Culturally Responsive Mental Health Services

Author(s):  
Janise S. Parker ◽  
Diana Joyce-Beaulieu ◽  
Brian A. Zaboski

Chapter 4 guides readers in applying cognitive behavioral therapy within culturally responsive mental health services, a cornerstone to individualizing student mental health services. The chapter begins by identifying who a therapist’s clients are and then delves into the many developmental considerations and stages that children and adolescents progress through to adulthood. The author acknowledges that in addition to a developmental perspective, addressing treatment barriers for youth in the minority also entails more culturally aware practitioners who understand, respect, and value their clients’ cultural strengths. The chapter concludes with two case studies that show readers how these elements coalesce into culturally responsive mental health services.

2008 ◽  
Vol 23 (5) ◽  
pp. 397-410 ◽  
Author(s):  
Josef I. Ruzek ◽  
Robyn D. Walser ◽  
Amy E. Naugle ◽  
Brett Litz ◽  
Douglas S. Mennin ◽  
...  

AbstractGiven the personal and societal costs associated with acute impairment and enduring post-traumatic stress disorder (PTSD), the mental health response to disasters is an integral component of disaster response planning. The purpose of this paper is to explore the compatibility between cognitive-behavioral psychology and the disaster mental health model, and explicate how cognitivebehavioral perspectives and intervention methods can enhance the effectiveness of disaster mental health services. It is argued that cognitive-behavioral methods, if matched to the contexts of the disaster and the needs of individuals, will improve efforts to prevent the development of PTSD and other trauma-related problems in survivors of disaster or terrorist events. First, the similarities between models of care underlying both disaster mental health services and cognitive-behavioral therapies are described. Second, examples of prior cognitive-behavioral therapy-informed work with persons exposed to disaster and terrorism are provided, potential cognitive-behavioral therapy applications to disaster and terrorism are explored, and implications of cognitive-behavioral therapy for common challenges in disaster mental health is discussed. Finally, steps that can be taken to integrate cognitive-behavioral therapy into disaster mental health are outlined. The aim is to prompt disaster mental health agencies and workers to consider using cognitive-behavioral therapy to improve services and training, and to motivate cognitive-behavioral researchers and practitioners to develop and support disaster mental health response.


Author(s):  
Kirstin Painter ◽  
Maria Scannapieco

The two most common treatments for depression are antidepressant medication and psychotherapy, provided together or individually. This chapter provides an overview of the classes of antidepressant medications and addresses how they regulate neurotransmitters in the brain. The chapter addresses the use of antidepressants in children and adolescents and the risk of suicide related to antidepressants. Several models of psychotherapy treatments, including treatment interventions extensively tested and found effective in treating children and adolescents with depressive disorders (e.g., cognitive-behavioral therapy, interpersonal psychotherapy) are described. Links are provided to access further information on these interventions. This chapter returns to the two case studies from Chapter 5 and discloses the actual outcomes that occurred.


2021 ◽  
Author(s):  
Rongyu Xin ◽  
Olivia Fitzpatrick ◽  
Patrick Ho Lam Lai ◽  
John R. Weisz ◽  
Maggi Price

Asian American (AsA) youth comprise a large and fast-growing proportion of the U. S. population. AsA youth have comparable, and in some cases higher, rates of mental health concerns compared to White youth, but are significantly less likely to utilize mental health services. Cognitive-behavioral therapy (CBT), although originally designed by and for White and Western populations, might provide clinical benefits for AsA youth because several CBT characteristics overlap with AsA values (e.g., directive therapeutic style; family involvement). Despite this promise, there has yet to be a synthesis of evidence on the effectiveness of CBT, either culturally-adapted or non-adapted, for AsA youth. A systematic narrative review identified randomized controlled trials (RCTs) of CBT conducted with AsA youth. Electronic databases used included PsycINFO, Web of Science, PubMed, and ProQuest. Our search yielded 2,059 articles, of which, 8 RCTs (386 participants) met inclusion criteria. Studies were heterogeneous across targeted problems (e.g., phobia, depression) and age (M=8.4-22.1 years). Findings suggest that both culturally-adapted and non-adapted CBT (3 and 5 RCTs, respectively) were effective in reducing a range of emotional and behavioral problems for AsA youth. The dearth of studies with AsA youth underscores the need for enhancing the cultural responsiveness of clinical research and practice, as well as harnessing community-engaged methods to improve the accessibility and utilization of evidence-based mental health services for AsA youth.


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