While behavioral health (BH) problems underlie more than 80% of primary somatic complaints presenting in medical contexts, these concerns are often not adequately addressed as many organizations are not strategically prepared to respond. Behavioral Health Consultants (BHC) specially trained in models of integrated care can assist medical settings attempting to integrate BH services; however, cultural and pragmatic factors may challenge and limit the applicability of these models across diverse settings. Afghan medical residents requested training from the Lawndale BH team in order to treat mental health needs among their patients. The team pursued a collaborative approach that identified community strengths and sought to empower individuals from that culture by training and equipping them to deliver these services. The interventions were sensitive and respectful of cultural values, and sought to build a more sustainable mental health structure. Through collaborative consultation, the BH team began with a Preparation phase in which the team assessed community needs and resources and developed treatment models focused on crossing cultural contexts. During the Implementation phase a team of 2 BHCs provided training at hospitals in Afghanistan. The final Continuation phase focused on solidifying the partnership between organizations. In each phase the BH team utilized consultation skills to Listen by identifying needs through observing and learning from the client, Advise through the adaption and synthesis of information gathered to reflect possible options to client, and Invite by engaging the client in evaluating and modifying presented plans. This initiative provides a preliminary framework for organizations attempting cross-cultural integrated care.
Conflict of Interest
None of the authors report a conflict of interest.