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: 3.31). 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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    • "easily transportable to typical clinical settings. @BULLET Access to these and other ESTs is hampered by significant dissemination difficulties. @BULLET Training programs currently have little incentive to train students in these approaches because the majority of their graduating students will not be working for agencies that use these modalities. Huey and Polo (2008) 1. EBTs exist for ethnic minority youth with diverse mental health problems. These treatments produced treatment effects of medium magnitude. 2. MDFT only probably efficacious treatment for substance use with ethnic minority populations. MST also possibly efficacious with substance­abusing African American adolescents. Stanton and Shadi"
    [Show abstract] [Hide abstract] ABSTRACT: and Keywords Adolescent drug and alcohol abuse remains a serious health problem. Family­based treatments are recognized as among the most effective interventions for youth with drug and alcohol problems. This chapter presents the state of the science of the family­based adolescent substance abuse treatment field, summarizing the advances, methodological features, and outcomes of 36 randomized controlled trials, representing 18 distinct models of family­based therapies for youth substance abuse. The chapter reviews developments and gaps in this specialty, including theory issues, treatment development, research, and services for referred youths. The chapter also discusses the unknowns of the field, including the topic of treatment mechanisms and moderators, and deliberates on the complicated topic of implementing evidence­based therapies in usual care settings.
    Full-text · Chapter · Mar 2016
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    • "Relatedly, one protocol may prescribe adaptations when engagement is perceived to be low (e.g., Becker et al., 2015) while another may encourage adaptations in the face of stagnant or worsening treatment progress (e.g., Bickman, Kelley, Breda, Andrade, & Riemer, 2011). Similarly, protocol adaptations may pertain to culture (Huey & Polo, 2008), age (Palinkas et al., 2013 ), comorbidity (Orimoto, Mueller, Hayashi, & Nakamura, 2014), emergent life events (), and several other factors (e.g., Stirman et al., 2013b); therefore , providing guidance for adapting the treatment protocol can not only improve client outcomes (e.g., Weisz et al., 2012), but also decrease the risk of clinicians making fidelity-inconsistent adaptations (e.g., Stirman et al., 2015a). "
    Full-text · Article · Jan 2016
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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. "
    [Show abstract] [Hide abstract] ABSTRACT: There is emerging evidence supporting the acceptability of mindfulness and acceptance-based therapies with individuals from marginalized backgrounds. The current phenomenological study aimed to understand the extent to which clients from marginalized backgrounds who had completed an acceptance-based behavioral therapy (ABBT) for GAD felt that their identities affected their experience of the treatment and the therapist. Purposeful sampling methods were used to identify seven clients from a larger RCT who identified with one or more marginalized identities. Nine themes related to the treatment components, treatment focus and/or delivery, and the therapist emerged. Themes reflected aspects of treatment that clients were satisfied with and areas where they experienced some discord with treatment. Clinical implications for working with marginalized individuals include the importance of inviting conversations about barriers to valued actions, balancing the need to maintain treatment fidelity with the need to be responsive to clients’ concerns, the utility of assessing responses to mindfulness exercises as they are presented, and making client-centered adjustments to either the content or delivery of mindfulness practice to help make connections between exercises and clients’ lives.
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