Presentation Information
[SY-37-02]Integrating Social Determinants of Health in Cultural Formulation
*Laurence J Kirmayer (McGill University(Canada))
Keywords:
Cultural formulation,Social determinants of mental health,Structural competency,Ecosystems view
There is growing recognition of the importance of social determinants of mental health in clinical assessment and treatment planning. The DSM-5 Cultural Formulation Interview (CFI) was designed to collect information on sociocultural context and experience from the perspective of patients and their entourage. The CFI was motivated by work in medical anthropology on the importance of cultural variations in illness meaning. Recent work in structural competence has emphasized the need for more systematic attention to social structural factors in mental health services. This presentation will review methods for eliciting information on social structural determinants of health in clinical assessment. There is evidence that the CFI can obtain some information on social determinants but it does not canvas these in a systematic way. The impact of structural determinants depends in part on cultural meaning and there is a need to examine how culture and social structure interact. This presentation will discuss frameworks and strategies to augment or supplement the CFI to collect information on social determinants of mental health and illustrate the use of a cultural-ecosocial approach to integrative case formulation.