Evidence-Based Psychosocial Treatments for Ethnic Minority Youth

University of Southern California, Los Angeles, CA 90089-1061, USA.
Journal of Clinical Child & Adolescent Psychology (Impact Factor: 1.92). 02/2008; 37(1):262-301. DOI: 10.1080/15374410701820174
Source: PubMed


This article reviews research on evidence-based treatments (EBTs) for ethnic minority youth using criteria from Chambless et al. (1998), Chambless et al. (1996), and Chambless and Hollon (1998). Although no well-established treatments were identified, probably efficacious or possibly efficacious treatments were found for ethnic minority youth with anxiety-related problems, attention-deficit/hyperactivity disorder, depression, conduct problems, substance use problems, trauma-related syndromes, and other clinical problems. In addition, all studies met either Nathan and Gorman's (2002) Type 1 or Type 2 methodological criteria. A brief meta-analysis showed overall treatment effects of medium magnitude (d = .44). Effects were larger when EBTs were compared to no treatment (d = .58) or psychological placebos (d = .51) versus treatment as usual (d = .22). Youth ethnicity (African American, Latino, mixed/other minority), problem type, clinical severity, diagnostic status, and culture-responsive treatment status did not moderate treatment outcome. Most studies had low statistical power and poor representation of less acculturated youth. Few tests of cultural adaptation effects have been conducted in the literature and culturally validated outcome measures are mostly lacking. Recommendations for clinical practice and future research directions are provided.

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    • "). Perceived discrimination has been found to be positively associated with poor mental health outcomes in Black Americans (Pieterse et al., 2012), Asian Americans (Lee & Sue, 2011), and lesbian, gay, and bisexual adults (Bostwick et al., 2014), making efficacious treatment provision to individuals who experience marginalization particularly important. There is growing evidence to suggest that EBTs, particularly CBT, with and without cultural adaptations, are efficacious in treating a range of disorders with individuals from marginalized groups, including racial and ethnic minority groups (Griner & Smith, 2006; Hinton et al., 2004; Huey & Polo, 2008; Kohn & Oden, 2002), LGBT individuals (Martell, Safren, & Prince, 2004), older adults (Hendriks et al., 2008; Laidlaw, et al., 2008), and individuals with intellectual disabilities (Lew, Matta, &Tripp-Tebo, 2006). While EBTs have shown efficacy with individuals from marginalized groups, research on treatment engagement and acceptability has been less promising. "
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