Wolfson Institute of Preventive Medicine - Barts and The London

Andrea Palinski BA, MSc

Lecturer, Centre for Psychiatry

Email: a.palinski@qmul.ac.uk
Telephone: Tel: +44 (0) 20 7882 2033
Room Number: 2.03 Old Anatomy Building

Profile

Andrea is a lecturer on the MSc in Mental Health Programme based within the Centre for Psychiatry. She is also currently undertaking a PhD at the Centre.

Andrea completed an undergraduate degree in Biology and Anthropology at Hamilton College in the United States. After working as a clinical case manager for mentally ill adolescents and adults for several years in the US, she completed her MSc in Medical Anthropology at UCL in 2007.

In 2008 Andrea was appointed lead of the Cultural Consultation Service (CCS) King’s Fund Project in the South London and Maudsley NHS Trust. CCS was based on the model of cultural consultation developed at McGill University in Canada. The model utilized anthropological methodology and theory within psychiatric settings in an attempt to address issues of cultural inequality through the reduction of misunderstanding and conflict in the clinical encounter. The service was delivered to adult mental health teams within the Trust and was based within the Trust’s organisational consultancy service, SLAM Partners, where Andrea was also involved with the delivery of individual organisational consultancy.

In 2010 Andrea became Team Leader of a PCT commissioned CCS directed by Prof Kam Bhui and based at the Centre for Psychiatry. This service also built on the McGill model of Cultural Consultation; however, it was further developed to provide a multi-level service involving organisational, team based and individual clinical cultural consultations. The service operated as a tertiary mental health service for adult mental health CMHTs within the East London NHS Trust. During this time I was active in managing staff, delivering consultations, ethnographic data collection of service delivery processes and outcomes and research publications. I was also a Visiting Lecturer on clinical psychology programmes at the Institute of Psychiatry and Goldsmiths, University of London.

In 2012 Andrea joined the MSc in Mental Health programme as a lecturer and later registered for a PhD. Her current research is focused on inequalities in mental health and the role of shared narratives in the intercultural clinical encounter.

Research

Andrea's research interests include inequalities in mental health, illness narratives and explanatory models, organisational cultures within health care systems and how these challenge or perpetuate inequalities, therapeutic communication, and cultural borderlands in urban spaces.

The ethnographic research completed during her MSc focused on minority youth experiences of the state and postcode gang culture in North London. The study addressed the role of youth in the process of transitional polarization and reterritorialization occurring within a deprived urban community.

Andrea is currently in the process of completing a PhD based on the ethnographic research data collected over the course of the CCS based within the Centre for Psychiatry. The PhD aims to explore the construction and role of shared narratives within the intercultural clinical encounter with a particular focus on the factors and systems which facilitate or impede the construction of these narratives.

Publications

  

Expertise

Inequalities in mental health
Illness narratives
Organisational Cultures within health care systems
Intercultural therapeutic communication
Cultural borderlands