1. Objectifs

Intentions :
«This chapter provides an overview of cultural consultation in child psychiatry. We will first outline the mental health needs of immigrant and refugee youth. Next, we will describe ways in which child psychiatric practice has been adapted to address the cultural context of children and families. We then describe two transcultural child psychiatry clinics in Montreal and Paris to illustrate how transcultural child psychiatry is practiced in different contexts with clinical examples exemplary of the work of each clinic. In addition to outlining practical strategies for consultation and intervention, our aim is to show how the work of these clinics depends on local cultures and resources as well as each country’s history and attitudes towards immigration and minority ethnocultural groups.» (p. 71)

2. Méthode

Échantillon/Matériau :
Données documentaires diverses

Type de traitement des données :
Réflexion critique

3. Résumé

«In some ways, cultural consultation in child psychiatry can be seen as simply good child- and family-centered care. However, close attention to the cultural dimensions and systemic contexts of illness and well-being challenges some of the taken-for-granted assumptions of standard practice and can address some of the blind spots of mainstream services. […] In Montreal, the move to a shared care or collaborative model in community settings has brought particular advantages. These include a greater ability to address children’s difficulties through family systems approaches, as the health, social and mental health care needs of all family members are considered within the domain of the community clinic. […] In France, the models of care for immigrant patients that have been developed reflect the ‘republican’ ideal of the integration of immigrants into French society (Fassin & Rechtman, 2005 ). Cultural specificities and difficulties in adaptation to the new environment are considered to be part of the private sphere and the individual’s affair.» (p. 84-85) Ce chapitre souligne l’importance du support familial dans les interventions avec les enfants.