Training of evidence-based assessment and intervention approaches in cross-cultural contexts: challenges and solutions

Abstract

Training of evidence-based assessment and intervention approaches in cross-cultural contexts: challenges and solutions Treinamento de estratégias de intervenção e avaliação baseadas em evidências em contextos transculturais: desafios e soluções A b s t r a c t Dissemination of evidence-based assessment and intervention approaches for child and adolescent with behavioral and/or emotional problems is now a priority in the field worldwide. However, developing staff competence in evidence-based assessment and intervention approaches in different countries is complicated by some environmental and economic constraints. In this paper a distance training/supervision model is discussed. We describe seven specific challenges encountered and solutions used for overcoming the obstacles in order to implement evidence-based assessment and intervention approaches in different sites in Brazil, Egypt, Israel, and Lebanon.Keywords: Evidence-based medicine; Process assessment (Health care); Remote consultation; Supervision; Inservice training Resumo A disseminação de estratégias de intervenção e avaliação baseadas em evidências para crianças e adolescentes com problemas comportamentais e/ou emocionais é hoje uma prioridade mundial. No entanto, o desenvolvimento de equipes capacitadas para implementação de estratégias de intervenção e avaliação baseadas em evidências nos diferentes países é limitado por restrições ambientais e econômicas. Neste artigo, discute-se um modelo de treinamento/supervisão à distância. Em seguida, são descritos sete desafios específicos encontrados e as soluções utilizadas para superar os obstáculos para implementação de estratégias de intervenção e avaliação baseadas em evidências em diferentes localidades no Brasil, Egito, Israel e Líbano.Descritores: Medicina baseada em evidência; Avaliação de processos (Cuidados da saúde); Consulta remota; Supervisão; Capacitação em serviço

EPA guidance on cultural competence training

“…Furthermore, trainees have specialized cross-cultural psychiatric knowledge and skills, including treatment of refugees and immigrants, socio-cultural variables that influence the assessment and treatment of a wide range of psychiatric conditions, and a comfortable relationship with cultural dynamics that influence both the psychiatrist/patient relationship and collaboration with a wide range of mental health professionals [15,41,60–[62,73,81,89]. A correlation between therapists’ satisfaction with training and consultation, treatment acceptability, and the likelihood to use the treatment in the future was reported [49,103]. Way et al [120] reported a statistically significant increase in communication and interaction, respect for recipients of inpatient care, and increases in cultural competence levels.…”

Adaptation and translation of mental health interventions in Middle Eastern Arab countries: A systematic review of barriers to and strategies for effective treatment implementation

“…Six individual barriers across five articles were identified addressing the availability of services. Specifically, lack of professional community-based service providers (Eapen & Ghubash, 2004;Murray et al, 2006), as well as insufficient resources needed to provide the required services (Schwartz, Duvdevany, & Azaiza, 2002;So et al, 2006) were highlighted as factors in the lack of the availability of services.…”

Diffusion of efficacious interventions for children and adolescents with mental health problems

“…The interventions were designed to be brief (8–12 sessions) and to address children and parents in schools and clinical settings. The process of developing and implementing these strategies in four different countries has been extensively described elsewhere (Bauermeister, So, Jensen, Krispin, & El Din, 2006; Hoagwood, Kelleher, Murray, & Jensen, 2006; Murray, Fayyad, Jensen, Hoagwood, & Azer, 2006; So et al., 2006) and exemplifies a technique to reach more children over different cultures, and not only the English‐speakers (Jensen, 2006).…”