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By Niruj Agrawal, Jim Bolton, Raghunandan Gaind (eds.)

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Even if the organisation does not go so far as to develop a consultation/liaison team, they should be striving to make their services more acceptable to minority groups. A cultural competency plan should be drawn up at board level. This should include procedures to monitor the outcome and quality of care across differing ethnic groups and the development of an action plan if deficiencies are identified. Conclusions The actual value of cultural psychiatry continues to be debated. 22 The role played by culture will also vary from one condition to the next.

Unfortunately, the current diagnostic systems (International ( Classification of Diseases [10th revised edition; ICD-10] and the Diagnostic and Statistical Manual of Mental Diseases [4th edition; DSM-IV]) retard the ability of clinicians to achieve this aim. Evidence is beginning to accumulate that a strategy of integration causes the least mental disorder and distress, so indigenous mental health professionals should naturally advocate for a society that accepts and understands cultural difference.

Arnault DS, Sakamoto S, Moriwaki A. Somatic and depressive symptoms in female Japanese and American students: a preliminary investigation. Transcultural Psychiatryy 2006; 43: 275–86. 12. Bhui K, Bhugra D, Goldberg D, Sauer J, Tylee A. Assessing the prevalence of depression in Punjabi and English primary care attenders: the role of culture, physical illness and somatic symptoms. Transcultural Psychiatryy 2004; 41: 307–22. 13. Berry JW. Conceptual approaches to acculturation. In: Chun KM, BallsOrganista P Marín G, editors.

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