Global Mental Health: Five Areas for Value-Driven Training Innovation.
Repository Usage Stats
OBJECTIVE: In the field of global mental health, there is a need for identifying core values and competencies to guide training programs in professional practice as well as in academia. This paper presents the results of interdisciplinary discussions fostered during an annual meeting of the Society for the Study of Psychiatry and Culture to develop recommendations for value-driven innovation in global mental health training. METHODS: Participants (n = 48), who registered for a dedicated workshop on global mental health training advertised in conference proceedings, included both established faculty and current students engaged in learning, practice, and research. They proffered recommendations in five areas of training curriculum: values, competencies, training experiences, resources, and evaluation. RESULTS: Priority values included humility, ethical awareness of power differentials, collaborative action, and "deep accountability" when working in low-resource settings in low- and middle-income countries and high-income countries. Competencies included flexibility and tolerating ambiguity when working across diverse settings, the ability to systematically evaluate personal biases, historical and linguistic proficiency, and evaluation skills across a range of stakeholders. Training experiences included didactics, language training, self-awareness, and supervision in immersive activities related to professional or academic work. Resources included connections with diverse faculty such as social scientists and mentors in addition to medical practitioners, institutional commitment through protected time and funding, and sustainable collaborations with partners in low resource settings. Finally, evaluation skills built upon community-based participatory methods, 360-degree feedback from partners in low-resource settings, and observed structured clinical evaluations (OSCEs) with people of different cultural backgrounds. CONCLUSIONS: Global mental health training, as envisioned in this workshop, exemplifies an ethos of working through power differentials across clinical, professional, and social contexts in order to form longstanding collaborations. If incorporated into the ACGME/ABPN Psychiatry Milestone Project, such recommendations will improve training gained through international experiences as well as the everyday training of mental health professionals, global health practitioners, and social scientists.
Global mental health
Community-Based Participatory Research
Published Version (Please cite this version)10.1007/s40596-016-0504-4
Publication InfoKohrt, BA; Marienfeld, CB; Panter-Brick, C; Tsai, AC; & Wainberg, ML (2016). Global Mental Health: Five Areas for Value-Driven Training Innovation. Acad Psychiatry, 40(4). pp. 650-658. 10.1007/s40596-016-0504-4. Retrieved from http://hdl.handle.net/10161/12067.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
More InfoShow full item record
Showing items related by title, author, creator, and subject.
Stoertz, Aaron (2011)Health system strengthening is now recognized as a pressing global health priority. Motivated and productive health workers are a critical component of health systems. Low and middle-income countries need many more health ...
Optimizing linkage and retention to hypertension care in rural Kenya (LARK hypertension study): study protocol for a randomized controlled trial. Akwanalo, CO; Binanay, CA; Bloomfield, Gerald; Delong, AK; Finkelstein, Eric Andrew; Fuster, V; Hogan, JW; ... (16 authors) (Trials, 2014-04-27)BACKGROUND: Hypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and delays in seeking care are associated with increased mortality. Thus, a critical component ...
Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty. Bolognesi, Michael Paul; Hug, KT; Koenig, L; Mather, Richard Charles III; Nunley, RM; Orlando, Lori Ann; Watters, TS (BMC Musculoskelet Disord, 2014-01-18)BACKGROUND: The projected demand for total knee arthroplasty is staggering. At its root, the solution involves increasing supply or decreasing demand. Other developed nations have used rationing and wait times to distribute ...