Advertisement

Cross-Cultural Telepsychiatry: An Innovative Approach to Assess and Treat Ethnic Minorities with Limited Language Proficiency

  • Davor MucicEmail author
Conference paper
Part of the Smart Innovation, Systems and Technologies book series (SIST, volume 60)

Abstract

Current refugee crisis within European Union (EU) challenges mental health care systems in each EU country. For ethnic minorities in EU access to mental health care is a problem due lack of clinicians who understand their language, culture and special needs. Linguistic, cultural and even racial differences between patient and provider can have an impact on the therapeutic alliance. Therefore communication between providers (mental health professionals) and cross-cultural patients is even more complicated with a third person i.e. interpreter, involved. However, refugees and asylum seekers still receive the most of treatment provided via interpreters. Innovative solution for this problem might be “cross-cultural telepsychiatry model” within various settings. Since 2004, “cross-cultural telepsychiatry” has been tested, developed and established in outskirts areas of of Denmark through various pilot projects. Overall high patient satisfaction was reported by patients as well as by involved professionals.

Keywords

e-Mental health Telepsychiatry Asylum seekers Refugees and migrants Access to care Language barriers Interpreters Cross-cultural (tele) psychiatry 

References

  1. 1.
    Kaplan, S.H., Gandek, B., Greenfield, S., et al.: Patient and visit characteristics related to physicians? participatory decision-making style. Results from the medical outcomes study. Med. Care 33, 1176–1187 (1995)CrossRefGoogle Scholar
  2. 2.
    Cooper-Patrick, L., Gallo, J.J., Gonzales, J.J., et al.: Race, gender, and partnership in the patient-physician relationship. JAMA 282(6), 583–589 (1999)CrossRefGoogle Scholar
  3. 3.
    Cooper, L.A., Roter, D.L., Johnson, R.L., et al.: Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann. Intern. Med. 139, 907–915 (2003)CrossRefGoogle Scholar
  4. 4.
    Sundquist, J., Winkleby, M.A.: Cardiovascular risk factors in Mexican American adults: a transcultural analysis of NHANES III, 1988–1994. Am. J. Pub. Health 89, 723–730 (1999)CrossRefGoogle Scholar
  5. 5.
    Saha, S., Arbelaez, J.J., Cooper, L.A.: Patient-physician relationships and racial disparities in the quality of health care. Am. J. Pub. Health 93, 1713–1719 (2003)CrossRefGoogle Scholar
  6. 6.
    Ferguson, W.J., Candib, L.M.: Culture, language and the doctor-patient relationship. Fam. Med. 34(5), 353–361 (2002)Google Scholar
  7. 7.
    McGlade, M.S., Saha, S., Dahlstrom, M.E.: The Latina paradox: an opportunity for restructuring prenatal care delivery. Am. J. Pub. Health 94, 2062–2065 (2004)CrossRefGoogle Scholar
  8. 8.
    Carrasquillo, O., Orav, E.J., Brennan, T.A., Burstin, H.R.: Impact of language barriers on patient satisfaction in an emergency department. J. Gen. Intern. Med. 14, 82–87 (1999)CrossRefGoogle Scholar
  9. 9.
    Sarver, J., Baker, D.W.: Effect of language barriers on follow-up appointments after an emergency department visit. J. Gen. Intern. Med. 15, 256–264 (2000)CrossRefGoogle Scholar
  10. 10.
    Flores, G.: Language barriers to health care in the United States. N. Engl. J. Med. 355, 229–231 (2006)CrossRefGoogle Scholar
  11. 11.
    Spiegel, J.P.: Cultural aspects of transference and countertransference revisited. J. Am. Acad. Psychoanal. 4, 447–467 (1976)Google Scholar
  12. 12.
    Mucic, D., Hilty, D.M., Yellowlees, P.M.: e-Mental Health Toward Cross-Cultural Populations Worldwide. In: Mucic, D., Hilty, D.M. (eds.) e- Mental Health, pp. 77–91. Springer, Cham (2016)CrossRefGoogle Scholar
  13. 13.
    Leong, F.T.L., Kalibatseva, Z.: Cross-cultural barriers to mental health services in the United States. Cerebrum: the Dana Forum on Brain. Science 2011, 5 (2011)Google Scholar
  14. 14.
    Bischoff, A., Bovier, P.A., Rrustemi, I., Gariazzo, F., Eytan, A., Loutan, L.: Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral. Soc. Sci. Med. 57(3), 503–512 (2003)Google Scholar
  15. 15.
    Saha, S., Komaromy, M., Koepsell, T.D., Bindman, A.B.: Patient-physician racial concordance and the perceived quality and use of health care. Arch. Intern. Med. 159, 997–1004 (1999)CrossRefGoogle Scholar
  16. 16.
    Bowen, S.: Language Barriers in Access to Health Care. Health Canada, Ottawa (2001)Google Scholar
  17. 17.
    Perez-Stable, E.J.: Language access and Latino health care disparities. Med. Care 45, 1009–1011 (2007)CrossRefGoogle Scholar
  18. 18.
    Ton, H., Koike, A., Hales, R.E., Johnson, J.A., Hilty, D.M.: A qualitative needs assessment for development of a cultural consultation service. Transcult. Psychiatry 42, 491–504 (2005)CrossRefGoogle Scholar
  19. 19.
    Jerrell, J.M.: Effect of ethnic matching of young clients and mental health staff. Cult. Divers. Ment. Health 4, 297–302 (1998)CrossRefGoogle Scholar
  20. 20.
    Mucic, D., Hilty, D.M. (eds.): e-Mental Health. Springer, Cham (2016)Google Scholar
  21. 21.
    Moock J (2014). Support from the Internet for individuals with mental disorders: advantages and disadvantages of e-mental health service delivery. Front Public Health 2:65,  10.3389/fpubh.2014.00065
  22. 22.
    Sherrill W.W., Crew, L., Mayo, R.M., et al.: Educational and health services innovation to improve care for rural Hispanic communities in the U.S. Educ Health (Abingdon) 18(3), 356–367 (2005)Google Scholar
  23. 23.
    Mucic, D.: Telepsychiatry in Denmark: mental health care in rural and remote areas. J. e-Health Technol. Appl. 5(3), (2007)Google Scholar
  24. 24.
    Yeung, A., et al.: A study of the effectiveness of telepsychiatry-based culturally sensitive collaborative treatment of depressed Chinese Americans. BMC Psychiatry 11, 154 (2011)CrossRefGoogle Scholar
  25. 25.
    Shore, J., Kaufmann, L.J., Brooks, E., et al.: Review of American Indian veteran telemental health. Telemed. J. e-Health 18(2), 87–94 (2012)CrossRefGoogle Scholar
  26. 26.
    Hilty, D.M., Ferrer, D.C., Parish, M.B., et al.: The effectiveness of telemental health: a 2013 review. Telemed. J. e-Health 19, 444–454 (2013)CrossRefGoogle Scholar
  27. 27.
    Nieves, J.E., Stack, K.M.: Hispanics and telepsychiatry. Psychiatr. Serv. 58(6), 877 (2007)CrossRefGoogle Scholar
  28. 28.
    Moreno, F.A., Chong, J., Dumbauld, J., et al.: Use of standard webcam and Internet equipment for telepsychiatry treatment of depression among underserved Hispanics. Psychiatr. Serv. 63(12), 1213–1217 (2012)CrossRefGoogle Scholar
  29. 29.
    Chong, J., Moreno, F.: Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. Telemed. J. e-Health 18(4), 297–304 (2012)CrossRefGoogle Scholar
  30. 30.
    Ye, J., Shim, R., Lukaszewski, T., et al.: Telepsychiatry services for Korean immigrants. Telemed. J. e-Health 18(10), 797–802 (2012)CrossRefGoogle Scholar
  31. 31.
    Shore, J.H., Brooks, E., Savin, D., Orton, H., Grigsby, J., Manson, S.M.: Acceptability of telepsychiatry in American Indians. Telemed. J. e-Health 14(5), 461–466 (2008)CrossRefGoogle Scholar
  32. 32.
    Weiner, M.F., Rossetti, H.C., Harrah, K.: Videoconference diagnosis and management of Choctaw Indian dementia patients. Alzheimer’s Dementia 7(6), 562–566 (2011)CrossRefGoogle Scholar
  33. 33.
  34. 34.
    Mucic, D.: Transcultural telepsychiatry and its impact on patient satisfaction. J. Tel. Telecare 16(5), 237–242 (2010)CrossRefGoogle Scholar
  35. 35.
    Parkman, S., et al.: Ethnic differences in satisfaction with mental health services among representative people with psychosis in south London: PRiSM study 4. Br. J. Psychiatry 171, 260–264 (1997)CrossRefGoogle Scholar
  36. 36.
    Burnett, R., et al.: The first con-tact of patients with schizophrenia with psychiatric services: social factors and pathways to care in a multi-ethnic population. Psychol. Med. 29(2), 475–483 (1999)CrossRefGoogle Scholar
  37. 37.
    Tolmac, J., Hodes, M.: Ethnic variation among adolescent psychiatric in- patients with psychotic disorders. Br. J. Psychiatry 184, 428–431 (2007)CrossRefGoogle Scholar
  38. 38.
    Bower, P., Gilbody, S.: Managing common mental health disorders in primary care: conceptual models and evidence base. Br. Med. J. 330, 839–842 (2005)CrossRefGoogle Scholar
  39. 39.
    Smith, S.M., Allwright, S., O’Dowd, T.: Effectiveness of shared care across the interface between primary and specialty care in chronic disease management. Cochrane Database of Systematic Reviews, p. CD004910 (2007)Google Scholar
  40. 40.
    Kates, N., Ackerman, S.: Shared mental health care in canada. a compendium of current projects (1997)Google Scholar
  41. 41.
    Gask, L., Sibbald, B., Creed, F.: Evaluating models of working at the interface between mental health services and primary care. Br. J. Psychiatry 170, 6–11 (1997)CrossRefGoogle Scholar
  42. 42.
    Kelly, B.J. et al.: Shared care in mental illness: a rapid review to inform implementation. Int. J. Ment. Health Syst. 5, 31 (2011). http://doi.org/10.1186/1752-4458-5-31 Google Scholar
  43. 43.
  44. 44.
    Udviklingen i udlndinges integration i det danske samfund. Rapport. (The development of foreigners’ integration into the Danish society. 2006. Report. In Danish). Copenhagen, Denmark: The Ministry of Refugees, Immigrants and Integration of Denmark (2006)Google Scholar
  45. 45.
    Mucic, D.: International telepsychiatry: a study of patient acceptability. J. Telemed. Telecare 14, 241–243 (2008)CrossRefGoogle Scholar
  46. 46.
    Hilty, D.M., Yellowlees, P.M., Tarui, N., et al.: Mental Health Services for California American Indians: Usual Service Options and a Description of Telepsychiatric Consultation to Select Sites. In: Ramesh, Madhavan, Shahram, Khalid (eds.) Telemedicine, pp. 75–104. Press, InTech Open (2013)Google Scholar
  47. 47.
    Yellowlees, P.M., Hilty, D.M., Mucic, D.: Global/Worldwide e-Mental Health: International and Futuristic Perspectives of Telepsychiatry and the Future. In: Mucic, D., Hilty, D.M. (eds.) e- Mental Health, pp. 233–249. Springer, Cham (2016)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Little Prince Treatment CentreCopenhagen VDenmark

Personalised recommendations