Cultural competence and evidence-based practice in mental health: epistemic communities and the politics of pluralism.

  title={Cultural competence and evidence-based practice in mental health: epistemic communities and the politics of pluralism.},
  author={Laurence J Kirmayer},
  journal={Social science & medicine},
  volume={75 2},
Evidence-based practice (EBP) and cultural competence (CC) aim to improve the effectiveness of mental health care for diverse populations. However, there are basic tensions between these approaches. The evidence that purports to ground EBP is limited, often in ways that are biased by specific disciplinary, economic or political interests and cultural assumptions. In particular, the paucity of evidence regarding cultural minorities results in standard practices based on data from the majority… CONTINUE READING


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