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Published on: February 16, 2011
Mental health in Indigenous settings. Challenges for clinicians
1MBBS, MPH, MA, MD, FRANZCP, FAFPHM, Diploma of the American Board of Psychiatry and Neurology, Regional Psychiatrist, Cairns and Hinterland Hospital and Health Service and Adjunct Professor, James Cook University, Cairns, QLD.
Background:
Mental health problems in Aboriginal and Torres Strait Islander peoples are common, changing and challenging. Particularly in remote settings, doctors will need to untangle the complex interplay of culture, context and clinical significance.
Objective:
This paper emphasises the importance of local knowledge and cultural respect in complementing clinical competence in the management of Aboriginal and Torres Strait Islander peoples with mental health problems.
Discussion:
Anxiety, depression, psychosis, self-harm and problems of childhood and old age are used to exemplify differences by comparison with practice in non-Indigenous populations.
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