Members in the News: Psychiatry Residency Builds Global Reach by Using Local, Overseas Settings

Members in the News: Psychiatry Residency Builds Global Reach by Using Local, Overseas Settings

by Aaron Levin

Mental illness knows no boundaries, a fact that some psychiatry residency programs are incorporating into their training.

“Global mental health is mental health anywhere but here,” said James Griffith, M.D., chair of psychiatry at George Washington (GW) University, with perhaps a touch of irony, given that his residents can begin their “global” clinical work in the next county.

Global mental health has its roots in three overlapping domains, said Griffith—cultural anthropology, acute disaster, and postconflict response, and a public health tradition of alleviating suffering in a world where resources can be scarce. Programs typically combine local work with immigrants with several months overseas, usually in the fourth year of residency.

Just how many residency programs include such components is unclear.

“My impression is that the majority of training programs don’t have a global mental health component, but I think there is increasing interest,” said Christopher Varley, M.D., a professor of psychiatry and behavioral health at the University of Washington and president of the American Association of Directors of Psychiatric Residency Training.

A survey of 171 residency training directors (which received just 59 responses) published in 2011 found that they “endorsed the value of international experiences during residency, but their availability and educational impact are not fully supported.”

So GW and a few other programs appear to be unusual in their embrace of global mental health. Several factors may complicate their establishment. For instance, how will programs cover the cost of an overseas placement or make up clinical coverage or research time for a resident who may be away for months at a time?

Nevertheless, there may well be increasing interest in the concept, said Giuseppe Raviola, M.D., an assistant professor of psychiatry and of global health and social medicine at Harvard Medical School and director of mental health programs for Partners in Health.

“More medical students today are interested in global health, including those going into psychiatry,” said Raviola in an interview. “So psychiatry residency programs will need to offer global mental health options to attract the best new residents.”

“I think global mental health reflects an understanding that in addition to serving communities locally, one way we can do more good is to look beyond our borders,” said PGY-4 Michael Morse, M.D., a 2014-2015 APA American Psychiatric Leadership Fellow.

“Global mental health is not something you tack onto a residency training program,” said Morse in an interview. “Rather, it’s like any other competency in residency, where you need to do it and do it a lot and have mentors and supervisors who can help you learn from their experience.”

Within the GW program, all residents take a 12-week seminar in global mental health in their second year. PGY-3s who select the global track then spend several hours a week at Northern Virginia Family Services, an independent agency across the Potomac River in Fairfax County.

“We think you don’t learn this by going to other countries,” said Griffith. “You train residents and work with immigrant and refugee populations here, develop the skill sets, and when they have them, go on to international sites.”

Anjuli Jindal, M.D., began working at the clinic as a PGY-3 in 2007 and has served as a consultant for four hours a week since 2009. She evaluates immigrants and people seeking asylum in the United States and also supervises GW residents.

“You feel the world is so much bigger than your own small community,” she said. “I continued here because I felt this was so important, so needed.”

In addition to the tales of the difficulties in adjusting to a new country or the graphic stories of trauma in their home countries experienced by refugees, Jindal has heard and is heartened by her patients’ resilience and recovery.

“It restores your faith in kindness and the human connection.”

Fourth-year residents can elect to work on a mental health program overseas or a general medical project in another country as a team psychiatrist.

In recent years, GW residents have participated in global mental health research, training, or human-rights projects in Liberia, Uganda, South Africa, Greece, the West Bank, Cambodia, Nepal, and India, said Griffith.

Psychiatrist and anthropologist Brandon Kohrt, M.D., Ph.D., has applied lessons from his George Washington University residency to his work in Mongolia, Nepal, and Liberia. Photo Credit: American Psychiatric Association/Aaron Levin

Psychiatrist and anthropologist Brandon Kohrt, M.D., Ph.D., has applied lessons from his George Washington University residency to his work in Mongolia, Nepal, and Liberia.
Photo Credit: American Psychiatric Association/Aaron Levin

Brandon Kohrt, M.D., Ph.D., finished his residency in 2013 and is now an assistant professor of psychiatry at Duke University and a member of the Duke Global Health Institute in Durham, N.C. He values the time spent in the North-ern Virginia clinic.

“We got daily practice with refugees and asylum seekers here as preparation for our overseas work,” Kohrt told Psychiatric News.

Both Morse and Kohrt developed their overseas connections before they arrived at GW.

Kohrt’s doctorate is in anthropology. Even before he came to GW, he did extensive field work in Mongolia on a culturally specific syndrome analogous to chronic fatigue syndrome and with former child soldiers in Nepal. He helped produce documentary films on those topics in each country. He also worked as a consultant to an antistigma program in Liberia.

“I had an awareness of the context and needs of low-resource settings, but GW gave me the tools,” said Kohrt.

Read the entire article on Psych News.

Copyright © 2014 by the American Psychiatric Association. Reprinted with permission from the September 5, 2014, issue of Psychiatric News.

Things to Do in Providence

It takes about 45 minutes to drive across Rhode Island, or just enough time to watch the opening scenes of Interstellar on your laptop. Forstall, because historic Providence is worth a visit.

East Side of Providence
Brown University is located on the East Side of Providence, a fifteen-minute walk from the Omni. From Exchange Street take a left onto Westminster. Cross the Providence River and head up College Street to historic, 1.2-mile long Benefit Street, which is definitely worth a stroll in either direction for its outstanding examples of simple colonial and ornate Georgian-style homes.

Providence Athenaeum Library

Providence Athenaeum Library

Benefit Street is home to the Providence Athenaeum Library (corner of Benefit and College; photo, right) and the RISD Museum (Rhode Island School of Design). Nearby historical museums include the John Brown House Museum and, farther afield, the Governor Henry Lippitt House Museum, an American National Historic Landmark, at 199 Hope Street.

Thayer Street

Thayer Street

You can grab one of Geoff’s spectacular sandwiches (163 Benefit), a local favorite, or continue to walk up College Street to Prospect and take a peak inside Brown’s campus (corner of Prospect and Waterman), with its eclectic mix of architectural styles. Then take Waterman Street down the opposite side of the hill and turn left onto Thayer Street (photo, left), where you’ll encounter a lively stretch of cafes, restaurants, bars, and shops, as well as the Brown University Bookstore and the Avon Cinema. Be sure to stop by Blue State Coffee (300 Thayer Street) before you leave.

Blackstone Blvd footpath

Blackstone Blvd footpath

A longer walk takes you along Thayer to Lloyd Avenue, which you can follow past Moses Brown School all the way down to Blackstone Boulevard. The north and southbound lanes are divided by 100-foot wide parkland. The center, 2-mile-long footpath (photo, right) is a favorite spot for runners and walkers.

The cultural tour of Providence ends with a visit to Trinity Square Repertory Company, which will be performing A Flea in Her Ear by French playwright Georges Feydeau (March 26 – April 26, 2015; call 401-351-4242 for tickets, or visit www.trinityrep.com/a-flea-in-her ear).

If you have a full day to spare, you can travel by car to Newport, Rhode Island, and time-travel back to the Gilded Age (www.newportmansions.org). Newport was the first city in world history where all people were allowed to express themselves freely, worship without interference, and was governed by an elected, secular government. The King Charles II Charter of 1663 provided the first formal recognition of these freedoms.

President’s Letter

Dear SSPC Colleague,

I hope you are planning to attend our 2015 conference. The theme this year, global mental health (GMH), is on the minds  of many cultural psychiatrists right now. Look over this year’s program which can be found on the SSPC Annual Meeting page. You will see the people and issues you  definitely will want to hear,  Right now you can get a head start on these issues by  looking at the special issue of Transcultural Psychiatry (December 2014) which is largely devoted to GMH.  It is available to members online at no cost.  If you haven’t accessed your copy of the Journal until now here’s how to get there: On the website under Membership, go to the “For Members Only” section and once on your profile scroll down to “Transcultural Psychiatry Online.” Board member and TCP editor, Laurence Kirmayer, opens the issue with a very helpful framework for understanding GMH.  This is followed by five articles covering important issues in the GMH discussion: why mental health matters to global health; research ethics in global mental health; creating synergy between global mental health and cultural psychiatry; ritual healing and mental health in India; and, the making of global and local scale.

In addition to our theme, there’s more good news about the 2015 meeting. With our increased membership and careful budgeting we have been able, for the first time, to  reduce the registration fee for trainees. We also have been able to hold our general members’ registration fees at the same very reasonable rate we have had for the past three or four years.  You won’t find another meeting where you get more for your money than SSPC, with a three day program filled with interesting sessions; meals and receptions; and most important, numerous opportunities to meet your colleagues and share  interests in a small, casual and friendly setting.

I want to mention two important developments that are currently in the works The first is a major website revision which is now scheduled to “go live” in January.  The second development is a unique mentorship program that will connect senior SSPC members to younger members in their research, clinical and training careers. Watch the website for information about both of these additional benefits of SSPC membership.

2015 elections – Last year the Board completed a major revision of its Bylaws.  Two major changes going forward  are the size (smaller) and  term limits for all Board members. The Board will now consist of 18 individuals: 5 members of the Executive Committee – President, Vice President/ President elect, immediate Past President, Secretary and Treasurer – plus 12 elected Board members, each serving a 3 year term with the option of election to a second term, plus a non-voting Executive Director.

In March 2015  we will  elect 3 members of the Executive Committee – Vice President, Secretary, Treasurer – and three Board members, for a 3-year term beginning at the annual meeting in Providence. I hope you will consider running for one of these positions, or joining one of our Committees. Finally, please plan to attend our brief but important business meeting on Friday April 24th where we will thank the retiring officers and Board members for their excellent service, and introduce our new officers, Board members and committee chairs.

Lastly, don’t forget to contribute to the President’s Fund.  We are presently working on a way for you to donate when you pay your dues or register for the annual meeting.

With best wishes for the holidays I look forward to seeing many of you in Providence.

Steven

Executive Director’s Note

Liz and post-president Jim Boehnlein, 2012 Annual Meeting in New York Photo credit: John Onate

Liz and post-president Jim Boehnlein, 2012 Annual Meeting in New York
Photo credit: John Onate

We’re busy here, actively preparing for the 2015 annual meeting which is less than five months away.  Based on those all important evaluations that we’re always asked to complete, we’ve modified the program structure a bit.  Instead of keynote speakers, and in keeping with the global theme of the meeting, this year we will be having three plenary panels, one each day, on clinical and practice issues, funding issues and the role of non-government organizations (NGOs), and one on socio-cultural issues in global mental health.

We also will be introducing a number of interactive workshops.  Some of the workshop topics include Cultural Adaptation of Psychotherapeutic Interventions, Design, Curriculum and Implementation of Training Programs in Global Mental Health, and Cross Cultural Instrument Development and Adaptation, to name just a few.  And of course we will have our usual symposia.  Please visit www.psychiatryandculture.org to view the entire program, register and book your hotel room. Early bird registration is open now. We have not raised the registration fees this year and, in fact, have reduced them for trainees. While you’re at the website, don’t forget to pay your dues for 2015.  They are due by the end of January, but we’re happy to accept your money now if that works better for you.

The program format isn’t the only thing that’s changing.  Administratively we’re shoring up a few things, too.  Sticking with the annual meeting for another line or two, the number of participants in each workshop will be limited and pre-registration will be required.  Reservations will be accepted on a first come, first served basis, a great incentive for registering early.  This is a meeting you won’t want to miss.  The program appears on Annual Meeting page.

Speaking of dues, we’re actually going to be sending out invoices for the first time this year.  They will go to all current members as well as those who have belonged in the preceding two years but whose memberships have lapsed.  Of course new members are always welcome at any time.

Many thanks to the member volunteers who are helping to make things happen on many fronts, especially the website re-development and mentorship program.  Cheers to each and every one of you.

Finally, we’re planning to sell ads in our program book this year.  If you would like to place one, please contact me for information on sizes and prices.  And if anyone has suggestions about potential corporate sponsors, please don’t keep them a secret.

The rest of this newsletter is chock full of the many other activities that are going on within SSPC.  There also is an article on Providence, a real sleeper city, for those of you who are unfamiliar with it, so I’ll sign off now with best wishes to each of you for happy and safe holidays and a healthy and happy new year.

Warm regards.
Liz

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.