Letter from the President

Letter from the President

The 2014 annual meeting is only a memory. However, from my personal experience, discussions with those who attended, and from the evaluations we’ve received, the memory we share is of an exciting and gratifying professional experience with old and new friends which demonstrated the quality of the organization and the importance of cultural psychiatry as a field. Congratulations are in order to those who made it happen: Jim Jaranson and the staff of Survivors of Torture International, Jeff Hugger and his staff at the Joan Kroc Center, and our team for making our stay in San Diego easy, rewarding, and fun; Liz who produced and directed the entire show, Roberto and his committee (Kenneth, Brandon and Liz) who developed a first-rate program; Connie Cummings, our newest board member, who designed the program book that’s a keeper; John Onate for the wonderful pictures, some of which you see in this newsletter, and Jaswant Guzder, for giving us permission to use one of her paintings for the cover of the book.

The meeting opened with a unique keynote panel on the theme of trauma. Three senior clinicians, reporting on the treatment of trauma victims in three cultures (Vietnamese, Jewish, and Sudanese) told us powerful stories — first as traumatized victims themselves and later as healers. Their presentations reminded us that telling personal stories, combined with lifelong work, demonstrates their resilience and their continued healing. The session was therapeutic for us all.

The first day included fine keynote addresses by historian Mark Micale, Hughes and Speigel award winners Claire Fantus and William Hartmann, two films, and a poster session. Days two and three were filled with 14 symposia and individual presentation sessions, many on the conference theme of “Trauma, Recovery and Culture”, others on training, the use of translators, the care of refugees, womanhood and many more. My brief summary here can’t do the program justice. Consult our website for a listing of all presentations and read full descriptions of the presentations in the official program, which (if you did not attend the annual meeting) is available on request.

The Program Committee has already begun to prepare for the April 23-25, 2015 meeting, which will take place at the Omni Hotel in Providence. The Brown University Department of Psychiatry will be our local host next year, with a team headed by Board member, Robert Kohn. The Program Committee has selected “Culture and Global Mental Health” as our theme. I hope you are already thinking about a presentation for next year and potential speakers from outside SSPC. A call for papers, with guidelines on the theme, a timetable and detailed instructions about developing your abstract is included on pages 5-7 in this issue of the Newsletter.

Annelle Primm, Deputy Director of APA/ Director of APA Office of Minority Affairs and Steven Wolin, SSPC president  Photo Credit: John Onate

Annelle Primm, Deputy Director of APA/
Director of APA Office of Minority Affairs and Steven Wolin, SSPC president
Photo Credit: John Onate

At the May Board meeting we welcomed three new members: Renato Alarcon, Artha Gillis and Connie Cummings. They joined SSPC Committees working to expand the benefits of membership and to provide additional services to the cultural psychiatry field. Steven Chan, a PGY 3 resident at UC Davis and APA SAMHSA Minority Fellow, under the supervision of Artha (Communications) is developing a second upgrade of our website, www.psychiatryandculture.org. Connie is designing a new membership recruitment brochure. Albert Yeung and his colleagues, including Renato (Research), are conducting a survey to identify potential mentors in CP research, clinical and administrative activities offering supervision to APA SAMHSA Fellows, younger SSPC members, and trainers in residency programs. This survey will be used to supplement your bio sketches in the Members Only section of our website, thereby enhancing communication between colleagues who share similar interests; Sadeq Rahimi (Education) intends to launch our videoconferencing project, providing live and archived clinical cases with senior SSPC supervisors and discussions of recently published papers with their authors.

I hope your summer is restful and rejuvenating. While the 2014 meeting memory may fade, we’re already dreaming of Providence in 2015. Best wishes to all.

From the Desk of the Executive Director

Greetings everyone. It’s hard to believe that summer is half over and the 2014 Annual Meeting was two months ago. I hope everyone is having a good summer despite the weather.

In terms of numbers our meeting in San Diego was the best ever, with a total of 126 people registered. We now have104 paid members. Since the meeting Connie Cummings has designed a membership recruitment brochure which will be available to all of our members for distribution at meetings and wherever it might be helpful. It will be posted on the website soon and you can request a copy, which you can reproduce, from me.

Speaking of membership, we are implementing a new policy this year. Memberships are due for renewal no later than January 31 of each calendar year. In the past we have left it up to each individual to remember the deadline. Starting this year we will be emailing invoices to all current members early in December, thereby giving you the option of renewing in this tax year or next. We also will send bills with a different cover note to people who have belonged to SSPC in the past two years but have somehow forgotten to renew. This will make it easier for you and for us.

Plans for the Providence meeting, April 23-25, are proceeding nicely. Proposals for papers and workshops are due no later than September 15, so please check out the Call for Papers at our website, www.psychiatryandculture.org and see what you might want to contribute. You have been asking for more interactive participation at the meetings and we would like to provide it. Therefore, when you think about submitting a proposal, you might want to focus on developing a workshop instead of just giving a paper.

Please note that I will be off line from July 29 until August 7. I will try to check my email intermittently but, because I will be in the process of moving, my responses may not be timely and I will not have access to files. After August 5 my land line telephone number will be (484) 416-3915 and I no longer will have a dedicated fax number so you will need to call first if you want to send a fax. My email address will remain the same, ekramer931@gmail.com.

Best wishes to all for a pleasant and safe rest of summer.

Call for Papers for Annual Meeting – Providence, Rhode Island, April 23-25, 2015

Call for Papers for Annual Meeting – Providence, Rhode Island, April 23-25, 2015

Abstract Submission Deadline: September 15, 2014

Culture and Global Mental Health

The theme of the annual meeting is Culture and Global Mental Health. We are particularly interested in submissions based on clinical activities, teaching, and research that address the relationship between cultural psychiatry and global mental health, including issues pertaining to mutual contributions, challenges, and collaborations. We also welcome papers, symposia, workshops, and posters in other clinical, education, and research areas of cultural psychiatry. The deadline for abstract submission is September 15, 2014. Abstracts should be submitted to PSYCHCULT2015@gmail.com. Potential speakers are urged to submit abstracts as soon as possible. Submissions should consider how their proposal fits with one of the five core areas and four cross-cutting issues highlighted for the 2015 Annual Meeting:

  1. Origins and transformations of knowledge and practice
    This core area examines issues of epistemology and ontology in cultural psychiatry and global mental health. How is knowledge generated, how are concepts defined, and which individuals and institutions have the power to define concepts in psychiatry and global mental health? What values influence and are reflected in global mental health priorities and practice? What roles and power do mental health service users, other persons living with mental illness, families, and communities have in influencing local and global mental health activities? How do epistemology, ontology, and value systems influence what is measured and counted through epidemiology and health economics? Ultimately, how does knowledge move between the local and the global?
  2. Human rights, ethics, politics, and policy
    This theme explores how ethical, political, and rights-based documents and doctrines influence the practice of psychiatry and global mental health. How do international policies, programs, and institutions (e.g., United Nations’ bodies, the World Health Organization, humanitarian organizations) frame human rights, and how is this reflected at local and national levels? How do ethical guidelines for clinical care, training, and research (or lack thereof) influence our practice?
  3. Social determinants of mental health and health care
    This theme traces how social and economic conditions and forces inform both mental health problems and mental health services. How do globalization, poverty, international development, health industry priorities, and political economy inform both problems and solutions in driving mental health problems and mental health practice?
  4. Intervention development and cultural adaptation
    How are interventions selected, developed, and tested in psychiatry and global mental health? What constitutes an evidence base for selecting interventions? What is the process for cultural adaptation, and how are cultural adaptations unique (or not) compared to other types of adaptations? How do indigenous or local interventions, systems of medicine, and sources of resilience fit with the aims of psychiatry and global mental health?
  5. Scaling-up, implementation, and knowledge dissemination
    How do interventions and practices go from proof-of-concept to large-scale implementation? What and who are the powers that determine worthiness for scaling-up and what benchmarks do they use? How is care implemented in a collaborative framework with other stakeholders ranging from primary care workers to partnerships with advocacy groups, mental health service users, families, and communities? How do objectives of cultural specificity and scalability impact one another?

In addition, there are cross-cutting issues that may play a part in each of the above:

  • Knowledge transfer between and among low- and middle-income countries (LMIC) and high-income countries (HIC)
    How are knowledge and lessons learned transferred from high to low-resource settings and vice-versa? How is knowledge transferred among low-resource settings, e.g. South-South collaborations?
  • Technologies
    This includes the use of guidelines (e.g., mhGAP, DSM, IASC guidelines), digital technologies (e.g., mobile phones, internet-based communication platforms), and biotechnologies.
  • Stigma
    Stigma influences activities and programs from the level of clinician-patient interactions to policy-making and implementation.
  • Populations and predicaments
    For each of the areas, the specific populations should be defined. For example, are program beneficiaries defined by specific disorders, risk factors, or other context or health-related factors?

    Submissions with qualitative and quantitative primary data and clinical encounters will be given preference over position pieces. The goal of the conference is to advance dialogue in cultural psychiatry and global mental health that is grounded in firsthand experience with research, teaching, clinical activities, public health interventions, policy- making, and other activities.

    As a guideline, designated keynote presentations will be 40 minutes long, followed by 20 minutes of discussion, for a total of one hour. Individual papers and symposia consisting of 3 presentations will be 2 hours long, with 30 minutes for each presentation plus 30 minutes for discussion of all the papers. In all cases 25% of the time must be allocated for discussion. This is an ACCME requirement as well as a request from many of the attendees of the 2014 meeting. In response to your evaluations of this year’s annual meeting we are very interested in receiving proposals for interactive workshops, especially in areas where skill building or attitude modification are key.

     

    Instructions for Authors

    All proposals must include the information below:

    1. Identifying information (name, affiliation, contact information) of all authors, with the presenting author so identified

    2. Title of presentation

    3. Abstract, composed of three parts

    •  1-3 learning objectives
    • Narrative abstract, up to 200 words
    • 1-3 related references

    4. Classify your presentation by type, according to the following options:

    • Research
    • Education and Training
    • Clinical
    • Theoretical/conceptual
    • Policy

    5. Indicate whether your abstract is a general submission or whether it focuses on Culture and Global Mental Health and which of the five areas it addresses.

    6. For an organized symposium, there should be one joint submission that includes (a) the organizer’s identifying information, (b) the symposium title, (c) the symposium abstract (including text, learning objectives, and related  references), and (d) the information for each paper within the symposium (presenter, title, abstract).

    7. Please indicate whether your submission is for a poster only or whether you would like it to be considered for presentation as a poster if we are unable to accept it as a paper.

    8. You will need to complete a disclosure form and return it with your abstract. The form is available at the SSPC website https://psychiatryandculture.org/. If you need assistance in obtaining a disclosure form, please contact ekramer931@gmail.com.

    9. Finally, if you are a trainee submitting a paper for consideration for the Charles Hughes Social Sciences Trainee Fellowship or John Spiegel Clinical Sciences Trainee Fellowship, please see the separate call for Fellowships on
    the SSPC website or contact brandon.kohrt@duke.edu.

    Submit all materials to PSYCHCULT2015@gmail.com. Submissions should be in a Microsoft Word document or comparable file type format. Files should be labeled as follows:

    Presenter’s last name_Presentation type(e.g., paper, symposium, workshop, poster)_Brief title(< 20 characters)

     

    Learning Objectives

    Please make sure you use learning objectives, not teaching objectives. Teaching objectives state what you are trying to teach. Learning objectives are what you expect the attendee to know or be able to do after attending your presentation.

    The objectives must use action verbs, which allow for the measurement of quantifiable outcomes. For example, At the conclusion of this presentation learners will be able to:

    1. define what an action verb is and list three characteristics of it
    2. describe two reasons why educational objectives are important
    3. discuss the importance of action verbs in preparing measurable educational objectives.

    An excellent reference for this task is Robert Major’s, Preparing Instructional Objectives, 3rd edition, available from Amazon.com if not at your local library.

    All individual papers must contain 2 or 3 learning objectives. Each paper that is part of an organized symposium must contain 1 or 2 objectives and the moderator should prepare 2 or 3 objectives for the entire symposium. All presentations in a symposium or workshop must be submitted together by the organizer.

     

    Narrative Abstract

    Abstracts should be structured, and they should NOT exceed 200 words, excluding the objectives and references. Guidelines for preparing structured abstracts, though slightly more detailed than we require, can be found in the Archives of General Psychiatry’s Instructions to Authors section on preparing structured abstracts.

    Abstracts for submissions classified as Research will include the following subsections: (1) Background, (2) Aims/Objectives, (3) Methods, (4) Results, and (5) Conclusion.

    Abstracts for submissions classified as Education and Training, Clinical, Theoretical/ Conceptual, or Policy will include the following subsections: (1) Background, (2) Aims/ Objectives, (3) Proposition and Discussion, and (5) Implications.

     

    For general member paper submissions only:

    Each proposal must include at least one reference. References should be listed in the field labelled references. Do not include references in the body of your abstract.

    All abstracts should be written in English and be of scholarly quality. Type size should be 11 or 12 point, and the font should be simple and clear. Our preferred font is Arial. Please do not format your abstract or use fancy fonts. Proposals will be screened prior to being sent out for peer review. Those that are found to be out of compliance with these guidelines will be returned to their authors for revisions and corrections. Authors will be given 10 days to make corrections and re-submit without penalty. However, no extensions for final submission will be permitted.

     

    Disclosure Form

    Please note that proposals will not be reviewed without your completed disclosure form, which is available at the SSPC website, here.

    Please note that general submissions go to psychcult2015@gmail.com, fellowship submissions go to Brandon.Kohrt@ duke.edu

    If you have any questions, please contact Roberto Lewis-Fernández, Chair of the Program Committee, at rlewis@nyspi.columbia.edu, or Liz Kramer, Executive Director, at ekramer931@gmail.com, or call her at (484) 496-3915 after August 5.

Call for Papers for Charles Hughes Fellowship and John Spiegel Fellowship SSPC Annual Meeting Providence, Rhode Island, April 23-25, 2015

Call for Papers for Charles Hughes Fellowship and John Spiegel Fellowship SSPC Annual Meeting Providence, Rhode Island, April 23-25, 2015

Paper Submission Deadline: September 15, 2014

Culture and Global Mental Health

The theme of the annual meeting is Culture and Global Mental Health. We are particularly interested in submissions based on clinical activities, teaching, and research that address the relationship between cultural psychiatry and global mental health, including issues pertaining to mutual contributions, challenges, and collaborations. The deadline for fellowship paper submission is September 15, 2014. Trainees in clinical and social sciences are invited to submit papers for consideration for the Charles Hughes and John Spiegel Fellowships. Fellowships cover meeting registration costs and a $500 award for travel and other expenses.

The Charles Hughes Fellowship is an annual award presented to a graduate student who has an interest in and commitment to cultural psychiatry and mental health. Graduate students in anthropology, public health, psychology, and related disciplines are encouraged to apply.

The John Spiegel Fellowship is an annual award presented to a medical student, resident, or fellow in clinical training who is dedicated to improving clinical care through culturally-informed practice.

Trainees in these fields who are interested in competing for these fellowships should submit the materials listed below by September 15, 2014.

  1. Cover page: A cover page should include the following information:
    • Identifying information (name, affiliation, contact information) of applicant
    • Title of paper
    • Abstract, composed of three parts
    • 2-3 learning objectives
    • Narrative abstract, up to 200 words
    • 1-3 related references
  2. Unpublished scholarly paper: An original unpublished scholarly paper on a topic related to Culture and Global Mental Health. Key conference themes for culture andglobal mental health are listed below. Papers are limited to 8,000 words inclusive of abstract, references, and tables. The applicant must be the first author on the paper. Additional authors can be included. Affiliation and contact information should be included for any additional authors.
  3. Biosketch: A 200-word biographical sketch describing your professional training and activities related to culture and global mental health.
  4. Statement of Professional Committment: A 250-word statement about your interests and potential committment to the mission of the Society for the Study of Psychiatry and Culture, and your vision for contribution to the organization.
  5. CV: Your curriculum vitae.

The recipients of the Charles Hughes and John Spiegel Fellowships will present their papers in a plenary session at the annual meeting in Providence on April 23-25, 2014. Recipients of the fellowships have all registration fees waived. An honorarium of $500 is provided to help defer travel, lodging, and related costs.

Please email all materials to Brandon Kohrt, brandon.kohrt@duke.edu

Conference Core Areas

The conference will center on five core areas, as well as cross-cutting issues in culture and global mental health. Papers submitted for consideration should address one or more of these areas, based on clinical, teaching, or research work  conducted by the applicant.

  1. Origins and transformations of knowledge and practice in global mental health
    This core area incorporates epistemology and ontology in global mental health. How is knowledge generated, how are concepts defined, and which individuals and institutions have the power to define concepts in global mental health? What values influence and are reflected in global mental health priorities and praxis? What roles and power do mental health service users, other persons living with mental illness, families, and communities have in influencing global mental health activities? How do epistemology, ontology, and value systems influence what is measured and counted in global mental health through epidemiology, health economics, and other aspects deemed worthy of counting? Ultimately, how does knowledge move between the local and the global?
  2. Human rights, ethics, politics, and policy
    Building upon issues related to values and powers influencing global mental health, this area explores how ethical, political, and rights-based documents and doctrines influence global mental health. How do international policies, programs, and institutions (e.g., United Nations’ bodies, the World Health Organization, humanitarian organizations) frame human rights, and how is this reflected at local and national levels? How do ethical guidelines for clinical care, training, and research (or lack thereof) influence global mental health practice?
  3. Social determinants of mental health and health care
    This theme traces how social and economic conditions and forces inform both mental health problems and mental health services. How do globalization, poverty, international development, health industry priorities, and political economy inform both problems and solutions in driving mental health problems and mental health practice?
  4. Intervention development and cultural adaptation
    How are interventions selected, developed, and tested in global mental health? What constitutes an evidence base for selecting interventions? What is the process for cultural adaptation, and how are cultural adaptations unique (or not) compared to other types of adaptations? How do indigenous or local interventions, systems of medicine and sources of resilience fit with the aims of global mental health?
  5. Scaling-up, implementation, and knowledge dissemination
    How do interventions and practices go from proof-of-concept to large-scale implementation? What and who are the powers that determine worthiness for scaling up and what benchmarks do they use? How is care implemented in a collaborative framework with other stakeholders ranging from primary care workers to partnerships with advocacy groups, mental health service users, families, and communities? How do objectives of cultural specificity and scalability impact one another?

In addition, there are cross-cutting issues that may play a part in each of the above:

  • Knowledge transfer between and among low- and middle-income countries (LMIC) and high-income countries (HIC)
    How are knowledge and lessons learned transferred from high to low-resource settings and vice-versa? How is knowledge transferred among low-resource settings, e.g. South-South collaborations?
  • Technologies
    This includes the use of guidelines (e.g., mhGAP, DSM, IASC guidelines), digital technologies (e.g., mobile phones, internet-based communication platforms), and biotechnologies?
  • Stigma
    Stigma influences activities and programs from the level of clinician-patient interactions to policy-making and implementation.
  • Populations and predicaments
    For each of the areas, the specific populations should be defined. For example, are program beneficiaries defined by specific disorders, risk factors, or other context or health-related factors?

Recommendations for Paper Submissions

Papers submitted for consideration will be peer reviewed. Papers are judged on the following criteria:

  1. Original contribution of the trainee – The paper should represent activities conducted by the applicant. Firsthand research, training, or clinical activities are required. This may include conducting interviews, ethnographic
    research, intervention implementation, clinical work, or other related activities. Papers with only secondary data analysis (either quantitative or qualitative) are not eligible for the fellowships.
  2. Research or clinical question and contribution to the field – The research or clinical question should be grounded in the literature on global mental health and culture. The question should be novel and have implications for future research, training, and/or practice. The results of this study should be interpreted in light of the history of culture and mental health research, training, and clinical work. Other areas that will have a contribution to the field such as capacity building for beneficiary communities, providers in cross-cultural settings, and advocacy groups could also be reflected in this score.
  3. Ethical conduct – All research projects should include details on IRB approval from the applicant’s home institution as well as IRB approval from the country where research was conducted if the research was carried out outside the United States. Papers that do not have information on appropriate IRB approval will not be considered for review. For clinical cases, IRB approval is not required, but appropriate anonymization practices should be observed
    in documentation.
  4. Methods/analysis – Projects demonstrating high levels of participation in design, implementation, and interpretation with the beneficiary community will be prioritized. Rigorous methods and analysis using best practices in qualitative or quantitative research in culture and mental health are recommended.
  • For qualitative methods – what type of theory was used for coding and theory building (e.g., grounded theory, interpretative phenomenological analysis, content analysis, etc.); was the selection of participants appropriate for a qualitative study; for ethnographic studies, how was participant observation incorporated into the design, etc.?
  • For quantitative studies – were culturally validated instruments used or was there a cultural validation as part of the study; was the sample representative with regard to recruitment and target population; were statistical analyses appropriate for this study design, etc.?

See the Call for Papers for instructions for preparing learning objectives and narrative abstract.

Help us stay organized!

As the organization grows in size and complexity it becomes increasingly more important for us to stay organized, especially since we are such a geographically diverse group. For that reason we are asking you to please use the psychcult2015@gmail.com box only for dues and meeting submissions. All other communications should be addressed to the individuals for whom they are intended at their individual email addresses. names and email addresses are listed below. If you want someone else’s address, please contact me.

President – Steven Wolin stevenwolin@gmail.com
Past President – Jim Boehnlein boehnlei@ohsu.edu
Vice President and Program Committee Co-chair – Roberto Lewis-Fernandez rlewis@nyspi.columbia.edu
Program Committee Co-chair – Brandon Kohrt brandonkohrt@gmail.com
Secretary/Membership Chair – Francis Lu francislumd@gmail.com
Treasurer – Dan Savin Daniel.savin@ucdenver.edu
Education and Training Co-Chairs – Jim Griffith jgriffith@mfa.gwu.edu and Kenneth Fung ken.fung@uhn.ca
Newsletter Editor – Shannon Suo shannonsuo1@gmail.com
Executive Director – Liz Kramer ekramer931@gmail.com
Finance – Ramaswamy Viswanathan ramaswamy.viswanathan@downstate.edu
Research – Albert Yeung ayeung@partners.org
Membership, Communications, and Marketing – Connie Cummings cummings08@gmail.com, Renato Alarcon alarcon.renato@mayo.edu and Artha Gillis artha.gillis@gmail.com