Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5

Roberto Lewis-Fernández, Neil K rishan Aggarwal, Sofie Bäärnhielm, Hans Rohlof, Laurence J. Kirmayer, Mitchell G. Weiss, Sushrut Jadhav, W Ladson Hinton, Renato D. Alarcón, Dinesh Bhugra, Simon Groen, Rob van Dijk, Adil Qureshi, Francisco Collazos, Cécile Rousseau, Luis Caballero, Mar Ramos, Francis G Lu

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.

Original languageEnglish (US)
Pages (from-to)130-154
Number of pages25
JournalPsychiatry
Volume77
Issue number2
DOIs
StatePublished - Jun 1 2014

Fingerprint

Psychiatry
Interviews
Diagnostic and Statistical Manual of Mental Disorders
History
Education
Research
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lewis-Fernández, R., Aggarwal, N. K. R., Bäärnhielm, S., Rohlof, H., Kirmayer, L. J., Weiss, M. G., ... Lu, F. G. (2014). Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5. Psychiatry, 77(2), 130-154. https://doi.org/10.1521/psyc.2014.77.2.130

Culture and psychiatric evaluation : operationalizing cultural formulation for DSM-5. / Lewis-Fernández, Roberto; Aggarwal, Neil K rishan; Bäärnhielm, Sofie; Rohlof, Hans; Kirmayer, Laurence J.; Weiss, Mitchell G.; Jadhav, Sushrut; Hinton, W Ladson; Alarcón, Renato D.; Bhugra, Dinesh; Groen, Simon; van Dijk, Rob; Qureshi, Adil; Collazos, Francisco; Rousseau, Cécile; Caballero, Luis; Ramos, Mar; Lu, Francis G.

In: Psychiatry, Vol. 77, No. 2, 01.06.2014, p. 130-154.

Research output: Contribution to journalArticle

Lewis-Fernández, R, Aggarwal, NKR, Bäärnhielm, S, Rohlof, H, Kirmayer, LJ, Weiss, MG, Jadhav, S, Hinton, WL, Alarcón, RD, Bhugra, D, Groen, S, van Dijk, R, Qureshi, A, Collazos, F, Rousseau, C, Caballero, L, Ramos, M & Lu, FG 2014, 'Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5', Psychiatry, vol. 77, no. 2, pp. 130-154. https://doi.org/10.1521/psyc.2014.77.2.130
Lewis-Fernández R, Aggarwal NKR, Bäärnhielm S, Rohlof H, Kirmayer LJ, Weiss MG et al. Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5. Psychiatry. 2014 Jun 1;77(2):130-154. https://doi.org/10.1521/psyc.2014.77.2.130
Lewis-Fernández, Roberto ; Aggarwal, Neil K rishan ; Bäärnhielm, Sofie ; Rohlof, Hans ; Kirmayer, Laurence J. ; Weiss, Mitchell G. ; Jadhav, Sushrut ; Hinton, W Ladson ; Alarcón, Renato D. ; Bhugra, Dinesh ; Groen, Simon ; van Dijk, Rob ; Qureshi, Adil ; Collazos, Francisco ; Rousseau, Cécile ; Caballero, Luis ; Ramos, Mar ; Lu, Francis G. / Culture and psychiatric evaluation : operationalizing cultural formulation for DSM-5. In: Psychiatry. 2014 ; Vol. 77, No. 2. pp. 130-154.
@article{095736bcce89432fada12aa4d0940640,
title = "Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5",
abstract = "The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.",
author = "Roberto Lewis-Fern{\'a}ndez and Aggarwal, {Neil K rishan} and Sofie B{\"a}{\"a}rnhielm and Hans Rohlof and Kirmayer, {Laurence J.} and Weiss, {Mitchell G.} and Sushrut Jadhav and Hinton, {W Ladson} and Alarc{\'o}n, {Renato D.} and Dinesh Bhugra and Simon Groen and {van Dijk}, Rob and Adil Qureshi and Francisco Collazos and C{\'e}cile Rousseau and Luis Caballero and Mar Ramos and Lu, {Francis G}",
year = "2014",
month = "6",
day = "1",
doi = "10.1521/psyc.2014.77.2.130",
language = "English (US)",
volume = "77",
pages = "130--154",
journal = "Psychiatry",
issn = "0033-2747",
publisher = "Taylor and Francis Ltd.",
number = "2",

}

TY - JOUR

T1 - Culture and psychiatric evaluation

T2 - operationalizing cultural formulation for DSM-5

AU - Lewis-Fernández, Roberto

AU - Aggarwal, Neil K rishan

AU - Bäärnhielm, Sofie

AU - Rohlof, Hans

AU - Kirmayer, Laurence J.

AU - Weiss, Mitchell G.

AU - Jadhav, Sushrut

AU - Hinton, W Ladson

AU - Alarcón, Renato D.

AU - Bhugra, Dinesh

AU - Groen, Simon

AU - van Dijk, Rob

AU - Qureshi, Adil

AU - Collazos, Francisco

AU - Rousseau, Cécile

AU - Caballero, Luis

AU - Ramos, Mar

AU - Lu, Francis G

PY - 2014/6/1

Y1 - 2014/6/1

N2 - The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.

AB - The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.

UR - http://www.scopus.com/inward/record.url?scp=84911492844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84911492844&partnerID=8YFLogxK

U2 - 10.1521/psyc.2014.77.2.130

DO - 10.1521/psyc.2014.77.2.130

M3 - Article

C2 - 24865197

AN - SCOPUS:84911492844

VL - 77

SP - 130

EP - 154

JO - Psychiatry

JF - Psychiatry

SN - 0033-2747

IS - 2

ER -