The last six questions focus on how the patient has gotten help in the past and where he or she will get help in the future. Questions 11 and 12 ask the patient what he or she has tried in the past. Not only do the questions show interest in the patient, but they also give the clinician information about the patient’s health beliefs that can be used during the discussion of the treatment plan. (11. Sometimes people have various ways of dealing with problems like your problem. What have you done on your own to cope with your problems? 12. Often, people look for help from many different sources, including different kinds of doctors, helpers, or healers. In the past, what kinds of treatment, help, advice, or healing have you sought for your problem?) Question 14 asks the patient what he or she thinks would be helpful, while Question 15 looks at what others have advised, further putting the clinician’s advice to the patient in context with the patient’s health beliefs.
Question 16 asks the patient if he or she has concerns about the therapist-patient relationship, completing the fourth part of the OCF. The 16 questions of the CFI and its 12 supplementary modules equip any clinician with sample questions to perform a culturally appropriate assessment and create a cultural formulation that will engage the patient in treatment and serve as an important advance in the practice of cultural psychiatry. ■