Kayrouz Rony, Senediak Christine Irene, Laube Roy
Registered Psychologist, Rony Kayrouz Counselling Services, Bankstown, NSW, and; PhD candidate, Department of Psychology, Faculty of Human Sciences, Macquarie University, Sydney, NSW Australia.
Senior Clinical Psychologist/Clinical Supervisor, NSW Transcultural Mental Health Centre, Parramatta, NSW, and; Director, Clinical Supervision Services, Epping, VIC, Australia.
Australas Psychiatry. 2017 Oct;25(5):478-480. doi: 10.1177/1039856217726685. Epub 2017 Aug 31.
This paper is based on a case report, describing a protocol to help practitioners communicate mental-health diagnosis to patients from culturally and linguistically diverse (CALD) backgrounds. The protocol was presented by integrating the DSM-5 Cultural Formulation Interview (CFI) and the SPIKES protocol for communicating the diagnosis of cancer, yielding a modified CFI-SPIKES protocol (i.e. S, Support; P, Perception using CFI; I, Invitation; K, Knowledge; E, Emotions). The protocol was demonstrated using a case report with a patient of a Middle-Eastern background experiencing generalised anxiety disorder.
The CFI-SPIKES protocol for communicating mental-health diagnosis allows for a collaborative process, whereby the CALD patient and practitioner can address the stigma associated with communicating a mental-health diagnosis, ensuring patient engagement and informed shared decision making.
本文基于一份病例报告，描述了一种帮助从业者向具有文化和语言多样性（CALD）背景的患者传达心理健康诊断的方案。该方案通过整合《精神疾病诊断与统计手册》第五版文化定式访谈（CFI）和用于传达癌症诊断的SPIKES方案提出，产生了一种改良的CFI-SPIKES方案（即S，支持；P，使用CFI的认知；I，邀请；K，知识；E，情绪）。通过一名患有广泛性焦虑症的中东背景患者的病例报告展示了该方案。
用于传达心理健康诊断的CFI-SPIKES方案允许进行协作过程，在此过程中，CALD患者和从业者可以解决与传达心理健康诊断相关的耻辱感，确保患者参与并进行知情的共同决策。
