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Table 1 Discussion questions from the focus group guide

From: The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators

Discussion topic Patient questions Clinician questions Administrator questions
Welcome and introduction (~10 min)    
General questions (~30 min)    
Defining cultural competence To break the ice, let’s go around the room and have each person answer. Please tell us what types of services you receive as patients. Please also tell us what cultural competence means to you To break the ice, let’s go around the room and have each person answer. Please tell us if you are a psychiatrist, psychologist, nurse, social worker, or CASAC. Please also tell us what cultural competence means to you To break the ice, let’s go around the room and have each person answer. Please tell us what types of services you manage as administrators. Please also tell us what cultural competence means to you
Cultural competence between patients and clinicians How can a clinician demonstrate cultural competence to patients? [Same] [Same]
Beneficiaries of cultural competence How does a patient’s background affect communication with clinicians? How does a patient’s social, cultural, or racial background affect rapport with clinicians? How does a patient’s background affect your communication? How does a patient’s social, cultural, or racial background affect your rapport? [Same as patient question]
Specific questions (30 min)    
Identifying the target population We want to hear about your specific experiences as patients. Based on your experiences receiving care, for what types of patients is cultural competence necessary and why? We want to hear about your specific experiences in providing treatment. Based on your experiences with providing care, for what types of patients is cultural competence necessary and why? We want to hear about your specific experiences as administrators. Based on your experiences managing clinicians, for what types of patients is cultural competence necessary and why?
Cultural competence and patient treatment expectations Does culture affect what types of treatment you want or how long you want to be treated? If so, how? Does culture affect what types of treatment patients want or how long they want to be treated? If so, how? [Same as clinician question]
Cultural competence and clinician healthcare practices How does cultural competence translate into quality caregiving? [Same] [Same]
Resolving patient-clinician differences If patients and clinicians disagree about what types of treatment are necessary, how should clinicians resolve differences? [Same] [Same]
Reflecting back (~10 min) If you had a chance to give advice on cultural competence to your clinicians, what advice would you give? If you had a chance to give advice on cultural competence to your clinical director, what advice would you give? [Same as patient question]
Wrap up and final comments (~10 min) Is there anything that we should have talked about, but missed in today’s discussion? [Same] [Same]