Declaration of interest
R.L.-F., N.K.A. and L.J.K. receive royalties from an edited book on the Cultural Formulation Interview, published by American Psychiatric Publishing, Inc.
There is a need for clinical tools to identify cultural issues in diagnostic assessment.
To assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice.
Mixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. The duration of CFI administration and the full diagnostic session were monitored.
Mixed-methods data from 318 patients and 75 clinicians found the CFI feasible, acceptable and useful. Clinician feasibility ratings were significantly lower than patient ratings and other clinician-assessed outcomes. After administering one CFI, however, clinician feasibility ratings improved significantly and subsequent interviews required less time.
The CFI was included in DSM-5 as a feasible, acceptable and useful cultural assessment tool.
This research was supported by the American Psychiatric Association, the New York State Office of Mental Health (N.K.A., P.C.L., H.G., A.V.N. and M.B.) and institutional funds from the New York State Psychiatric Institute (R.L.-F.). The Pune site received support from the KEMH Research Centre and the Kenya site was partially funded by the Africa Mental Health Foundation. The funders did not have any input into the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review or approval of the manuscript.
- © The Royal College of Psychiatrists 2017.
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