuals speaking a nondominant language, is an essential
component of culturally competent health care and is of particular
importance in mental health care. Accordingly, the authors analyze
linguistic competency in both administrative and clinical
encounters and present strategies for achieving mastery in this
critically important area. • The text provides an abundance of
tables and pedagogical features designed to enhance comprehension,
including learning objectives, key points, and study questions.
Cultural competence in health care systems is defined as the
ability to understand and integrate the features listed above into
the provision of health care services. Culture, Heritage, and
Diversity in Older Adult Mental Health Care prepares clinicians to
provide sensitive, high-quality, culturally competent care to
geriatric patients from diverse backgrounds and will prove
indispensable as patient demographics continue to change.
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