Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research.

Bernal, Guillermo; Scharrón-del-Río, María R.

doi:10.1037/1099-9809.7.4.328

Cited by 339 publications

(302 citation statements)

References 52 publications

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“…Future studies should employ hypothesis-driven, quantitative methodologies or mixed methods to confirm our findings (7). If confirmed, stigma measures should be adapted to include content domains that represent some of the issues described herein.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of the Perception of Stigma Among Latinos Receiving Antidepressants

Interian¹,

Martinez²,

Guarnaccia³

et al. 2007

111

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Objective-This study sought to describe the role of stigma in antidepressant adherence among Latinos.Methods-The study utilized data generated from six focus groups of Latino outpatients receiving antidepressants (N=30). By using a grounded theory approach, qualitative analysis focused specifically on the role of stigma in antidepressant treatment, as well as salient Latino values.Results-Perceptions of stigma were related to both the diagnosis of depression and use of antidepressant medication. Qualitative analyses showed that antidepressant use was seen as implying more severe illness, weakness or failure to cope with problems, and being under the effects of a drug. Reports of stigma were also related to social consequences. Also, the perceived negative attributes of antidepressant use were at odds with self-perceived cultural values.Conclusions-Stigma was a prominent concern among Latinos receiving antidepressants, and stigma often affected adherence. Furthermore, culture is likely to play an important role in the communication of stigma and its associated complications.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of the Perception of Stigma Among Latinos Receiving Antidepressants

Interian¹,

Martinez²,

Guarnaccia³

et al. 2007

111

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“…[1][2][3][4][5][6] Although definitions of evidence-based practices continue to evolve, [7][8][9][10] the National Quality Forum (NQF) endorses five categories of evidence-based treatment practices for substance use disorders: (1) screening and brief intervention, (2) proven psychosocial interventions, (3) access to medications, (4) use of wraparound services, and (5) aftercare and recovery management. 11,12 Federal and state governments have focused varying amounts of resources, including fiscal support, on the development and diffusion of substance use disorder EBPs.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Evidence-Based Practices for Treatment of Alcohol and Drug Disorders: The Role of the State Authority

Rieckmann

Kovas

Fussell

et al. 2008

J Behav Health Serv Res

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The current climate of increasing performance expectations and diminishing resources, along with innovations in evidence-based practices (EBPs), creates new dilemmas for substance abuse treatment providers, policymakers, funders, and the service delivery system. This paper describes findings from baseline interviews with representatives from 49 state substance abuse authorities (SSAs). Interviews assessed efforts aimed at facilitating EBP adoption in each state and the District of Columbia. Results suggested that SSAs are concentrating more effort on EBP implementation strategies such as education, training, and infrastructure development, and less effort on financial mechanisms, regulations, and accreditation. The majority of SSAs use EBPs as a criterion in their contracts with providers, and just over half reported that EBP use is tied to state funding. To date, Oregon remains the only state with legislation that mandates treatment expenditures for EBPs; North Carolina follows suit with legislation that requires EBP promotion within current resources.

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“…Indeed, most ESTs were evaluated using samples drawn primarily from a White, middle-class, Englishspeaking, female population, and their utility for ethnic minorities is thus as yet unproven (Bernal & Scharron-del-Rio, 2001). …”

mentioning

confidence: 99%

Toward evidence-based interventions for diverse populations: The San Francisco General Hospital prevention and treatment manuals.

Muñoz

Mendelson

2005

Journal of Consulting and Clinical Psychology

157

153

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Clinical trials have seldom included adequate samples of people of color. Therefore, practitioners serving ethnic minorities often do not have access to readily available evidence-based interventions. This article summarizes the development and empirical evaluation of prevention and treatment manuals designed for low-income ethnic minority populations at San Francisco General Hospital. The manuals were often designed by people of color familiar with the communities for which they were developed. Independent research teams in multi-site national and international clinical trials have evaluated many of these manuals with encouraging results.

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Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research.

Cited by 339 publications

References 52 publications

A Qualitative Analysis of the Perception of Stigma Among Latinos Receiving Antidepressants

A Qualitative Analysis of the Perception of Stigma Among Latinos Receiving Antidepressants

Implementation of Evidence-Based Practices for Treatment of Alcohol and Drug Disorders: The Role of the State Authority

Toward evidence-based interventions for diverse populations: The San Francisco General Hospital prevention and treatment manuals.

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