Culturally Diverse Children and Adolescents, Second Edition : Assessment , Diagnosis, and Treatment

by Canino, Ian A.; Spurlock, Jeanne

• ISBN13: 9781572305830
• ISBN10: 1572305835
• Edition: 2nd
• Format: Hardcover
• Copyright: 2000-07-26
• Publisher: The Guilford Press

Summary

This important new volume shows mental health service providers how to work with economically disadvantaged children and adolescents from culturally diverse backgrounds. Comprehensively addressing the wide range of issues one encounters in the treatment of minority children - including poverty, discrimination, and problems with acculturation - the book concentrates on the mental health needs of primarily those African-American, Latino, Asian-American, and American Indian children who are subject to numerous social stressors and whose families represent the lower socioeconomic levels. Illustrated with clinical vignette, and providing step-by-step details on the assessment and treatment of this population, the book clearly describes how to, elicit relevant history from the child, caretakers, family, and school officials, utilize diagnostic criteria in a culturally appropriate way, intervene using innovative treatment strategies. This book will be of value to child psychologists and psychiatrists, social workers, and psychiatric nurses working with children. It will also serve as an excellent text for courses in these disciplines.

Author Biography

Ian A. Canino, MD, is Clinical Professor of Psychiatry, Deputy Director of Child Psychiatry Training, and Director of the Community Child Psychiatry Program at the College of Physicians and Surgeons, Columbia University. He has founded a number of professional associations related to the mental health needs of culturally diverse populations and is actively involved as a lecturer and consultant to national and international organizations. The recipient of both state and federal grants to develop and implement a training program that can address the psychological and educational needs of culturally diverse children and adolescents in large urban areas, he has published a series of articles and chapters on child mental health.

Jeanne Spurlock, MD, before her untimely death in 1999, was Clinical Professor of Psychiatry at George Washington University and Howard University. Formerly, she served as Deputy Director and Director of the Office of Minority/National Affairs at the American Psychiatric Association, Visiting Scientist at the National Institute of Mental Health, and Chairperson in the Department of Psychiatry at Meharry Medical College.

Table of Contents

Introduction	1	(4)
PART I. A PERSPECTIVE FOR THE CLINICIAN	5	(40)
The Influence of Culture and Multiple Social Stressors on the Culturally Diverse Child	7	(38)
The Concept of Ethnicity and Ethnic Socialization	7	(8)
Multiple Social Stressors and Their Impact	15	(25)
Risk Factors	40	(1)
Protective Factors	41	(1)
The Relationship between Social Class and Psychopathology	42	(3)
PART II. THE DIAGNOSTIC CHALLENGE	45	(104)
History Taking	47	(37)
The Influence of Culture on Diagnosis	47	(5)
Identifying Intragroup Differences	52	(2)
Determining the Presenting Problem and Collecting Developmental Information	54	(5)
Cultural Expectations of Child Development and Behavior	59	(2)
Cultural Attitudes toward Health Practices	61	(1)
The Influence of Culture on Childrearing Practices	62	(4)
Family History	66	(6)
School History	72	(3)
The Mental Status Examination	75	(6)
Intrapsychic and Interpersonal Factors	81	(2)
Concluding Comments	83	(1)
Culturally Sensitive Psychological Assessment	84	(19)
Carmen Rodriguez
Standards of Culturally Competent Assessment	85	(1)
The Clinician: Cultural Self-Awareness	85	(2)
Components of a Culturally Sensitive Assessment	87	(5)
Assessment Instruments and Strategies	92	(3)
Alternate Assessment Strategies	95	(2)
Assessment for Behavioral and Emotional Disorders	97	(2)
Cultural Factors and Diagnostic Criteria	99	(3)
Concluding Comments	102	(1)
Diagnostic Categories	103	(46)
DSM-IV: Basic Features	103	(2)
The Multiaxial System for Evaluation in DSM-IV	105	(1)
Mental Disorders Classified under Axis I and Axis II of DSM-IV: Cultural Factors and Influences	105	(35)
Axis III of DSM-IV: General Medical Conditions	140	(5)
Axis IV of DSM-IV: Psychosocial and Environmental Problems	145	(1)
Axis V of DSM-IV: Global Assessment of Functioning	146	(1)
Concluding Comments	147	(2)
PART III. THE TREATMENT OF CULTURALLY DIVERSE CHILDREN	149	(46)
Culturally Sensitive and Competent Therapeutic Interventions	151	(40)
Variables Influencing Treatment and Its Effectiveness	151	(3)
Culturally Sensitive and Competent Treatment Approaches: A Review	154	(25)
An Ethnically Competent Stress Prevention and Intervention Model	179	(10)
Concluding Comments	189	(2)
The Clinician as Advocate	191	(4)
Rhina's World	191	(1)
Expanding the Role of the Clinician	192	(3)
References	195	(27)
Index	222