Culture and Context in Psychiatric Diagnosis: The OCF/CFI and the Future of DSM

Learning Objectives:
- Apply the DSM-5-TR Cultural Formulation Interview (CFI) and Outline for Cultural Formulation (OCF) to assess social and cultural factors, including the social determinants of health
- Discuss the assessment of social and cultural factors within the emerging framework of the Future of DSM

Speakers: Francis Lu, Roberto Lewis-Fernandez, Kenneth Fung

Francis G. Lu, MD, is the Luke & Grace Kim Professor in Cultural Psychiatry, Emeritus, at the University of California, Davis. As a Distinguished Life Fellow of the American Psychiatric Association, Dr. Lu has contributed to the areas of cultural psychiatry including the interface with religion and spirituality, psychiatric education, diversity and inclusion, mental health equity, and psychiatry and film. In 2008, the Association for Academic Psychiatry awarded him its Lifetime Achievement Award. The APA awarded him a Special Presidential Commendation in both 2002 and 2016 for his contributions to cultural psychiatry and in 2026 “in recognition of his extraordinary leadership and enduring contributions to the field of psychiatry.” He has been awarded a Distinguished Service Award from the APA in 2020 and from the American College of Psychiatrists in 2022. In 2020, the Society for the Study of Psychiatry, Culture, & Global Mental Health awarded him its Lifetime Achievement Award. In 2026, the American Association of Directors of Psychiatry Residency Training awarded his it’s Lifetime Service Award.

Dr. Roberto Lewis-Fernández is Professor of Clinical Psychiatry in the Columbia Department of Psychiatry and Director of the New York State Center of Excellence for Cultural Competence and the Hispanic Treatment Program at the New York State Psychiatric Institute. His research develops culturally congruent interventions and instruments to enhance the care of underserved cultural groups. He led the development of the DSM-5 Cultural Formulation Interview, a standardized cultural assessment protocol. He has been PI or co-Investigator of 28 NIH-funded studies and other research, and published over 235 articles, chapters, and books on culture-related topics in mental health. Dr. Lewis-Fernández is co-chair of the Cultural Committee of the Group for the Advancement of Psychiatry and past president of the American Psychopathological Association, World Association of Cultural Psychiatry, Society for the Study of Psychiatry and Culture, and American Society of Hispanic Psychiatry. He is a Vice-Chair of the DSM-5-TR Steering Committee and was chair of the DSM Review Committee for Internalizing Disorders and the DSM-5-TR Culture-Related Issues Review Committee, and co-chair of the DSM-5-TR Work Group on Ethnoracial Equity and Inclusion. He was also co-chair of the ICD-11 Working Group on Culture-Related Features. He has received numerous awards for his work in cultural psychiatry.

Dr. Kenneth Fung is Professor and Director of Global Mental Health in the Department of Psychiatry at the University of Toronto and a psychiatrist with clinical, research, and educational expertise in cultural psychiatry and psychotherapy. His work focuses on cultural competence, Acceptance and Commitment Therapy (ACT), CBT, mindfulness, immigrant and refugee mental health, Asian mental health, stigma, resilience, trauma, and community-based mental health promotion, with collaborations locally and internationally. He has held leadership roles in cultural psychiatry and global mental health, including Past President of the Society for the Study of Psychiatry and Culture, Co-Chair of the Cultural Psychiatry Committee of the Group for the Advancement of Psychiatry, Chair of the American Psychiatric Association Global Mental Health Caucus, and member of the APA Future of DSM Steering Committee. He is also active in the Association for Contextual Behavioral Science and has contributed extensively to psychiatric education, including the teaching of sociocultural psychiatry and psychotherapy. Dr. Fung is a Distinguished Fellow of both the Canadian and the American Psychiatric Association. His recognitions include the 2016 APA Foundation Award for Advancing Minority Health, 2024 APA Kun-Po Soo Award, and 2025 WACP Creative Education in Cultural Psychiatry Award.

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SSPC 47th Annual Meeting Keynote Presentation: Laurence J. Kirmayer, MD