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Community providers' experiences with evidence-based practices: The role of therapist race/ethnicity.
Cultural Diversity & Ethnic Minority Psychology ( IF 3.2 ) Pub Date : 2020-05-11 , DOI: 10.1037/cdp0000357
Giovanni Ramos 1 , Lauren Brookman-Frazee 2 , Tamar Kodish 1 , Adriana Rodriguez 3 , Anna S Lau 1
Affiliation  

OBJECTIVES Examining therapists' experiences implementing evidence-based practices (EBPs) is fundamental to understanding how these interventions are perceived, adapted, and delivered in community settings. However, little is known about racial/ethnic variation in the experiences of therapists serving racial/ethnic minority youth and their families. Through an innovative QUAN → qual → QUAN mixed-methods approach, we examined differences in therapists' perceptions, adaptations performed, and client-engagement challenges in the largest county-operated department of mental health in the United States. METHOD Surveys were completed by 743 therapists (Latinx [44%], White [34%], other ethnic minority [22%]), most of whom were female (88%), master's level (85%), and unlicensed (58%). A subset of therapists (n = 60) completed semistructured interviews. RESULTS Latinx therapists reported more positive experiences implementing EBPs, making more adaptations to EBPs, and encountering fewer client-engagement challenges than therapists from other racial/ethnic groups. Qualitative analyses expanded on these results, revealing that Latinx therapists commonly described adapting EBPs in terms of language and culture to improve fit and promote client engagement. Informed by these qualitative themes, a refined statistical model revealed that the ability to deliver EBPs in languages other than English might have accounted for differences in therapist-reported EBP adaptations and client-engagement challenges. CONCLUSIONS The findings suggest that racial/ethnic minority therapists have positive experiences in implementing EBPs in community settings. In the case of Latinx therapists, bilingual/bicultural competence may facilitate adapting EBPs in ways that reduce perceptions of engagement challenges with racially/ethnically diverse clients. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

社区提供者在循证实践方面的经验:治疗师种族/民族的作用。

目标 检查治疗师实施循证实践 (EBP) 的经验对于了解如何在社区环境中感知、调整和实施这些干预措施至关重要。然而,对于为种族/少数民族青年及其家庭服务的治疗师的经历中的种族/民族差异知之甚少。通过创新的 QUAN → qual → QUAN 混合方法方法,我们检查了美国最大的县级心理健康部门在治疗师的看法、所进行的适应和客户参与挑战方面的差异。方法 调查由 743 名治疗师(拉丁裔 [44%]、白人 [34%]、其他少数民族 [22%])完成,其中大多数是女性 (88%)、硕士水平 (85%) 和无执照 (58 %)。一部分治疗师 (n = 60) 完成了半结构化访谈。结果 拉丁裔治疗师报告说,与其他种族/族裔群体的治疗师相比,实施 EBP 的经验更为积极,对 EBP 进行了更多的适应,并且遇到的来访者参与挑战更少。定性分析扩展了这些结果,表明拉丁裔治疗师通常描述在语言和文化方面调整 EBP,以提高适应度和促进客户参与。根据这些定性主题,精炼的统计模型显示,以英语以外的语言提供 EBP 的能力可能解释了治疗师报告的 EBP 适应和客户参与挑战的差异。结论 调查结果表明,种族/少数族裔治疗师在社区环境中实施 EBP 方面有积极的经验。就拉丁裔治疗师而言,双语/双文化能力可能有助于适应 EBP,从而减少对与种族/民族不同客户的参与挑战的看法。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2020-05-11
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