The dsm 5 and the cultural formulation interview english community technical assistance center ctac loading. It has 16 openended questions to explore the cultural context of psychiatric symptoms. Lu, md luke and grace kim professor of cultural psychiatry emeritus, university of. To understand the cultural formulation interview cfi as a guiding tool with strengths and limitations. Identify and appreciate situated aspects of culture beyond typically categorized fields such as ethnicities, languages, sexual orientation, military service, etc.
As a cultural psychiatrist, his interests are in the clinical and forensic constructions of culture within mental health services. Scribd is the worlds largest social reading and publishing site. As part of the development of dsm5, the cultural formulation interview cfi was administered to 30 monolingual spanishspeaking adults at one site of a 2012 feasibility study of the cfi. Learn the foundational basics of the dsm5 cultural formulation interview. The apa is offering the cultural formulation interview including the informant. Unsubscribe from community technical assistance center ctac. Understanding the cultural context of illness experience is essential for effective diagnostic assessment and clinical management. Cultural formulation interview, informant version american. Pdf use of the cultural formulation with refugees hans. Development of the cultural formulation interview cfi 5.
Barriers to implementing the dsm5 cultural formulation. Advancing diagnostic accuracy and treatment with the. The dsmiv outline for cultural formulation ocf was a framework for assessment based on principles of cultural psychiatry. Psychiatryonline subscription options offer access to the dsm5 library, books, journals, cme, and patient resources. The dsm5 cultural formulation interview and the evolution.
Pdf dsm5 handbook on the cultural formulation interview. This is accomplished by offering a tool designed to make cultural formulation quicker and easier, the cultural formulation interview, or cfi. This article explains the origins, development, and applications of the dsm5 cultural formulation interview cfi. To understand the historical context and evolution of the cultural competency in the dsm. The cultural formulation interview mental health association.
Dr desilva reports that he is technical consultant to the center of excellence for cultural competence at the new york state psychiatric institute working on the new york state office of mental health cultural formulation interview training module. Feasibility, acceptability and clinical utility of the cultural formulation interview. Using the cultural formulation interview in intercultural. The cultural formulation interview cfi is a communication and diagnostic aid formally introduced in 20 as part of dsm5. Does the cultural formulation interview cfi for the. Center of excellence for cultural competence new york. Qualitative analysis of cultural formulation interview. Dsm5 has refined the outline and introduced a cultural formulation interview with both patient and informant versions and 12 supplementary modules. They should be used in research and clinical settings as. Development and content of the guide on culture and fep 8. Culture refers to systems of knowledge, concepts, rules, and practices that are learned and transmitted across generations.
The dsm5 cultural issues subgroup has since converted the ocf into the cultural formulation interview cfi for use by any clinician with any patient in any. The cultural formulation interview cfi was included in the diagnostic and statistical manual of mental disorders, fifth edition, dsm5 1 to guide clinicians on how to conduct a cultural. Brief cultural interview the brief cultural interview 2009 bci09 is an anthropologically revised version of the cultural formulation that includes specific questions covering the four categories of the cfd. Using the cultural formulation interview to support recovery with guest host chacku mathai nami star center and roberto lewis fernandez, md, mts oscar jimenezsolomon, mph columbia university department of psychiatry new york state center of excellence for cultural competence new york state psychiatric institute. Different cultural groups can perceive psychiatric symptoms and their etiologies differently. The dsm5 cultural issues subgroup has since converted the ocf into the cultural formulation interview cfi.
Using the cultral formulation interview to support recovery. Using the cultural formulation interview to support. Culture includes language, religion and spirituality, family structures, lifecycle stages, ceremonial rituals, and customs, as well as moral. The diagnostic and statistical manual of mental disorders, fifth edition dsm5, cultural formulation interview cfi comprises three sets of semistructured interviews that standardize a clinicians cultural assessment of a patient and his or her close associates. The cfi consists of a manualized set of standard questions that can precede every psychiatric evaluation. Using dsm5 in case formulation and treatment planning. What is the clinical utility of the cultural formulation. The cfi is meant to be administered during patients initial assessment, and.
It was a product of the cultural issues subgroup of the culture and gender group for dsm. Implementation of the cultural formulation through a newly. The dsm5 cultural formulation interview and the evolution of. The apa is offering the cultural formulation interview. The absence of specific guidelines and illustrative. The next chapter is devoted to the versions of the cfi that areincludedindsm5,namelythe16itemquestionnairethatis. Version and the supplementary modules to the core cultural formulation. Clinical research suggests that cultural questions help patients and clinicians overcome communication barriers, clarify the. Feasibility, acceptability and clinical utility of the. The cultural formulation interview cfi is a crosscultural assessment tool released in may 20 with dsm5 to revise shortcomings from the dsmiv outline for cultural formulation ocf.
The authors identified salient themes in data collected through use of the cfi, with a focus on interventions that could lead to more culturally responsive mental health services. An introduction to the cultural formulation interview focus. Keywords clinical assessment, cultural formulation, implementation, interview introduction the cultural formulation is a. Formulation interview cfi, which has been fieldtested for diagnostic usefulness among clinicians and. The content validity of the cultural formulation interview. In this regard, the dsm5 crosscultural issues subgroup focused its efforts on creating a semistructured interview schedule called the cultural formulation interview cfi that was incorporated in the dsm5 section on emerging measures and models.
The american psychiatric association apa and the dsm5 cross cultural issues subgroup dccis came together to produce and disseminate a tool at the vanguard of cultural psychiatric practice. This evidencebased tool is composed of a series of questionnaires that assist clinicians in making personcentered cultural assessments to. Having developed the tool, it required validation, and the cultural interest group was sensitive to the need for. The apa dsm5 cultural formulation interview is available at the following links. Patients cultures and life experiences have a profound impact on their understanding of their symptoms and attitudes toward care. Update on the cultural formulation interview focus.
Barriers to implementing the dsm5 cultural formulation interview. The cultural formulation interview cfi for dsm5 provided a tool enabling wider use of cultural formulation in clinical cultural assessment. The dsm5, to be released in may 20, is a manual on the prevalence, course, and symptom criteria for each mental disorder. To learn how to conduct the cfi by learning the concepts. To understand each of the 12 supplementary modules of the cfi. Cultural formulation interview project center of excellence for. June 24, 2019 strategies for behavioral health equity. The cultural formulation interview cfi is a product of the arduous process that resulted in publication of the dsm5, and only one book dsm5 handbook of the cultural formulation interview provides clinicians with the background and guidance they need to implement the cfi.
Clinical value of the cultural formulation interview in. The cfi is an interview protocol designed to be used by clinicians in any setting to gather essential data to produce a cultural formulation. The purpose of the cfiand this unique handbookis to make it easier for. Cultural formulation interview american psychiatric association. Using the cultural formulation interview to support recovery cfi chacku mathai, guest host. Outline for cultural formulation ocf and cultural formulation interview cfi russell f. Cultural definition of the problem causes of the problem, stressors and available supports coping efforts and past helpseeking current helpseeking and the clinicianclient relationship dsm5 cultural formulation interview. The cultural formulation interview seems to have an overall acceptable content validity although it is weak and thus needs further studies in relation to the two domains of the cultural perception of the context and the cultural factors affecting helpseeking in the iranian population. They should be used in research and clinical settings as potentially useful tools to enhance clinical. At the center of excellence for cultural competence, he conducts clinical research on the cultural formulation interview whose development he contributed to as an advisor to the dsm5 crosscultural issues subgroup. Crosscultural mental health researchers often analyze patient explanatory models of illness to optimize service provision.
Dsm5r handbook on the cultural formulation interview. The outline for cultural formulation and the cultural formulation interview francis g. Development and content of modules for working with lgbt. This portion of the manual provides a translation of the questions and probes suggested for an interview to elicit information for a cultural formulation following the dsmiv guidelines.
The cultural formulation interview cfi is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individuals clinical presentation and care. The apa is offering the cultural formulation interview including the informant version and the supplementary modules to the core cultural formulation interview for further research and clinical evaluation. Dsm5 handbook on the cultural formulation interview. The outline for the cultural formulation cf introduced in dsmiv does not present any method for collecting the required cultural information. The cultural formulation interview is based on the cultural formulation section of the dsm5 and refers to relevant information from session two of the vargas case study.