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Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research. Cultural Diversity and Ethnic Minority Psychology, 7(4), 328-342

Cultural Diversity and Ethnic Minority Psychology (Impact Factor: 1.36). 12/2001; 7(4):328-42. DOI: 10.1037/1099-9809.7.4.328
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ABSTRACT The psychological community has given considerable attention to the problem of establishing empirically supported treatments (ESTs). The authors argue that a scientific practice that discriminates against some approaches to knowledge undermines the EST's relevance for communities of color. They examine the EST project's contribution to knowledge of effective treatments for ethnic minorities by considering both how knowledge is constructed and the limits of research (e.g., external validity). Alternatives on how to best contribute to treatment research of clinical utility with diverse populations are articulated. An approach for treatment research, derived from an integration of the hypothesis-testing and discovery-oriented research approaches, is presented, and recommendations to advance treatment research with ethnic minority communities are offered.

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Available from: Guillermo Bernal, Aug 26, 2015
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    • "In order to develop an evidence base for mental health care for minority populations, specific ethnic and cultural issues must be taken into account [1] [2] [3] [4]. The US Surgeon General's report, " Culture, Race, and Ethnicity: A Supplement to Mental Health " and a recent white paper from the National Council of La Raza entitled " Critical Disparities in Latino Mental Health: Transforming Research into Action " [5] [6], points to the need for sub-group specific mental health research that explores the cultural variation and heterogeneity of the Latino population. "
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    ABSTRACT: The Surgeon General's report, "Culture, Race, and Ethnicity: A Supplement to Mental Health," points to the need for subgroup specific mental health research that explores the cultural variation and heterogeneity of the Latino population. Guided by cognitive anthropological theories of culture, we utilized ethnographic interviewing techniques to explore cultural models of depression among foreign-born Mexican (n = 30), Cuban (n = 30), Columbian (n = 30), and island-born Puerto Ricans (n = 30), who represent the largest Latino groups in Florida. Results indicate that Colombian, Cuban, Mexican, and Puerto Rican immigrants showed strong intragroup consensus in their models of depression causality, symptoms, and treatment. We found more agreement than disagreement among all four groups regarding core descriptions of depression, which was largely unexpected but can potentially be explained by their common immigrant experiences. Findings expand our understanding about Latino subgroup similarities and differences in their conceptualization of depression and can be used to inform the adaptation of culturally relevant interventions in order to better serve Latino immigrant communities.
    Depression research and treatment 09/2011; 2011:564396. DOI:10.1155/2011/564396
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    • "These studies have predominately been conducted using non-minority samples or have neglected the effectiveness of such interventions among racial and ethnic minority populations. One criticism of empirically supported treatments including brief alcohol interventions is the inadequate representation of ethnic/racial minorities (Atkinson et al., 2001; Bernal & Scharron-del-Rio, 2001; Chambless et al., 1996; Hall, 2001; Hohmann & Parron, 1996; Miranda et al., 2005; Munoz & Mendelson, 2005; Vera et al., 2003). Moreover, interventions found to be effective in one population cannot be assumed to be equally effective among ethnic minorities (Marin et al., 1995). "
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    ABSTRACT: Evaluating the effectiveness of treatments such as brief alcohol interventions among Hispanics is essential to effectively addressing their treatment needs. Clinicians of the same ethnicity as the client may be more likely to understand the culture-specific values, norms, and attitudes and, therefore, the intervention may be more effective. Thus, in cases in which Hispanic patients were provided intervention by a Hispanic clinician improved drinking outcomes were expected. Patients were recruited from an urban Level I Trauma following screening for an alcohol-related injury or alcohol problems. Five hundred thirty-seven Hispanics were randomly assigned to brief intervention or treatment as usual. Hierarchical linear modeling was used to determine the effects of ethnic match on drinking outcomes including volume per week, maximum amount, and frequency of 5 or more drinks per occasion. Analyses controlled for level of acculturation and immigration status. For Hispanics who received brief motivational intervention, an ethnic match between patient and provider resulted in a significant reduction in drinking outcomes at 12-month follow-up. In addition, there was a tendency for ethnic match to be most beneficial to foreign-born Hispanics and less acculturated Hispanics. As hypothesized, an ethnic match between patient and provider significantly enhanced the effectiveness of brief intervention among Hispanics. Ethnic concordance between patient and provider may have impacted the effectiveness of the intervention through several mechanisms including cultural scripts, ethnic-specific perceptions pertaining to substance abuse, and ethnic-specific preferred channels of communication.
    Alcoholism Clinical and Experimental Research 11/2009; 34(2):262-71. DOI:10.1111/j.1530-0277.2009.01089.x · 3.31 Impact Factor
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    • "Indeed, multicultural research has identified the need for culturally sensitive approaches in the delivery of evidence-based psychotherapy to people of color. For example, examining the validity of empirically supported treatments for persons of ethnic minorities, Bernal and Scharron del Rio (2001) recommended the addition of multicultural awareness and culture-specific strategies to cognitive-behavioral, person-centered, and psychodynamic forms of psychotherapy. Similarly, Lewis (1994) considered not only the culture of women of color in her application of CBT to these populations but also the systemic and historical influences in their lives. "
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    ABSTRACT: The therapeutic alliance is of utmost importance in the multicultural therapeutic relationship. This chapter explores the role of culture within the therapeutic relationship and examines the relevant literature, including that on evidence-based treatment of individuals from other cultures. Moreover, it offers recommendations for addressing the cultural components of the client-therapist relationship to increase psychotherapy's effectiveness. For the purposes of this chapter, the author uses the term culture in a broad sense to include ethnicity, race, gender, age, sexual orientation, social class, physical ability, religion and spirituality, nationality, language, immigration and refugee status, and generational level and the interactions among these characteristics. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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