The use of the Cultural Formulation Interview (CFI), a 16-item, semistructured, patient cultural assessment, in a forensic mental health setting has not been examined. Using a mixed-methods approach, we performed a pilot test of the CFI in an inpatient service that treats both forensic and nonforensic adult patients. Clinicians' attitudes toward adoption of the CFI was assessed quantitatively with the Evidence-Based Practices Attitudes Scale, which is used to measure provider attitudes toward adopting new treatments, and qualitatively with a semistructured interview. Assessments occurred up to five times to analyze changes with increasing CFI use. In the quantitative measures we observed a general openness to implementing the CFI throughout the implementation period. Compared with clinicians on civil units, forensic clinicians indicated they were less likely to implement the CFI over time if it were required rather than voluntary. Interviews with clinicians revealed concerns about the skills, ability, and confidence needed to implement the CFI, external requirements, and the ease of integrating the CFI into their practice. Based on our findings, forensic units could encourage CFI use after the clinician has determined that the patient is clinically stable, rather than at admission. Units could also incorporate information obtained from the CFI into current documentation to reduce administrative burden.

中文翻译：

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临床医生对混合法医部门实施文化配方访谈的看法。

尚未检查在法医精神健康环境中使用的16项，半结构化的患者文化评估“文化配方访谈（CFI）”的使用情况。使用混合方法，我们在住院患者中对CFI进行了先导测试，该服务可治疗法医和非法医成年患者。临床医生对采用CFI的态度已通过基于证据的实践态度量表进行了定量评估，该量表用于衡量医疗服务提供者对采用新疗法的态度，并通过半结构化访谈进行定性分析。进行了多达五次评估，以分析随着CFI使用量的增加而发生的变化。在量化措施中，我们观察到在整个实施过程中普遍实施CFI。与民政部门的医生相比，法医临床医生表示，如果需要，而不是自愿的话，随着时间的推移，他们不太可能实施CFI。对临床医生的采访表明，他们对实施CFI所需的技能，能力和信心，外部要求以及将CFI纳入其实践的难易程度表示担忧。根据我们的发现，法医部门可以在临床医生确定患者临床稳定后而非入院后鼓励使用CFI。单位还可以将从CFI获得的信息合并到当前文档中，以减轻管理负担。以及将CFI纳入其实践的简便性。根据我们的发现，法医部门可以在临床医生确定患者临床稳定后而非入院后鼓励使用CFI。单位还可以将从CFI获得的信息合并到当前文档中，以减轻管理负担。以及将CFI纳入其实践的简便性。根据我们的发现，法医部门可以在临床医生确定患者临床稳定后而非入院后鼓励使用CFI。单位还可以将从CFI获得的信息合并到当前文档中，以减轻管理负担。