KEYNOTE PRESENTATION

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Dr. Andres Pumariega will overview the interlinkage between principles of community-based systems of care and culturally competent care, developed 40 years ago but highly relevant today, as we re-examine equity and social justice in clinical care delivery. CMHS Communities of Care program data illustrates the evidence for these principles/approaches addressing racial/ethnic disparities at a population level and programmatic level. Systems of care programs have consistently served a high percentage of diverse youth of color have outcomes that show reduced symptomatic morbidity, improved school performance and reduced school morbidities, reduced juvenile justice involvement and reduced psychiatric hospitalization, and reduced costs of care. Data will be presented on the impact of the programmatic application of cultural competence principles on disparities (ref Pumariega et al, 2013, Pumariega 2022). (20 mins)

Dr. Anthony Guerrero will present on "hardwiring" cultural effectiveness/cultural humility in clinical programs and in workforce education that addresses the integration of Hawaiian Values into child and adolescent psychiatric inpatient care (Carlton et al, 2011) and suicide prevention (Goebert et al, 2018), He will discuss thinking beyond traditional care systems and settings in order to address mental health disparities (Guerrero et al, 2019), in the context of diversity, the foundation of certain pillars in child and adolescent psychiatric didactic education, such as child and family development and family-based interventions. (McCubbin and Marsella, 2009, Hurdle, 2002).  He leads an experiential discussion by University of Hawaii/Queen’s Medical Center child inpatient program frontline staff on implementing these principles in inpatient care (30 mins).  Q/A: 15 to 20 mins

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