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Table 3 Themes regarding culturally competent care

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

Theme Code Representative quote Focus group
Definitions Demographic The appreciation of people where they come from, their heritage, faith, and belief systems P, C, A
  Person-centered Relating to the patient based on their background, and taking into consideration where they’re from P, C, A
Clinician techniques Sharing similarities Instead of the differences I would focus more on the things that we have in common P, C, A
  Respect patient wishes Well, that’s up to the patient to make that decision P, A
  Explain options to patients If it doesn’t make it better for you, come back and tell me and we’ll find something different P, C, A
Patient challenges Cultural model of mental health I think that our country is very Spanish, so if you go to the psiquiatra (psychiatrist) or the psicólogo (psychologist) it means you’re crazy P, C
  Cultural view of mental illness I can’t think of any culture where mental illness isn’t a stigma P, C
  Concerns about the clinician’s culture Some patients reject you for who we are because we are from another culture C, A
Clinician challenges Explicit bias I had one therapist that, I’m mixed, and when I would come to see her, all she wanted to talk about was my culture P, A
  Implicit bias We all have attitudes and beliefs that we come into this practice with that we have to check at the door and be very mindful of P, A
Institutional challenges Time A long time ago you would say 45 minutes, but now it’s half an hour and hopefully they don’t cut that P, C, A
  Technological pressures Before technology, the therapist would look at you. But now they’re typing while you’re talking to them. You don’t feel it P, C
  1. P patients, C clinicians, A administrators