Cultural Competence And Family Mental Health

Medically reviewed by Corey Pitts, MA, LCMHC, LCAS, CCS
Updated October 9, 2024by BetterHelp Editorial Team

The importance of the connection between family mental health and the cultural competence of mental health care providers is increasingly being recognized. As families today navigate the complex landscape of mental health needs and challenges, a provider’s ability to understand how cultural backgrounds and beliefs can influence mental health care is a key piece of the puzzle.

Cultural competence and family mental health care

Read on to understand the impact of cultural identity and culturally competent care on mental health outcomes as well as how mental health professionals can effectively support families from diverse cultural backgrounds.

A mother and father sit on a couch with their two young sons sitting on their laps as they listen to the therapist sitting across from them during a family therapy session.
Getty/PeopleImages
Culturally competent care is crucial

What is family mental health?

Family mental health refers to the collective well-being of members of a family as well as the overall health of their relationships with each other. It encompasses how family dynamics, communication patterns, and individual mental health challenges may affect the family as a whole.

When family members experience mental health challenges, it can sometimes cause stress, strain relationships, and disrupt routines. That said, although professional treatment is necessary for diagnosable mental health conditions, a supportive family environment may also help enhance the mental health and well-being of the individual members. 

Addressing family mental health is important, but it can be complex. For one, it involves understanding the unique mental health needs of each family member. These needs are often closely linked to a family’s cultural background and beliefs, highlighting the importance of cultural awareness among therapists and other mental health professionals. 

What is cultural competence in mental health services?

Cultural competence refers to the ability of healthcare providers—including mental health professionals—to understand, respect, and effectively respond to the cultural differences and needs of their clients. This approach acknowledges the impact of a person's culture, race, and ethnicity on their mental health and treatment due to their lived experiences. For example, BIPOC (Black, Indigenous, and People of Color) individuals often face additional challenges and stigmas in daily life and in the healthcare system, which may significantly affect their mental health. Finding providers who understand and are respectful of these experiences is usually paramount. 

Cultural competence involves being aware of and pushing back on one's own cultural biases, gaining knowledge about different cultural practices and worldviews, and developing skills to effectively communicate with and understand people from diverse backgrounds. This sense of cultural awareness is essential in mental health care, as it ensures that mental health services are available, respectful, and effective for individuals from all cultural backgrounds. 

A mother sits on a couch next to her husband while hugging her young son as a female therapist sits across from them during a family therapy session.
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How cultural competence can affect family mental health

The concept of cultural competence can influence families in profound ways by shaping how they experience and engage with mental health care. When mental health professionals have cultural competence, they can offer more personalized and respectful support, potentially leading to better mental health outcomes for family members. This competence includes recognizing and addressing the unique cultural backgrounds, values, and beliefs that each family may have. 

For instance, culturally competent care can help bridge gaps in understanding and communication and reduce the stigma often associated with mental health care in various cultural contexts. It also helps foster trust, openness, and a sense of feeling understood, enabling families to receive help without fear of discrimination or misunderstanding and to discuss their mental health concerns more freely.

Cultural bias in health care

Providers who lack cultural competency or harbor biases can cause severe consequences for individuals seeking care. Examples of these consequences can include:

Discrimination in cultural competence and family mental health

When cultural competency is lacking, healthcare providers may unintentionally engage in discriminatory practices, leading to negative experiences for individuals seeking care.

Exacerbated mental health symptoms

Without cultural competence, mental health professionals may not fully understand a patient's cultural background, which can result in ineffective communication and treatments that do not meet the patient's needs, potentially worsening their mental health symptoms.

Ineffective treatment

Cultural ignorance or bias can lead to treatments that overlook a patient's cultural beliefs or preferences, reducing the effectiveness of the care provided.

Misdiagnosis

A lack of cultural awareness can result in misdiagnosis, as healthcare providers may misunderstand or misinterpret symptoms that are influenced by the patient's cultural context.

Underdiagnosis

Providers might overlook or underestimate symptoms in patients from diverse backgrounds, leading to underdiagnosis and insufficient care.

Difficulty getting mental health care

Cultural barriers, such as language differences or unconscious biases, can make it more difficult for individuals to navigate mental health services effectively.

Untreated mental illness

Without proper cultural understanding, mental health issues might remain untreated or be improperly addressed, leading to a deterioration in the individual's condition and overall quality of life.

A general distrust of healthcare and mental health services

When patients experience bias or discrimination in the healthcare system, it can erode their trust and make them less likely to seek care in the future.

In other words, cultural competency is key to providing high-quality care. Moreover, cultural competence keeps in mind systemic issues by acknowledging and mitigating the added stigmas and barriers that BIPOC communities often face in an effort to promote more equitable and effective mental health outcomes. Without cultural competence, there is the risk of perpetuating structural racism and exacerbating mental health disparities, which can lead to severe consequences for individuals and communities.

Seeking culturally competent therapy for family challenges

Therapy can play a crucial role in improving family mental health, especially when it incorporates cultural competency. Mental health professionals who are trained in cultural competency can provide therapy that is respectful of cultural differences and tailored to the specific needs of the family.

Family therapy in particular can help address and resolve mental health challenges within the family unit. By involving all family members in the therapeutic process, therapists can help families improve communication, resolve conflicts, and develop healthy coping strategies. When therapists are culturally aware, they can also help families navigate cultural challenges and strengthen their cultural identity. This type of therapy can provide a safe space for family members to express their feelings and concerns, which can be especially important for individuals from cultures where mental health challenges are stigmatized. 

Online therapy for family conflicts

If you’re interested in learning more about therapy as a tool or would like to speak with a therapist one on one about family conflicts or challenges, you might consider individual online therapy. With a platform like BetterHelp, you can fill out a brief questionnaire about your needs and preferences in a provider and can get matched with a licensed therapist in a matter of days. You can then meet with them remotely from anywhere you have an internet connection. Together, you can discuss family challenges you may be facing and explore how various elements of your culture and/or lived experiences may impact the mental health of you and your loved ones. Research suggests that online therapy can be as effective as in-person care in many cases.

A mother and father sit on opposite sides of their two teen sons on the couch across from their family therapist during a therapy session.
Getty/fstop123
Culturally competent care is crucial

Takeaway

Understanding the connection between family mental health and cultural competence is essential for providing effective mental health care. Family mental health can be deeply influenced by cultural background and beliefs, and culturally competent care can significantly enhance mental health outcomes for families. By prioritizing cultural competence, healthcare providers can improve the availability of mental health services, build stronger therapeutic relationships, and deliver more effective and personalized care.
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