There is a growing interest in whether and how to adapt psychotherapies to take into account the cultural, linguistic, and socioeconomic context of diverse ethnocultural groups. At the root of the debate is the issue of whether evidence-based treatments (EBTs) developed within a particular linguistic and cultural context are appropriate for ethnocultural groups that do not share the same language, cultural values, or both. There is considerable evidence that culture and context influence almost every aspect of the diagnostic and treatment process. Yet, there are concerns about fidelity of interventions, and some have questioned whether tinkering with well-established EBTs is warranted. We present arguments in favor of the cultural compatibility and universalistic hypotheses. Next, we review the available published frameworks for cultural adaptations of EBTs and offer examples from the literature on the process and outcome of different approaches used. Conceptual models for adapting existing interventions and emerging evidence that adapted intervention leads to positive outcomes suggest that there are tools for engaging in evidence-based psychological practices with ethnocultural youth. Recommendations for future directions are provided.

At a university health clinic, 46 medication abortion cases, presented between 2006 and 2009, were reviewed. Medication abortion involves the drugs mifepristone and misoprostal. This review showed that medication abortion within a student health care setting was generally safe: 85 percent of the cases were successfully completed without the need for uterine aspiration, and the patients who needed uterine aspiration were treated with a manual vacuum aspiration device. Only one patient had to go to the emergency department for cramping and bleeding, and hospitalization was not required in her case. (25 ref)-

r e s u M e n Este artículo describe el diseño, implementación y evaluación de un adiestramiento para profesionales de ayuda que trabajan en instituciones de educación superior en Puerto Rico. Está dirigido al desarrollo de destrezas y conocimiento en la evaluación y el manejo del riesgo suicida en estudiantes universitarios-as. Se realizó un diseño cuasiexperimental de medidas repetidas con 39 profesionales de las disciplinas de consejería, psicología y trabajo social. Se encontraron diferencias estadísticamente significativas entre la pre y posprueba, t (38) = -9.281, p = 0. Los resultados sugieren que un adiestramiento basado en la evidencia que utilice como guía las competencias e incorpore el uso de ejercicios prácticos aumenta el conocimiento y destrezas de intervención de profesionales de la salud mental en la evaluación y manejo de riesgo suicida.Palabras clave suicidio; adiestramiento; competencias; evaluación y manejo; profesionales de salud mental a b s T r a C T This article describes the design, implementation and evaluation of a suicide risk assessment and management training for professionals working in institutions of higher education in Puerto Rico. We conducted a quasiexperimental design with 39 professionals in counseling, psychology and social work. Statistically significant differences were found between pre and post-tests, t (38) = -9.281, p = 0. Results suggest that an evidencebased training that follows the core competencies and includes practical exercises, increases the knowledge and intervention skills of mental health professionals in the assessment and management of suicide risk.