Abstract:
:To identify and explore cultural dynamics influencing the psychiatric care of immigrant Somalis in the USA, we reviewed demographic data from Minnesota Departments of Human Services, and interviewed health professionals, exploring community perceptions of medical/psychiatric needs, cultural characteristics, barriers to care, and potential solutions. An informal survey of 37 members of the Mayo Clinic Department of Psychiatry and Psychology, to determine caregiver perceptions of care of Somali patients, cited language barriers (74%), and cultural misperceptions (68%) as the most frequent obstacles. Difficulties working within the patriarchal family structure, limited community resources, poor compliance, and financial issues ranged between 18 and 8%. Additional barriers mentioned were problems working with interpreters from ;warring clan factions,' patients' fears of being labeled ;crazy,' difficulties viewing illness within an emotional framework, and the need to address mental health from a physical framework through a focus on somatic symptoms. Somalis rarely acknowledge psychiatric problems and common traditional treatments have become ineffective in the new context. Recommendations include alternative health care approaches utilizing family values, ;bargaining,' and educational approaches to acculturation.
journal_name
Transcult Psychiatryjournal_title
Transcultural psychiatryauthors
Scuglik DL,Alarcón RD,Lapeyre AC 3rd,Williams MD,Logan KMdoi
10.1177/1363461507083899subject
Has Abstractpub_date
2007-12-01 00:00:00pages
581-95issue
4eissn
1363-4615issn
1461-7471pii
44/4/581journal_volume
44pub_type
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