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DSM-5 Outline for Cultural Formulation and Cultural Formulation Interview: Tools for Culturally Competent Care
Francis Lu, MD, DLFAPA
Kim Professor in Cultural Psychiatry, Emeritus, UC Davis
The definition and rationale for cultural competence will be presented. Rationales include 1) improved quality of care focusing on patient-centered care and equitable care, 2) ACGME accreditation standards for psychiatry residency training programs. Next, a road map to cultural issues in DSM-5 will be provided in all 3 sections and appendix of DSM-5. Finally, two tools for culturally competent care in DSM-5 will be presented: 1) Outline for Cultural Formulation and 2) Cultural Formulation Interview. It consists of patient and informant versions and 12 Supplemental Modules. These materials are relevant to the care of all patients, not just patients from minority racial/ethnic groups. Every patient has a cultural identity which interacts with the cultural identity of the clinician, so the cultural features of their relationship needs to be understood and utilized to provide optimal clinical care. Understanding the cultural concepts of distress as well as the cultural stressors and supports are needed for optimal differential diagnosis and treatment planning.
1. Define the 5 parts of the DSM-5 Outline for Cultural Formulation and apply it in clinical assessment of patients.
2. Cite the 16 questions of the DSM-5 Cultural Formulation Interview and apply it in clinical assessment of patients.
3. List the 12 Supplementary Modules of the DSM-5 Cultural Formulation Interview and apply them in the clinical assessment of patients.
The educational objective for Psychiatry Grand Rounds is to provide mental health professionals with updates on psychiatric topics with the goals of increasing knowledge, competence, and patient care. Psychiatry Grand Rounds are held on Wednesdays (September-May) from 12 to 1 p.m. Be sure to log into your CME account and complete the evaluation to receive credit.
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The University of Arizona College of Medicine – Tucson designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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