PSYCHOLOGY DISCUSSIONS 6
Since the immigrantpopulation has 70% of adults with English fluency problems, I wouldrecommend the introduction of multilingual staff. Thirty percent ofthe immigrant population has English literacy and a culturalbackground of their original homes. Therefore, hiring them at themental health center would be helpful, even if it is on part timebasis. This move helps in swiftcommunication between the health workers and the clients who do notspeak English. I would also propose the introduction of communityEnglish Language Development programs (ELD) to assist the immigrantadults in learning English. Some of the training recommendationsinclude cultural competency. This method helps health workers tounderstand and appreciate cultural diversities inrelation tohealthcare. It should include self-evaluation formats for culturalcompetency. Another priority recommendation is the adoption of thetransculturalapproach of mental health. It considers the society as a client andnot an individual, therefore promoting gross management of socialproblems.
Facilitating anintergroup workrelations between the staff at the health center relies upon manyfactors. With my knowledge of social dynamics, I would fostercross-occupational and cross-organizational programs that aid insharing quality agenda information. This target can beachieved byusing the Crew Resource Management (CRM) cross-discipline team ("Themulticultural workplace: interactive acculturation and intergrouprelations: Journal of Managerial Psychology: Vol 25, No 5",2016). Anotherstrategy is the improvement of social identities and promotion ofacquiring another identity related to healthcare provision. The moveimproves the integration of cultural differences among staff topromote objective results. I would also promotestaff initiatives and involvement inthe main issues ofthe society. For instance, I will set up goals that arecompared withother mental health centers. Thisis based on theInteractive Acculturation Model (IAM) in the multiculturalworkplace.
I recommend the useof DSM-V for patients with limited English proficiency because thediagnostic criterion for the mental disorders relies on the signs andsymptoms. Thismeans that theway adisorderpresents in all individuals is the same, not discriminating aproficient English speaker and the illiterateone. Through the use of translators and other communication modeslike sign language, a clinician can still make a diagnosis using theDSM-V. For instance, in schizophrenia, one may have delusions andhallucinations, and the two are standard in all populations, as falsebeliefsand sensations.
Evaluation of staffcompetence in working with the populationwill be a priority. I will use a rating scale that is universal andeffective.I will identify the essentialcompetenciesneeded, the expectations of specific positions and eventually engagethe workers in service delivery so that I can know what they know. Iwill also consider the quality of their output. It can be achievedthrough the number of cases successfully managed, community responseand statistical data from research organizations. I can also carryout personal observations. Community diagnosis is also paramount indetermining the worker competencies. It can be done throughidentification of mental cases and comparing them with previous data.The language and cultural competenciesalso determinetheir effectiveness in service delivery.
The mental health disorderselected is Bipolar mood disorder, inclusive of bipolar I and II.Format 1:
Figure1: Bipolar mood disorder prevalence ("NIMH» Bipolar Disorder among Adults", 2016)
2.6% of the total USpopulation is affected with bipolar mood disorder. Of the 2.6%, 87%are considered to be severe cases.
It is common in all the malesand females therefore it has no specificgender rates. It is also likely to affect children of parents withthe disorder. When only one parent has the disorder, every child hasa 15-30 % chance of developing the disorder,and if both parents have it, the chances increase to 50-85%.
For yearly healthcare use,48.8% of people with the disorder are receiving treatment. 38.8% ofthose on treatment are receiving an adequate one. For any otherservice use, 55.5% are receiving attention. 39.2% of them arereceiving the adequateone for the disorder ("BipolarDisorder Statistics – Depression and Bipolar Support Alliance",2016).
Figure 2: Treatment andservices ("Bipolar Disorder Statistics – Depression and BipolarSupport Alliance", 2016)
APAGuidelines for Providers of Services to Ethnic, Linguistic, andCulturally Diverse Populations.(2016). http://www.apa.org.Retrieved 2 July 2016, fromhttp://www.apa.org/pi/oema/resources/policy/provider-guidelines.aspx
BipolarDisorder Statistics – Depression and Bipolar Support Alliance.(2016). Dbsalliance.org.Retrieved 2 July 2016, fromhttp://www.dbsalliance.org/site/PageServer?pagename=education_statistics_bipolar_disorder
NIMH »Bipolar Disorder Among Adults.(2016). Nimh.nih.gov.Retrieved 2 July 2016, fromhttp://www.nimh.nih.gov/health/statistics/prevalence/bipolar-disorder-among-adults.shtml
Themulticultural workplace: interactive acculturation and intergrouprelations: Journal of Managerial Psychology: Vol 25, No 5.(2016). JournalOf Managerial Psychology.Retrievedfrom http://www.emeraldinsight.com/doi/abs/10.1108/02683941011048373