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Programs of the West Australian Transcultural Mental Health Centre

Resource/Consultancy Service

To bring about a sensitive and consistent response to WA's migrant mental health needs, the Centre continuously strives to fulfil its role as a centre of expertise and resource in the field of transcultural mental health.

The Centre responds to queries from other clinicians regarding patients' cultural issues related to mental health in order that it may enhance their treatment efficacy. To assist us in this service provision, the Centre has compiled a comprehensive database and collection of translated mental health resources for clients and patients from culturally and linguistically diverse backgrounds, as well as relevant resources that may be useful to service providers.

Directory of Bicultural/Bilingual Mental Health and General Practitioners

The Centre compiles and produces, on a regular basis, a Directory of Bicultural/Bilingual Mental Health and General Practitioners to facilitate provision of mental health care to people from culturally and linguistically diverse backgrounds in their preferred language(s). The 5th Edition of the Directory of Bilingual/Bicultural Mental Health and General Practitioners was produced in partnership between the WA Transcultural Mental Health Centre and the WA General Practice Network.

Guidelines and Protocols for Translated Mental Health Resources

Guidelines and Protocols for Translated Mental Health Resources (available as Microsoft Word document, 482KB or PDF document, 365KB) contains:

  • a list of available resources for use with CALD populations and where they are available from;
  • protocols and guidelines by which the quality of resources can be judged;
  • and a framework for identifying gaps and future resource needs.

This document is the final report of a resource assessment project funded by the Office of Mental Health, Department of Health, Western Australia.

Mental Health Promotion

The Centre adopts a strong community development approach in promoting mental health among CALD communities.The Centre seeks to improve the level of mental health literacy among CALD communities, and to increase awareness of risk factors to mental illness, as well as the protective influences that might maintain one's mental health.

It would be simplistic to regard mental health promotion as involving only delivery of information on specific disorders, its symptoms and appropriate treatment.. Promoting mental health is about encouraging open, frank discussions among community members and between community members and mental health practitioners about mental illness and mental health services. The underlying aim for this mental health promotion approach is to "demystify" mental illness, thereby addressing some of the stigma attached to mental illness. One example of a mental health promotion initiative is the Centre's participation in the project: Preventing Family Disintegration in Culturally and Linguistically Diverse Communities. The report (PDF 697KB) is available for download. This initiative was recognised by the National Australian Crime and Violence Prevention Awards 2004. Further recognition for the initiative has also come from the WA Department of Community Development which committed $80,000 for the project partners to replicate the initiative with other ethnic communities. The findings from this second phase of the project , Preventing Family Disintegration in CALD communities: a partnership approach which worked with the Sudanese, Somali and West African communities in Perth, is available for download (PDF 443KB).

Education and Training

The Centre has been given responsibility of delivering the state-endorsed training program to all clinicians in Western Australian mental health services (refer to section on Multicultural Forum for Mental Health Practitioners under 'Service Development' for further details of the training package). Upon request, the Centre is also available to develop and deliver training and education seminars to service providers (including NGOs) and consumer groups, specific to their needs. These education workshops are delivered free of charge.

Research

We pride ourselves in maintaining a research agenda that is proactive, innovative and relevant to the mental health need priorities of its target patient population. A principal objective is to increase timely mental health service utilization by CALD community patients. Our work seeks to identify the barriers to service access and during service delivery; and to address the state of inadequacy with respect to the provision of a culturally appropriate mental health service at all levels.

To date the Centre has engaged in epidemiological and operational research on the psychiatric morbidity, risk factors, and treatment outcomes of CALD background patients, and on the quantity and quality of service provision for this target population.

The national edition of The Cultural Awareness Tool (CAT) is now available. This project was conducted by the West Australian Transcultural Mental Health Centre in collaboration with Curtin University and RACGP in 1999-2000. The original version was distributed in WA as part of this project.

The Clinician's Compendium of Assessment Tools for Mental Health Clients from Culturally and Linguistically Diverse (CALD) backgrounds was the result of a project funded by the Office of Mental Health (WA). This compendium describes available translated clinical assessment tools and inventories, by language and by the culture for which these have been validated; and reference to where such instruments were subsequently produced. The Compendium is now available from the Office of Mental Health, Department of Health, Western Australia.

In collaboration with Murdoch University, the Department of Health and the West African community in Perth, the Centre was involved in investigating how best to sensitively disseminate appropriate strategies for maintaining good health and mental health behaviours among members of the West African Community. The first phase of the project targeted sexual health knowledge. The resulting report from the first phase, A Survey of Sexual Health Knowledge in Migrants and Refugees from West Africa, is a available from the Centre. The West African Community voiced their need for the focus of this project to go beyond sexual health to other health and mental health areas. The second phase of this project was completed in December 2007 and followed a peer-education model of intervention. A report of the outcome of this second phase may be obtained upon request from the Centre.

Service Development

Mental health services for CALD communities are widely acknowledged to be fraught with deficits and a general lack of understanding of relevant cultural-based issues that might enhance service provision. The WA Transcultural Mental Health Centre has a role in contributing to service development and the planning and development of programs that will enhance service delivery by mental health service staff to people from culturally and linguistically diverse backgrounds.

Our collaborative links with other service providers (government and non-government) in addition to our ongoing liaison at the "grassroots" level enables the Centre to identify realistic, pragmatic and need-responsive issues to be considered and addressed in service planning and development.

From 1998 to 2005 the WA Transcultural Mental Health Centre facilitated and acted as the secretariat to the Multicultural Forum for Mental Health Practitioners (PDF file 235KB). During its lifespan, the Forum developed the Cultural Competency Standards and Audit Tool – a tool for mental health services to assess their level of cultural competency measured against specifically developed cultural competency standards. Copies of the Audit Tool are available from the Mental Health Division at the Department of Health, Western Australia.

Clinical

All staff at the WA Transcultural Mental Health Centre have a clinical background with wide experience in transcultural mental health. The Centre offers a tertiary level clinical service to people from CALD backgrounds, using interpreters, where necessary. Referrals are taken secondary mental health services subsequent to a comprehensive assessment conducted by the referring service.

Staff are available to offer expert advice and information to assist service providers in their own management of CALD background patients.

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Download slide presentations from the 2nd WA Transcultural Mental Health Conference - 'Broadening the Horizon'