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Welfare Reform on the Web (February 2011): Mental health services - overseas

Cultural competence and power sharing: an international perspective on training child clinical psychologists

I.M. Evans and others

Journal of Mental Health Training, Education and Practice, vol. 5, Dec. 2010, p. 34-41

Training of child psychologists requires explicit attention to the importance of developing cultural competencies for practice in diverse communities. This case study, comprising relevant social history, cultural models of child psychopathology and conceptual analysis of complex systems in bicultural New Zealand, offers salutary lessons for clinical child psychologist training internationally. It emphasises the lessons that can be learned from the more holistic Maori worldview where traditional knowledge is respected. At the same time, Maori trainees must face the challenge of using international scientific research and psychological understanding.

End-of-life care policies in Flemish residential care facilities accommodating persons with intellectual disabilities

I D'Haene and others

Journal of Intellectual Disability Research, vol. 54, 2010, p. 1067-1077

This study aims to describe the presence, content and implementation strategies of written policies on medical end-of-life decisions in residential care homes for people with intellectual disabilities (ID) in Flanders, Belgium, to analyse the attention of these policies to the distinctive needs of people with ID, and to explore the use of training, education and quality assessments of end-of-life care in these settings. Results show that in 2007 written policies on different types of end-of-life decisions were available in a minority of institutions. The content analysis also revealed that the majority of policy documents focused on palliative care, with end-of-life decisions mentioned but not explored in depth. Professional care staff received training in aspects of end-of-life care in about one third of the residential homes.

From symptom recognition to services: how South Asian Muslim immigrant families navigate autism

B. Jegatheesan, S. Fowler and P.J. Miller

Disability and Society, vol.25, 2010, p. 797-811

This research looked at the experiences of three South Asian Muslim immigrant families living in the USA whose child was diagnosed with autism. The study revealed that cultural factors, interpersonal skills, and difficulties accessing services all impacted on the quality of interactions between parents and professionals during the diagnosis and post diagnosis period. These parents also interpreted the challenge of raising a child with autism through a particular cultural lens which was different from the lens used by the professionals.

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