Welcome to Fireside Chat # 426

December 5, 2014 1:00 –2:30 PM Eastern Time

(Teleconference open for participants at 12:50 ET)

“I May Look as if I’m Feeling Good, but Sometimes I Am and Sometimes I’m Not”: The Mental Health of Immigrant and Refugee Kids in

Advisors on Tap: Morton Beiser CM, MD, FRCP, Scientist, Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael’s Hospital Professor of Distinction, Department of Psychology,

Priya Watson, MD, Centre for Addiction and Mental Health Assistant Professor, Department of Psychiatry, University of

www.chnet-works.ca Population Health Improvement Research Network University of Ottawa 1

Step #1: Teleconference

All Audio by telephone • If your line is ‘bad’ – hang up and call back in • Participant lines muted • Recording announcement • IF prompted: *6 will mute your telephone

Step #2: The Internet Conference (via ADOBE CONNECT) No audio via internet • SEE the PowerPoint being shown. • Post your comments/questions. • See postings from your colleagues. • Join in the interactive polls.

Difficulties? You can still participate! (use the back up PowerPoint - post your comments via email)

Step #3: Back up PowerPoint Presentation

www.chnet-works.ca

For assistance: [email protected] 2 How to post comments/questions during the Fireside Chat

Joining in by Please introduce yourself!

Telephone + • Name Adobe Connect Internet Conference • Organization • Location Use the text box!

• Group in Attendance?

Joining by

Telephone + Backup PowerPoint

By email: Respond to the ‘access instructions email [email protected] 3 Advisors on Tap

Morton Beiser CM, MD, FRCP Scientist, Keenan Research Centre Li Ka Shing Knowledge Institute, St. Michael’s Hospital Professor of Distinction, Dept of Psychology Ryerson University, Toronto

Priya Watson, MD Centre for Addiction and Mental Health Assistant Professor, Dept of Psychiatry , Toronto

4 What is Culture?

Content Definition: set of characteristics = “what” Process Definition: dynamic interactions= “how” 5 Cultural Intersections

Patient

Family Society

Medical Physician Discipline Strategies of Cultural Competence

• Inquiry – Active exploration outside of first presentation Inquiry • Humility

– critique of the practice Humility itself – Acknowledging “otherness” Advocacy • Advocacy

7 Inquiry

The greatest enemy of knowledge is not ignorance, it is the illusion of knowledge.

• Stephen Hawking 8 Cultural Humility and Advocacy

Cultural humility is…a willingness and ability to listen and learn from patients, but without shying away from the way in which culture and difference are used to stereotype and oppress people

-Kirmayer 2012

9 Diversity Makes a Difference

10 DIVERSITY OF:

1 Culture

2 Circumstance

3 Category

11 12 PTSD

Differences in child/teen presentation – Regression – Different expressions of distress • Internalizing: mutism, withdrawal • Externalizing: aggression, truancy, substance use 13 Trauma-Informed Care • Universally applied • Choice, Control, Collaboration

• Strengths-focused 14

Emotional Problems

11

10.8

10.6

Score 10.4

10.2

10

9.8 BC Prairies Quebec Series1 10.2 10.2 10.9 10.7

15 Hidden In Our Midst

Effects of Trauma cognitive social academic physiologic Screen when: unexplained physical symptoms, regression, behave disturbance, substance, academic issues, family conflicts, self-harm

16 Set Up for Success

• Interpretation – always use at least once! • Literature in different languages is available online • Links with community agencies: create a list • Use allied staff (RN, SW etc ) for case management • Professional development: staff should attend cultural competence training

17 Parenting Style Makes a Difference

18 Asymmetric Acculturation

19 Constant Stresses

• Role transitions • Parental stresses • Economic insecurity • Grade placement • Family separation • Racism in Canada

20 Unsolved Family Conflicts Lead To

• Homelessness • Substance abuse • School drop out • Anxiety disorders • Depression

21 www.NCCYS.com

22 For more information

www.kidsnewtocanada.ca/mental- health

Tell us what you think of this webinar

https://www.surveymonkey.com/s/CKNC-Dec-2014

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