This article presents a conceptual model of organizational cultural competence for use in mental health services that resulted from a comprehensive review of the research literature. The model identifies four factors associated with cultural competence in mental health services (community context, cultural characteristics of local populations, organizational infrastructure, and direct service support) and redefines cultural competence as the degree of compatibility among these factors. A strength of this model of organizational cultural competence is that it facilitates future research and practice in psychiatric services settings and links culturally competent practices to service parity.
This article presents a conceptual model of organizational cultural competence for use in mental health services that resulted from a comprehensive review of the research literature. The model identifies four factors associated with cultural competence in mental health services (community context, cultural characteristics of local populations, organizational infrastructure, and direct service support) and redefines cultural competence as the degree of compatibility among these factors. A strength of this model of organizational cultural competence is that it facilitates future research and practice in psychiatric services settings and links culturally competent practices to service parity.
This paper describes the initial evaluation of the Therapist-Parent Interaction Coding System (TPICS), a measure of in vivo therapist coaching for the evidence-based behavioral parent training intervention, parent-child interaction therapy (PCIT). Sixty-one video-recorded treatment sessions were coded with the TPICS to investigate (1) the variety of coaching techniques PCIT therapists use in the early stage of treatment, (2) whether parent skill-level guides a therapist’s coaching style and frequency, and (3) whether coaching mediates changes in parents’ skill levels from one session to the next. Results found that the TPICS captured a range of coaching techniques, and that parent skill-level prior to coaching did relate to therapists’ use of in vivo feedback. Therapists’ responsive coaching (e.g., praise to parents) was a partial mediator of change in parenting behavior from one session to the next for specific child-centered parenting skills; whereas directive coaching (e.g., modeling) did not relate to change. The TPICS demonstrates promise as a measure of coaching during PCIT with good reliability scores and initial evidence of construct validity.
Motivating students in analytical chemistry can be challenging, in part because of the complexity and breadth of topics involved. Some methods that help encourage students and convey real-world relevancy of the material include incorporating environmental issues, research-based lab experiments, and service learning projects. In this paper, we describe an approach that combines all three of these methods by integrating environmental research-based activities into the second-year undergraduate analytical chemistry course. We discuss the development, implementation, and preliminary evaluation of the research-based labs employed during the new summer analytical chemistry course. Students perform environmental investigations of sites on Beaver Island, Michigan, and prepare reports to contribute to an ongoing research project analyzing these locations that began in the 1970s. Preliminary impacts on analytical students were examined using pre-and postsurveys, including the Chemistry Attitudes and Experiences Questionnaire, and a new survey and questionnaires developed for this work. Responses and grades were compared across three summers, and to those from students in the traditional analytical course. Results suggest that the research-based activities positively impacted aspects of student attitudes, their perceptions of how chemistry knowledge influences understanding of environment issues, and their perceptions of how analytical techniques are applied in the real-world. Students indicated that the new labs provided real-world applications of class content, helped them learn new concepts and gain skills working with others, and helped them feel more confident conducting chemistry-related experiments. ■ INTRODUCTIONAnalytical chemistry offers unique challenges in motivating students; the entire course requires continued fluency in algebra and students can easily be overwhelmed with its breadth and complexity of topics. Conveying a relationship between the content and the real-world is a crucial factor in increasing student motivation and attitudes toward the subject. 1,2 The integration of environmental topics provides a great opportunity to illustrate the relevancy of the content and its real life applications. 3−8 The incorporation of research-based activities into the chemistry laboratory has been shown to have positive impacts on student attitudes and skills. 9−20 Furthermore, projects with service learning components are known to have positive effects on student outcomes including student critical thinking skills, efficacy for civic engagement, and the ability to integrate theory and experience. 21−27 We wondered how the combination of these approaches for incorporating environmental issues, research activities, and service learning would affect analytical chemistry students. We previously described the preliminary impacts of a researchbased lab in our honors general chemistry laboratory, and now we have expanded the work to the undergraduate analytical chemistry course. 28 In this paper we discuss the developm...
Although gang-involved Latino youth in the United States are uniquely at risk of adverse consequences from sexual behavior, little research is available that can guide those who wish to develop interventions to reduce sexual risk among these youth. To facilitate the development of effective interventions, we identified cultural and contextual factors that influence sexual behavior and sex education among gang-involved Latino youth in one U.S. community. By analyzing transcripts from interviews and focus groups with three different groups of key stakeholders--gang-experienced Latino youth, the parents of gang-experienced Latino youth, and the personnel of a program providing comprehensive human services for gang-involved Latino youth--we identified three domains to be considered in developing sexual risk-reduction interventions for gang-involved U.S. Latino youth. The focus of our discussion is on the implications of these findings for future development or adaptation of interventions.
Currently the second largest U.S. ethnic group, U.S. Latinas/os are projected to continue increasing as a proportion of the U.S. population over the next century. The culturally competent psychological evaluation of U.S. Latinas/os requires both the use of instruments that are adequately validated in that population and the adequate consideration of culturally linked factors known to influence the assessment process and its findings. This article makes foundational recommendations in this second area, organizing them along 4 stages of professional practice in psychological assessment. Consultation with qualified professionals is discussed as being important in ensuring the accurate and ethical psychological assessment of U.S. Latinas/os at all stages of professional practice.
Left untreated, conduct problems can have significant and long-lasting negative effects on children’s development. Despite the existence of many effective interventions, U.S. Latina/o children are less likely to access or receive evidence-based services. Seeking to build the foundation to address these service disparities, the current study used a Community-Based Participatory Research approach to examine U.S. Latina/o parents’ perceptions of the need for interventions to prevent childhood disruptive behaviors in their community in general, and of an existing evidence-based intervention—parent-child interaction therapy (PCIT)—in particular. Results suggest that parents recognize a need for prevention resources in their community and value most of the core features of PCIT. Nevertheless, important directions for potential adaptation and expansion of PCIT into a prevention approach were identified. Results point to several goals for future study with the potential to ameliorate the unmet mental health needs experienced by U.S. Latina/o families with young children at risk for developing conduct problems.
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