Abstract
This chapter addresses cultural consultation in child psychiatry. The mental health needs of immigrant and refugee youth are outlined, and different models of mental health services for immigrant and refugee children and their families are described. The work of two transcultural child psychiatric teams, one in Canada and one in France, are presented in order to illustrate the practice of transcultural child psychiatry. The aim is to outline practical strategies for consultation and intervention, and also to show how specific institutional, social and political contexts influence how clinicians address issues associated with minority status and culture in their cultural consultation work. The chapter concludes with some reflections on how sociocultural context influences the practice of transcultural child psychiatry in these two models of care.
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References
Agence de la santé et des services sociaux de Montréal. (2011). Banque interrégionale d’interprètes 2010–2011. Retrieved December 15, 2012, from http://publications.santemontreal.qc.ca/uploads/tx_asssmpublications/isbn978-2-89510-624-1.pdf
American Psychological Association. (2010). Resilience and recovery after war: Refugee children and families in the United States. Retrieved September 2012, from, http://www.apa.org/pi/families/refugees.aspx
Attanayake, V., McKay, R., Joffres, M., Singh, S., Burkle, F., Jr., & Mills, E. (2009). Prevalence of mental disorders among children exposed to war: A systematic review of 7,920 children. Medicine Conflict and Survival, 25, 4–19.
Bagilishya, D. (2000). Mourning and recovery from trauma: In Rwanda, tears flow within. Transcultural Psychiatry, 37(3), 337–354.
Beiser, M., Dion, R., Gotowiec, A., Hyman, I., & Vu, N. (1995). Immigrant and refugee children in Canada. Canadian Journal of Psychiatry, 40(2), 67–72.
Beiser, M., Hou, F., Hyman, I., & Tousignant, M. (2002). Poverty, family process, and the mental health of immigrant children in Canada. American Journal of Public Health, 92(2), 220–227.
Citizenship and Immigration Canada. (2005). Recent immigrants in metropolitan areas: Montreal—A comparative profile based on the 2001 census. Retrieved December 15, 2012, from http://www.cic.gc.ca/english/resources/research/census2001/montreal/partb.asp#b1
Clarke, H. (1993). The Montreal Children’s Hospital: A hospital response to cultural diversity. In R. Masi, L. Mensah, & K. A. McLeod (Eds.), Health and cultures: Exploring the relationships, policies, professional practice and education (pp. 47–61). Oakville, Ontario, Canada: Mosaic Press.
Corin, E. (1997). Playing with limits: Tobie Nathan’s evolving paradigm in ethnopsychiatry. Transcultural Psychiatry, 34(3), 345–358.
Crépeau, F., & Jimenez, E. (2004). Foreigners and the right to justice in the aftermath of 9/11. International Journal of Law and Psychiatry, 27, 609–626.
DeAntiss, H., Ziaian, T., Procter, N., et al. (2009). Help-seeking for mental health problems in young refugees: A review of the literature with implications for policy, practice and research. Transcultural Psychiatry, 46, 584–607.
DePlaen, S., Alain, N., Rousseau, C., Chiasson, M., Lynch, A., Elejalde, A., et al. (2005). Mieux travailler en situations cliniques complexes: L’expérience des séminaires transculturels institutionels. Santé Mentale au Québec, 30(2), 281–299.
Devereux, G. (1985). Ethnopsychanalyse complementariste. Paris, France: Flammarion.
Fassin, D., & Rechtman, R. (2005). An anthropological hybrid: The pragmatic arrangement of universalism and culturalism in French mental health. Transcultural Psychiatry, 42(3), 347–366.
Fazel, M., Doll, H., & Stein, A. (2009). A school-based mental health intervention for refugee children: An exploratory study. Clinical Child Psychology and Psychiatry, 14, 297–309.
Fazel, M., Reed, R. V., Panter-Brick, C., & Stein, A. (2012). Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors. The Lancet, 379, 266–282.
Geltman, P. L., Grant-Knight, W., Ellis, H., & Landgraf, J. M. (2008). The “lost boys” of Sudan: Use of health services and functional health outcomes of unaccompanied refugee minors resettled in the U.S. Journal of Immigrant and Minority Health, 10, 389–396.
Heusch, N. (1998). Cheminer en art-thérapie avec des immigrants d’origine russe. PRISME, 8(3), 160–182.
Howard, M., & Hodes, M. (2000). Psychopathology, adversity and service utilization of young refugees. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 368–377.
Inter-Agency Standing Committee. (2007). IASC guidelines on mental health and psychosocial support in emergency settings. Retrieved September 2012, from http://www.humanitarian.info.org/iasc/
Jaycox, L. H., Stein, B. D., Kataoka, S. H., Wong, M., Fink, A., Escudero, P., et al. (2002). Violence exposure, posttraumatic stress disorder and depressive symptoms among recent immigrant schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 41(9), 1104–1110.
Kirmayer, L., Narasiah, L., Muñoz, M., Rashid, M., Ryder, A., Guzder, J., et al. (2011). Common mental health problems in immigrants and refugees: General approach to the patient in primary care. Canadian Medical Association Journal, 183(12), E959–E967.
Kirmayer, L. J., Weinfeld, M., Burgos, G., Galbaud du Fort, G., Lasry, J.-C., & Young, A. (2007). Use of health care services for psychological distress by immigrants in an urban multicultural milieu. Canadian Journal of Psychiatry, 52(4), 61–70.
Kleinman, A. M. (1980). Patients and healers in the context of culture. Berkeley, CA: University of California Press.
Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88(2), 251–258.
Lacroix, L. (1998). Revendication de l’identité chez une fillette sud-américaine adoptée: une démarche par l’art-thérapie. PRISME, 8(3), 150–159.
Lee, Y. M., Shin, O. J., & Lim, M. H. (2012). The psychological problems of North Korean adolescent refugees living in South Korea. Psychiatry Investigation., 9, 217–222.
McDonald, J. T., & Kennedy, S. (2004). Insights into the ‘healthy immigrant effect’: Health status and health service use of immigrants to Canada. Social Science & Medicine, 59(8), 1613–1627.
Measham, T., Guzder, J., Rousseau, C., & Nadeau, L. (2010). Cultural considerations in child and adolescent psychiatry. Psychiatric Times. Retrieved December 15, 2012, from http://www.psychiatrictimes.com/display/article/101681/1508374
Measham, T., Nadeau, L., Rousseau, C., Bagilishya, D., Foxen, P., Heusch, N., et al. (2001). The Montreal Children’s Hospital’s transcultural child psychiatry clinic: A unique clientele and a diversity of clinical interventions. In L. J. Kirmayer, C. Rousseau, E. Rosenberg, H. Clarke, J. Saucier, C. Sterlin, V. Jimenez, & E. Latimer (Eds.), Culture and mental health research unit report no. 11, development and evaluation of a cultural consultation service in mental health (pp. 1–10). Montreal, Quebec, Canada: Culture and Mental Health Research Unit, Jewish General Hospital. Appendix C1.
Measham, T., & Rousseau, C. (2010). Family disclosure of war trauma to children. Traumatology, 16(4), 85–96.
Measham, T., Rousseau, C., & Alain, N. (2003). La médiation: Articulation des espaces thérapeutique et politiques. In T. Baubet & M.-R. Moro (Eds.), Psychiatrie et migrations (pp. 195–202). Paris, France: Masson.
Montgomery, E. (2008). Long-term effects of organized violence on young middle eastern refugees’ mental health. Social Science & Medicine, 67, 1596–1603.
Montgomery, E. (2011). Trauma, exile and mental health in young refugees. Acta Psychiatrica Scandinavica Supplement, 440, 1–46.
Morgos, D., Worden, J. W., & Gupta, L. (2007). Psychosocial effects of war experiences among displaced children in southern Darfur. Omega, 56, 229–253.
Moro, M. R. (1994). Parents en exil. Psychopathologie et migrations (2002). Paris, France: PUF.
Moro, M. R., & De Pury Toumi, S. (1994). Essai d’analyse des processus interactifs de la traduction dans un entretien ethnopsychiatrique. Nouvelle Revue d’Ethnopsychiatrie, 25(26), 47–85.
Nathan, T. (1986). La folie des autres. Traité d’ethnopsychiatrie clinique. Paris, France: Dunod.
Nathan, T. (1994). L’influence qui guérit. Paris, France: Éditions Odile Jacob.
Rousseau, C. (1998). Se decéntrer pour cerner l’univers du possible: Penser de l’intervention en psychiatrie transculturelle. PRISME, 8(3), 20–36.
Rousseau, C., Benoit, M., Lacroix, L., & Gauthier, M. F. (2009). Evaluation of a sandplay program for preschoolers in a multiethnic neighborhood. Journal of Clinical Child Psychology and Psychiatry, 50, 743–750.
Rousseau, C. & Alain, N. (2003). Repenser la formation continue dans le réseau de la santé et des services sociaux: l”experiénce des seminaires interinstitutionnels en intervention transculturelle, Nouvelles Pratiques Sociales, 17(2):109–125.
Rousseau, C., & Drapeau, A. (2004). Premigration exposure to political violence among independent immigrants and its association with emotional distress. The Journal of Nervous and Mental Disease, 192(12), 852–856.
Rousseau, C., Drapeau, A., & Platt, R. (2000). Living conditions and emotional profiles of young Cambodians, Central Americans and Québécois youth. Canadian Journal of Psychiatry, 45, 905–911.
Rousseau, C., & Guzder, J. (2008). School-based prevention programs for refugee children. Child and Adolescent Psychiatric Clinics of North America, 17, 533–549.
Rousseau, C., Measham, T., & Nadeau, L. (2012). Addressing trauma in collaborative mental health care for refugee children. Clinical Child Psychology and Psychiatry, 18(1), 121–136.
Sévigny, D., Viau, A., & Rabhi, K. (2002). Portrait socioculturelle des élèves inscrits dans les écoles publiques de l’Île de Montréal: Inscriptions au 31 Septembre 2001. Montréal, Quebec, Canada: Conseil scolaire de l’Île de Montréal.
Stevens, W. J. M., & Vollebergh, W. A. M. (2008). Mental health in migrant children. Journal of Child Psychology and Psychiatry, 49(3), 276–294.
Streit, U. (1997). Nathan’s ethnopsychoanalytic therapy: Characteristics, discoveries and challenges to western psychotherapy. Transcultural Psychiatry, 34(3), 321–343.
Sturm, G. (2006). Listening to the “other” in transcultural therapies: Worldviews, idiomatic expressions of illness and the use of cultural representations in transcultural communication. In V. Lasch, U. Sonntag, & W. Freitag (Eds.), Gender, health and European cultures (pp. 22–34). Kassel, Germany: Kassel University Press.
Sturm, G., Nadig, M., & Moro, M. R. (2011). Current developments in French ethnopsychoanalysis. Transcultural Psychiatry, 48(3), 205–227.
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Measham, T., Heidenreich-Dutray, F., Rousseau, C., Nadeau, L. (2014). Cultural Consultation in Child Psychiatry. In: Kirmayer, L., Guzder, J., Rousseau, C. (eds) Cultural Consultation. International and Cultural Psychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7615-3_4
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