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Mental Health Culture and Disaster

What is Culture. That complex which includes knowledge, belief, art, morals, law, customs and any other capabilities and habits acquired by man as a member of society (Taylor, 1871)Systematic body of learned behaviour that is transmitted from parents to children" (Mead, 1952)Standards for pe

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Mental Health Culture and Disaster

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    1. Mental Health Culture and Disaster Professor Dinesh Bhugra MA, MSc, MPhil, MBBS, FRC Psych, PhD, LMSSA Section of Cultural Psychiatry Health Service and Population Research Department Institute of Psychiatry, King�s College London De Crespigny Park London SE5 5AF

    2. What is Culture That complex which includes knowledge, belief, art, morals, law, customs and any other capabilities and habits acquired by man as a member of society (Taylor, 1871) Systematic body of learned behaviour that is transmitted from parents to children� (Mead, 1952) Standards for perceiving, believing, evaluating and acting (Goodenough, 1981) A common heritage or set of beliefs, norms, and values. It refers to the shared, and largely learned, attributes of a group of people...a system of shared meanings (Surgeon General, 2001)

    11. Function of Culture Idioms of Distress Locus of Control Pathways into care Social and economic capital Resources Outcome

    12. Mild psychological distress 20% [?] Moderate psychological distress 30% [?] Existing mental disorders 2-3%

    13. Displacement Culture shock Culture embitterment Culture conflict

    14. Risk Factors (Norris et al 2001) Predisaster: Females affected more adversely Age : Older adults : Middle aged Prior experience Culture and ethnicity Developing nation Majority vs. minority groups Majority groups did better in adults Socioeconomic status

    15. Risk Factors (contd.) Predisaster: Family factors Married women did worse Parents did worse Children were sensitive Predisaster functioning Pre existing symptoms Personality Traits

    16. Risk Factors (contd.) Within Disaster: Severity of disaster Bereavement Injury Life threat Panic Separation Loss of property Relocation Neighbourhood level security Personal loss

    17. Risk Factors (contd.) Postdisaster Factors: Life event stress & Clinical stress Acute stressors

    18. Interventions Social Psychological-linked with social norms Sociocentrism vs. Egocentrism Biological Spiritual

    19. Management Psychological - Normalisation Resources - Ways of coping - Beliefs about coping - Self-efficacy, mastery, perceived control - Self-esteem - Hope and optimism

    20. Management (contd.) Social -Social embeddedness Resources -Received social support -Resource deterioration -Resource mobilization

    21. Conclusions Community level interventions Culturally appropriate interventions Avoid medical models if inappropriate

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