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The guidelines for Cultural Formulation, a tool intended to aid health professionals in gathering culturally-relevant clinical information in a relatively standardized way, were included in the DSM-IV-TR. However, the guidelines included in the current DSM are very general and do not describe any method for collecting the required cultural information. A useful way of presenting the cultural formulation was developed and published in an article by Mezzich and colleagues.
The McGill-JGH Cultural Consultation Service has developed two extended versions of the Cultural Formulation based on the DSM-IV outline. The guidelines for cultural assessment and formulation are intended to help the consultant collect, organize and integrate information pertinent to a cultural consultation. Two versions are available:
Version A, developed by the Cultural Consultation Service at the JGH, is an elaboration of the cultural formulation in DSM-IV. The first sections summarize information usually collected in a comprehensive psychiatric history but with questions added to address common issues and experiences for immigrants, refugees and members of ethnocultural minorities. The crucial section focuses directly on the cultural formulation.
Version B, developed by the Transcultural Child Psychiatry Clinic at the Montreal Children’s Hospital, is designed as a semi-structured interview to be used by a researcher interviewing a clinician/consultant after the fact. As a result, it is more retrospectively focused, aimed at reconstructing a case that may have been followed in treatment for some time.
The Transcultural Centre in Stockholm Sweden has developed a manual with guidelines for conducting clinical interviews to produce a cultural formulation according to DSM-IV-TR. This portion of the manual provides a translation of the questions and probes suggested for an interview to elicit information for a cultural formulation following the DSM-IV guidelines. It has been translated into other languages (Finnish).
The Brief Cultural Interview 2009 (BCI-09) is an anthropologically revised version of the cultural formulation that includes specific questions covering the four categories of the CFD: cultural identity, cultural explanations of illness, cultural factors in the psychosocial environment and functioning and cultural elements in the relationship between individual and clinician. BCI-09 is authored by Dutch transcultural psychiatrist Hans Rohlof. The BCI-09 can be used after a free registration. You can register by email with Simon Groen.