Ethnic minority community therapists’ acculturation and reported adaptations to children’s evidence-based practices.

Saifan, Dana; Brookman‐Frazee, Lauren; Barnett, Miya L.; González, Juan Carlos; Lau, Anna S.

doi:10.1037/cdp0000203

Cited by 5 publications

(3 citation statements)

References 56 publications

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“…Demographic variables included age, gender, and race/ethnicity. This measure has been shown to be reliable and valid in diverse community therapist samples (Barnett et al, 2017;Saifan et al, 2018). Questions related to therapist race/ethnicity included (a) "Are you Hispanic?…”

Section: Diverse Therapists and Ebp Implementationmentioning

confidence: 99%

“…For instance, community therapists appear to adapt EBPs based on perceived needs (Aarons, Green, et al, 2012), including client characteristics such as cultural background (Barnett et al, 2019), and these adaptations are likely shaped by their perceptions of the EBP being delivered (Lau et al, 2017). There is also evidence that Latinx therapists report adapting EBPs to a greater extent than White therapists (Lau et al, 2017) and, that therapists’ cultural background affects the types of adaptations undertaken (Saifan, Brookman-Frazee, Barnett, Gonzalez, & Lau, 2018). However, it is still unclear what factors may underlie racial/ethnic differences in therapist-driven adaptations of EBPs, and qualitative data may shed light on the nature of these adaptations.…”

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confidence: 99%

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Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

Ramos¹,

Brookman‐Frazee²,

Kodish³

et al. 2021

Cultural Diversity & Ethnic Minority Psychology

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Objectives: Examining therapists' experiences implementing evidence-based practices (EBPs) is fundamental to understanding how these interventions are perceived, adapted, and delivered in community settings. However, little is known about racial/ethnic variation in the experiences of therapists serving racial/ethnic minority youth and their families. Through an innovative QUAN ¡ qual ¡ QUAN mixed-methods approach, we examined differences in therapists' perceptions, adaptations performed, and client-engagement challenges in the largest county-operated department of mental health in the United States. Method: Surveys were completed by 743 therapists (Latinx [44%], White [34%], other ethnic minority [22%]), most of whom were female (88%), master's level (85%), and unlicensed (58%). A subset of therapists (n ϭ 60) completed semistructured interviews. Results: Latinx therapists reported more positive experiences implementing EBPs, making more adaptations to EBPs, and encountering fewer client-engagement challenges than therapists from other racial/ethnic groups. Qualitative analyses expanded on these results, revealing that Latinx therapists commonly described adapting EBPs in terms of language and culture to improve fit and promote client engagement. Informed by these qualitative themes, a refined statistical model revealed that the ability to deliver EBPs in languages other than English might have accounted for differences in therapist-reported EBP adaptations and clientengagement challenges. Conclusions: The findings suggest that racial/ethnic minority therapists have positive experiences in implementing EBPs in community settings. In the case of Latinx therapists, bilingual/bicultural competence may facilitate adapting EBPs in ways that reduce perceptions of engagement challenges with racially/ethnically diverse clients. Public Significance StatementConsidering concerns in the field regarding provider-client cultural mismatch and potential lack of data supporting the efficacy of evidence-based practices (EBPs) for racial/ethnic minority groups, investigators have increasingly called for attention to diversifying the mental health workforce. This study shows that racial/ethnic minority therapists, especially Latinx therapists, capitalize on their language and cultural competencies to serve hard-to-reach racial/ethnic minority youth and their families.

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Section: Diverse Therapists and Ebp Implementationmentioning

confidence: 99%

mentioning

confidence: 99%

Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

Ramos¹,

Brookman‐Frazee²,

Kodish³

et al. 2021

Cultural Diversity & Ethnic Minority Psychology

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“…Cultural Background Questionnaire 54 The Cultural Background Questionnaire is a 19-item self-report measure used to assess therapist generational status and acculturation, including cultural identity (ie, US identity and Heritage Cultural Identity) and language use.…”

Section: Methods and Analysismentioning

confidence: 99%

Developing and evaluating a lay health worker delivered implementation intervention to decrease engagement disparities in behavioural parent training: a mixed methods study protocol

et al. 2019

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IntroductionBehavioural parent training (BPT) programmes are effective in preventing and treating early-onset conduct problems and child maltreatment. Unfortunately, pervasive mental health service disparities continue to limit access to and engagement in these interventions. Furthermore, challenges with parental engagement can impede the successful implementation of evidence-based practices (EBPs) in community settings that serve low-income, ethnic minority families. Lay health workers (LHWs)—individuals without formal mental health training—represent an important workforce to increase engagement, as they are members of the communities they serve. However, the mobilisation of LHWs has not been well studied as an implementation strategy to extend the reach or effectiveness of EBPs in the USA. LHW-delivered implementation interventions that specifically support the engagement of Latinx parents in evidence-based BPT programmes have the potential to improve clinical and implementation outcomes.Methods and analysisA community-partnered approach will use the Quality Implementation Framework (QIF) to tailor and implement an LHW-delivered implementation intervention that aims to promote Latinx parent engagement in BPT programmes. Steps from the QIF will guide study activities to (1) conduct a mixed methods needs assessment to fit the implementation intervention to the local context, (2) adapt LHW-delivered implementation strategies to promote parent access to and engagement in Parent-Child Interaction Therapy and (3) conduct a hybrid effectiveness-implementation pilot trial to examine the feasibility, acceptability and preliminary effectiveness of the LHW implementation intervention at increasing engagement.Ethics and disseminationStudy procedures have been approved by the Institutional Review Board at the University of California, Santa Barbara. Results will be shared with the community-advisory group, at community-based meetings for other stakeholders involved in the pilot project, and submitted for publication in peer-reviewed journals.

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Implementing Parent-Teen Motivational Interviewing + Behavior Therapy for ADHD in Community Mental Health

et al. 2020

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Ethnic minority community therapists’ acculturation and reported adaptations to children’s evidence-based practices.

Abstract: Findings suggest that cultural identity is linked to the likelihood that ethnic minority therapists may adapt EBPs. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Cited by 5 publications

References 56 publications

Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

Developing and evaluating a lay health worker delivered implementation intervention to decrease engagement disparities in behavioural parent training: a mixed methods study protocol

Implementing Parent-Teen Motivational Interviewing + Behavior Therapy for ADHD in Community Mental Health

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