Advertisement

The Intercultural Psychiatric Program at Oregon Health and Science University

  • James K. BoehnleinEmail author
  • J. David Kinzie
  • Paul K. Leung
  • Margaret Cary
  • Keith Cheng
  • Behjat Sedighi
Chapter
  • 606 Downloads

Abstract

The Intercultural Psychiatric Program at Oregon Health and Science University, founded in 1978, is a community-based clinic that serves refugees and immigrants from around the world. Besides its clinical mission, the program also trains medical and mental health professionals in numerous aspects of cross-cultural mental health care and has made substantial contributions to the refugee and immigrant mental health literature. This narrative reviews the history of the program, discusses its clinical model and its education mission, and highlights its most significant research contributions. In addition, financial and management challenges are discussed in the context of almost four decades of successful operation.

Keywords

Refugees Immigrants Mental health Clinical care Psychiatric education Cross-cultural psychiatry Community psychiatry Psychiatric research Community-based clinics Refugee and immigrant families 

References

  1. 1.
    Kinzie JD, Tran KA, Breckenridge A, Bloom JD. An Indochinese refugee psychiatric clinic: culturally accepted treatment approaches. Am J Psychiatry. 1982;139(10):1276–81.CrossRefPubMedGoogle Scholar
  2. 2.
    Kinzie JD. The establishment of outpatient mental health services for Southeast Asian refugees. In: Williams CL, Westermeyer J, editors. Refugee mental health in resettlement countries. Washington, DC: Hemisphere Publishing Corporation; 1986. p. 217–30.Google Scholar
  3. 3.
    Kinzie JD. Overview of clinical issues in the treatment of Southeast Asian refugees. In: Owan TC, editor. Southeast Asian mental health treatment: prevention, services, training and research. Washington, DC: National Institute of Mental Health; 1985. p. 113–39.Google Scholar
  4. 4.
    Kinzie JD, Manson SM. Five-years’ experience with Indochinese refugee patients. J Operational Psychiatry. 1983;14(2):105–11.Google Scholar
  5. 5.
    Kinzie JD. Evaluation and psychotherapy of Indochinese refugee patients. Am J Psychother. 1981;35(2):251–61.PubMedGoogle Scholar
  6. 6.
    Kinzie JD, Manson SM, Vinh DT, Tolan NT, Anh B, Pho TN. Development and validation of a Vietnamese-language depression rating scale. Am J Psychiatry. 1982;139(10):1276–81.CrossRefPubMedGoogle Scholar
  7. 7.
    Kinzie JD, Fredrickson RH, Ben R, Fleck J, Karls W. Posttraumatic stress disorder among survivors of Cambodian concentration camps. Am J Psychiatry. 1984;141(5):645–50.CrossRefPubMedGoogle Scholar
  8. 8.
    Boehnlein JK, Kinzie JD, Ben R, Fleck J. One-year follow-up study of posttraumatic stress disorder among survivors of Cambodian concentration camps. Am J Psychiatry. 1985;142(8):956–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Kinzie JD. The psychiatric effects of massive trauma on Cambodian refugees. In: Wilson JP, Harel Z, Kahana B, editors. Human adaptation to extreme stress: from the Holocaust to Vietnam. New York: Plenum Publishing Corporation; 1988. p. 305–18.CrossRefGoogle Scholar
  10. 10.
    Kinzie JD, Leung P, Boehnlein JK, Fleck J. Antidepressant blood levels in Southeast Asians: clinical and cultural implications. J Nerv Ment Dis. 1987;175(8):480–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Kinzie JD, Leung P, Bui A, Ben R, Keopraseuth KO, Riley C, Fleck J, Ades M. Group therapy with Southeast Asian refugees. Community Ment Health J. 1988;24(2):157–66.CrossRefPubMedGoogle Scholar
  12. 12.
    Kinzie JD, Boehnlein JK. Post-traumatic psychosis among Cambodian refugees. J Trauma Stress. 1989;2(2):185–98.CrossRefGoogle Scholar
  13. 13.
    Kinzie JD, Boehnlein JK, Leung PK, Moore LJ, Riley C, Smith D. The prevalence of posttraumatic stress disorder and its clinical significance among Southeast Asian refugees. Am J Psychiatry. 1990;147(7):913–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Kinzie JD, Riley C, McFarland B, Hayes M, Boehnlein J, Leung P, Adams G. High prevalence rates of diabetes and hypertension among refugee psychiatric patients. J Nerv Ment Dis. 2008;196(2):108–12.CrossRefPubMedGoogle Scholar
  15. 15.
    Kinzie JD, Leung P. Clonidine in Cambodian patients with posttraumatic stress disorder. J Nerv Ment Dis. 1989;177(9):546–50.CrossRefPubMedGoogle Scholar
  16. 16.
    Kinzie JD, Sack RL, Riley CM. The polysomnographic effects of clonidine on sleep disorders in posttraumatic stress disorder: a pilot study with Cambodian patients. J Nerv Ment Dis. 1994;182(10):585–7.CrossRefPubMedGoogle Scholar
  17. 17.
    Boehnlein JK, Kinzie JD. Pharmacologic reduction of CNS noradrenergic activity in PTSD: the case for clonidine and prazosin. J Psychiatr Pract. 2007;13(2):72–8.CrossRefPubMedGoogle Scholar
  18. 18.
    Kinzie JD, Boehnlein J. Psychotherapy of the victims of massive violence: countertransference and ethical issues. Am J Psychother. 1993;47(1):90–102.PubMedGoogle Scholar
  19. 19.
    Boehnlein JK, Kinzie JD, Leung PK. Countertransference and ethical principles for treatment of torture survivors. In: Jaranson JM, Popkin MK, editors. Caring for victims of torture. Washington, DC: American Psychiatric Press; 1998. p. 173–84.Google Scholar
  20. 20.
    Kinzie JD. Psychotherapy for massively traumatized refugees: the therapist variable. Am J Psychother. 2001;55(4):475–90.PubMedGoogle Scholar
  21. 21.
    Woticha A, Mohamed H, Kinzie JD, Kinzie JM, Sedighi B. Prospective one-year treatment outcome of tortured refugees: a psychiatric approach. Torture. 2012;22(1):1–10.PubMedGoogle Scholar
  22. 22.
    Kinzie JD, Cheng K, Tsai J, Riley C. Traumatized refugee children: the case for individualized diagnosis and treatment. J Nerv Ment Dis. 2006;194(7):534–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Boehnlein JK, Leung PK, Kinzie JD. Cross-cultural psychiatric residency training: the Oregon experience. Acad Psychiatry. 2008;32(4):299–305.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • James K. Boehnlein
    • 1
    Email author
  • J. David Kinzie
    • 1
  • Paul K. Leung
    • 1
  • Margaret Cary
    • 2
  • Keith Cheng
    • 2
  • Behjat Sedighi
    • 1
  1. 1.Department of PsychiatryOregon Health and Science UniversityPortlandUSA
  2. 2.Division of Child and Adolescent Psychiatry, Department of PsychiatryOregon Health and Science UniversityPortlandUSA

Personalised recommendations