February 02, 2007Cultural Competency And All ThatI first ran into the term "cultural competency" as applied to our nation's mental health system in 2000. That's when the public mental health system in Multnomah County (Portland), Ore. was in meltdown and various politicians were trying to put Humpty-Dumpty back together again. At some point, people started pointing out that the mental health system in Stumptown was very white and that measures needed to be put into place to ensure that ethic minorities in the system would have someone of their own culture they could work with. Marissa Miller, author of the fine depression introspection blog, offers her thoughts on the subject, in response to a woman claiming to have PTSS--post traumatic slave syndrome. As we found out in Portland, sometimes cultural competency alone is not enough. In 2001, a Mexican-Indian (I think that's the right term) named Sergio Mehia Poot, who was either schizophrenic or an epileptic, was hospitalized and later killed in the hospital by Portland Police officers (the story is just too ugly to get into and still makes me sick to my stomach). It was never clear whether Poot should have been in the hospital since he spoke a rare mountain dialect of Spanish and none of the Spanish speakers in the mental health system knew what he was talking about. Sometimes, life and death are fucked up like that. Posted by Philip Dawdy at February 2, 2007 12:03 AM
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I heard of a few stories, I guy speaking a strange language is beleived to be crazy and is hospitalized, when all he was doing was speaking another language. I don't have a link for this one. I heard a story once (back around 1979 or 1980) of a woman who had been committed to a psych hospital and spent several decades there because a psychiatrist said she would only speak "gibberish". After her being locked up for something like 30 or 40 years, someone discovered that she was actually speaking some not widely understood foreign language (I think it may have been Hungarian). I recall a big headline in The Boston Globe - or maybe it was the other Boston paper - that said something like "After 40 Years, Her 'Gibberish' Becomes Clear". Posted by: Kent at February 3, 2007 11:16 AMThere is another language some people may not know exists, but psychiatrists have named it "word salad". This happens to disoriented, confused, and (most likely over-medicated)patients in hospital settings. |
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