As previously noted, the IS FRAME’s category for cultural adaptations lacks specificity to characterize discrete approaches to cultural adaptations. Namely, they highlight how within IS models, less attention has been given to cultural adaptation factors at the provider and client levels. Cabassa and Baumann describe a “two way street” between implementation science (IS) adaptation and cultural adaptation models, noting how each can supplement weaknesses in the other. A strength of both Estacio and Borelli and colleagues’ approaches was empowering and truly integrating CHWs throughout the entire cultural adaptation decision making process, and clearly documenting the results of these adaptation efforts.
Cultural Adaptations in Community Health Worker-Delivered Mental Health Interventions for U.S Latine Populations
Recent policy briefs and peer-reviewed literature have identified policy, practice, and research changes necessary for integrating CHWs into care systems 39, 43. CHWs, who often share these cultural reference points, may draw on generational knowledge, historical narratives, and shifting sociopolitical realities in ways that enrich their work. Future research should explore these adaptation processes more deeply, including how CHWs make in-the-moment decisions, what can be learned from these organic practices, and how such processes can inform the development of more responsive and sustainable intervention models.
How Does Dialectical Behavior Therapy Help with Emotional Regulation in Anxiety?
To date, there is one published review that focuses on CHW-delivered mental health interventions for U.S. While this research indicates that CHWs can deliver effective mental health interventions 7, 37, 67, there remains a gap in our understanding of how these interventions are implemented. In an interventionist role, CHWs often use their experiences to connect with clients and to provide care that is reflective of their clients’ cultural backgrounds . Latine individuals may be more likely to access mental health interventions if delivered by a CHW. While they may often not have specialized degrees in healthcare, CHWs have a wealth of localized knowledge and lived experiences specific to their community’s needs, giving them unique insight into how best to respond.
Understanding how clients navigate between their cultural heritage and the new cultural contexts they encounter can help practitioners tailor their therapeutic strategies. This approach is crucial for promoting mental health equity and addressing disparities. Mental health practitioners should consider how these experiences shape the client’s worldview and mental health. When working with diverse clients, understanding their immigration history can offer valuable insights. This involves recognizing one’s own cultural biases and assumptions and being https://www.mountaineers.org/blog/honoring-indigenous-peoples-through-education open to learning from clients about their cultural experiences.
- CRPs involve adapting approaches to recognize, respect, and incorporate individuals’ cultural backgrounds, fostering inclusion, engagement, and improved outcomes (Gay, 2018; Hyter & Salas-Provance, 2023).
- Clients are often part of a culture within a culture.
- Sustainable professional learning must be an ongoing, reflective process where practitioners continuously assess and refine their approaches to meet the diverse needs of youth.
- The strategies involved in motivational interviewing can help counselors prepare culturally diverse clients to change their behavior and keep them engaged in treatment.
Five themes were identified through an iterative process of analysis, including Newfound opportunities and care, Family as key motivators and facilitators, Coping and generativity, Cultivating self-understanding and resilience, and Empowerment through social engagement. This paper provides new insights into the reciprocal benefits of engaging community Elders and service leaders to … The cultural consultation model showed evidence of significant satisfaction by clinicians using the service. Of 109 potential papers, only 9 included an evaluation of the model to improve the cultural competency practice and service delivery. In addition, I would like to thank the donors of the Armand and Denise La Barge Graduate Scholarship in Multiculturalism for believing in my work.