Challenges and Rewards of a culturally-informed approach to mental health | Jessica Dere | TEDxUTSC

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Dr. Jessica Dere explains how culture makes a difference when thinking about mental health and mental illness. Across mental health research, clinical care and teaching, there are profound rewards to be had by truly understanding individuals in context.
Dr. Jessica Dere is a clinical lecturer in the Department of Psychology and the Graduate Department of Psychological Clinical Science at UTSC. She obtained her Ph.D in Clinical Psychology from Concordia University in 2012, and completed a post-doctoral fellowship in the Social Aetiology of Mental Illness (SAMI) training program at the Centre for Addiction and Mental Health (CAMH). Her research interests include the role of cultural factors in emotional processes and cultural variations in symptom presentation of depression and anxiety.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at ted.com/tedx

Опубликовано:

4 июн 2024

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Комментарии : 35

@jrt4jc 2 года назад

1) Take a stance of informed curiosity. 2) Ask different questions, and ask questions differently.

@eddiejjumba7347 8 лет назад

PROFOUND !!! Thank you so much for emphasizing this much-needed approach to mental health, counseling and all other caring professions !

@aramatjackson3630 6 лет назад

Thank you Dr. Dere for ideas that I will be using as it pertains to my future clients.

@kathysuedorey2365 3 года назад

so very heartwarming to know there is an out-of-box approach being discussed regarding mental health. thank you for your work and resolve in this area.

@hannahtj1940 6 лет назад

Brilliant! This is simple, so coherent, but so powerful.

@jacquelinekramig9298 4 года назад

I love the recognition of the complexity of the topic. I also loved the organization and flow of her talk. Excellent.

@normahoogendyk5664 Год назад

Thank you, so very much. Your talk was truly brilliant, and I enjoyed it immensely. Your approach to social services with mental health will greatly benefit all of us.

@jenaycalloway6085 Год назад

Clear and expanded my perspective on culture beyond race and gender but familial. Family emotions embedded in a person that creates there since of value

@mapllcpennsauken 2 года назад

Thank You Dr. Dere!

@CheshireKai13 3 года назад

Great coverage of this topic

@JonathanGallantMills 8 лет назад

Great talk. Thanks!

@shubrexxinventions2571 4 года назад

Mad oooooo

@vijayvimal9378 3 года назад

thank you

@CloudaceMC.2 7 лет назад

Go Jessica I could always use better Mental Health

@kellymorgan8257 3 года назад

I love this!

@bobsun8663 4 года назад

Profound video, thanks Dr.Dere

@dr.vthomas1389 2 года назад

Reality is constantly in need of evaluation, testing, and experimenting. We hold too many biases about what is "Normal" for any of us to cast stones at the weird people.

@user-mv6bi4tr1w Год назад

Dr. Dere discusses 2 things that healthcare providers can do to have a culturally-informed approach to mental health. One, take a stance of informed curiosity and then ask questions and ask questions differently. Culture and religion are 2 things that can massively influence an individual’s willingness to receive treatment and can influence who the primary decision maker is. Understanding where a patient is coming from is so crucial in providing optimal care to a patient. Autonomy in medical decision making is an ethical principle that is dealt a lot with when it comes to incorporating culture into a healthcare decision. Sometimes, a parent, grandparent, or even community leader is the one who makes the decision and physicians in the United States may have issues because this contradicts the patient having that autonomy. It also becomes difficult when there is a life-saving treatment that a patient or their family will not allow because that treatment may cause spiritual or everlasting harm based on that family’s culture. I agree with Dr. Dere in that asking and practicing asking in different ways is very crucial in order to be more culturally-informed. That way the patient preferences and understanding of what autonomy means to them, can be taken into account and healthcare professionals can be more culturally sensitive. However, out of the context of mental health this point gets very messy. In emergent situations where there isn’t time to call and consult family or a provider isn’t able to discuss with the patient about their cultural background, then this is where things get fuzzy. My only argument is that being culturally sensitive all the time and in specific specialties may be more difficult because of the nature of the situations. In mental health, I completely agree with Dr. Dere’s methods. It is in other situations of medicine that I would like to hear more about.

@thamhnhu13 Год назад

I think you bring up an excellent point that culturally-informed care allows patients to be autonomous in making health decisions that align with their beliefs and goals. I also agree that having discussions with patients about their cultural backgrounds can be challenging. I feel that it requires skill to have conversations about a patient’s cultural background in an appropriate and sensitive way. As you mentioned, time is another barrier for conversations. Nonetheless, I think there are feasible ways to still achieve culturally-informed care in emergent settings. Frameworks exist to achieve culturally appropriate communication such as the 4 “C”s: call, cause, cope, and concerns. Questions that address the 4 “C”s include “What do you think is wrong?”, “What do you think caused your problem?”, “What have done to make it better?”, “How serious do you think this is?”, and “What are your concerns about the illness and the treatment?” These are simple questions that can easily be integrated while obtaining a patient’s history, yet, their answers can provide valuable information on a patient’s cultural values and behaviors. I would also like to argue that in emergency medicine, culturally-informed care is even more important and necessary given the disproportionate use of emergency medical services by racial and ethnic minorities. Thus, I feel that the points made my Dr. Dere in her Ted Talk should be applicable to all settings of healthcare. I hope that as awareness for culturally-informed care increases, there will be better strategies to overcome the challenges that come with caring for our culturally diverse patient population.