LARRY E. BANTA MD CMDPSYCHIATRIST

PSYCHIATRIST IN PRIVATE PRACTICE CALDWELL ID

SUBSPECIALTY INTEREST NEUROPSYCHIATRY/RARE DISEASES

CONSULTANT TO NIÑOS DE BAJA NEAR ENSENADA AND PREVIOUSLY WITH NIÑOS DE MEXICO IN MEXICO CITY

CONSULTANT PSYCHIATRIST REGION III MENTAL HEALTH HISPANIC CLINIC

INCREASE IN LATIN AMERICAN IMMIGRANTS

OVERLOADED SERVICES VERY FEW CULTURALLY RELEVANT OR

CULTURALLY SENSITIVE PROGRAMS LACK OF UNDERSTANDING IN MANY

LATIN COMMUNITIES OF MENTAL ILLNESS AND WHAT COULD BE DONE

TOO MANY GO UNDIAGNOSED AND UNTREATED

SALUD Y PROVECHO WAS STARTED IN EARLY 90’S BUT CLOSED IN 2005

FIRST FEW WEEKS VERY FEW CLIENTS SLOWLY BEGAN TO INTEGRATE MORE

CULTURALLY SENSITIVE APPROACHES UNCOVERED SO MANY IN NEED IT

BECAME VERY BUSY NOW WITH LARGER POPULATION VERY

FEW SERVICES

MANY OF THE SALUD PATIENTS WERE MOVED TO HEALTH AND WELFARE MENTAL HEALTH

MOST DID NOT SHOW UP CLINIC HAS NOT GROWN FEW PRIVATE CLINICS PROVIDE SERVICES

THAT ARE CULTURALLY SENSITIVE AND FEW HAVE BILINGUAL THERAPISTS OR PRESCRIBERS

THE CONTEXT IN WHICH YOU GROW DEVELOP AND LIVE

DETERMINES ROOT VALUES, WORLD VIEW, EXPECTATIONS, RULES OF CONDUCT,

INTERPRETATION OF EVENTS, UNDERSTANDING OF THE MEANING OF

SYMPTOMS,

WITHIN EACH CULTURE ARE MANY SUBCULTURES

MANY ARE BASED ON RELIGIOUS ORIENTATION

IN MEXICO VILLAGES WITH EVANGELICALS, CATHOLICS , AND ANIMISTS (TRADITIONAL PAGAN OR TRIBAL BELIEFS) EACH WITH DIFFERENT WORLD VIEW AND SET OF VALUES

INCIDENT OF MAJOR MENTAL ILLNESS ROUGHLY EQUIVALENT WORLDWIDE

PAHO STATS: DEPRESSION 4.9% SCHIZOPHRENIA 1.0% SUBSTANCE USE DISORDERS 5.7%

MAJOR DEPRESSION IS AN ILLNESS CONSISTING OF A PERSISTENTLY SAD MOOD LOW ENERGY AND CAN BE ACCOMPANIED BY SUICIDAL BEHAVIOR

WHAT THE SYMPTOMS MEAN DETERMINE WHERE YOU GO FOR HELP

SADNESS GUILT LOW ENERGY: COULD HAVE RELIGIOUS SIGNIFICANCE, REFERRAL TO RELIGIOUS LEADER ETC.

NOT THE PROPER MEDICAL HELP NEEDED, SYMPTOMS PERSIST

PSYCHOSIS FROM VARIOUS DISORDERS SUCH AS SCHIZOPHRENIA MAY BE INTERPRETED AS:

DEMONIZATION SPIRITUAL RETRIBUTION CURSE IMBALANCES THAT REQUIRE

TRADITIONAL REMEDIES

THE USUAL DISEASES MAJOR DEPRESSION BIPOLAR DISORDER SCHIZOPHRENIA ANXIETY DISORDERS OCD PTSD PANIC SPECIAL PROBLEMS ACCULTURATION STRESS PTSD RELATED TO EVENTS IN COUNTRY

OF ORIGIN

Locura: (Latin America) a severe form of chronic psychosis, attributed to an inherited vulnerability, the effect of multiple life difficulties, or a combination of the two. Symptoms include incoherence, agitation, auditory and visual hallucinations, inability to follow rules of social interaction, unpredictability, and possible violence.

 

Ataque de Nervios: an idiom of distress principally reported among Latinos from the Caribbean, but also among many Latin American and Latin Mediterranean groups. Symptoms include uncontrollable shouting, attacks of crying, trembling, heat in the chest rising to the head, and verbal or physical aggression. Ataques de nervios frequently occur as a result of a stressful family event, especially the death of a relative, but also a divorce or fight with a family member.

bilis and colera: part of a general Latin American idiom of distress and explanation of physical or mental illness as a result of extreme emotion, which upsets the humors (described in terms of hot and cold.) Bilis and colera specifically implicate anger in the cause of illness.

mal de ojo: (Spain and Latin America) the Spanish term for the evil eye. Evil eye occurs as a common idiom of disease, misfortune, and social disruption throughout the Mediterranean, Latin American, and Muslim worlds.

nervios: (Latin America) Idiom of distress, refers to a general state of vulnerability to stressful life experiences and to a syndrome brought on by such stresses. Symptoms may be very broad, but commonly include emotional distress, headaches, irritability, stomach disturbances, sleep disturbances, nervousness, easy tearfulness, inability to concentrate, tingling sensations, and dizziness

susto: an idiom of distress principally reported among Latinos in the U.S. and Latin America. Susto is an illness attributed to a frightening event that causes the soul to leave the body, leading to symptoms of unhappiness and sickness. Symptoms are extremely variable and may occur months or years after the supposedly precipitating event. Alternate names include espanto, pasmo, tripa ida, perdida del alma, and chibih

ANRG 170: Traditional Chinese Society, during February 1998. Updated 6 Sep 2001 and again on 18 Oct 2011

THE CULTURE IN WHICH WE LIVE DETERMINES HOW WE EXPERIENCE SYMPTOMS

MENTAL ILLNESS IS A WORLDWIDE PROBLEM ACCOUNTING FOR 24% OF DISABLING ILLNESS

MODERN PROVEN APPROACHES CAN BE PROVIDED WITHIN AN ACCEPTABLE CULTURAL CONTEXT