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Evaluation ViewAttendees 7

Multicultural Psychology
Symposia

Symposium 23 - Therapist attendance to cultural contexts in evidence based practices: Community perspectives and windows into care

Friday, November 15, 2024
10:30 AM – 12:00 PM EST
Location: Franklin 1, Level 4, Downtown Marriott
CE: 1.5

Keywords: Mental Health Disparities, Culture,
Level of Familiarity: All
Recommended Readings: Calloway, A., & Creed, T. A. (2022). Enhancing CBT consultation with multicultural counseling principles. Cognitive and Behavioral Practice, 29(4), 787–795. https://doi.org/10.1016/j.cbpra.2021.05.007,   Graham-LoPresti, J. R., Gautier, S. W., Sorenson, S., & Hayes-Skelton, S. A. (2017). Culturally sensitive adaptations to evidence-based cognitive behavioral treatment for social anxiety disorder: A case paper. Cognitive and Behavioral Practice, 24(4), 459–471. https://doi.org/10.1016/j.cbpra.2016.12.003,   Sanchez, A. L., Cliggitt, L. P., Dallard, N. L., Irby, D., Harper, M., Schaffer, E., Lane-Fall, M., & Beidas, R. S. (2023). Power Redistribution and Upending White Supremacy in Implementation Research and Practice in Community Mental Health. Psychiatric services (Washington, D.C.), 74(9), 987–990. https://doi.org/10.1176/appi.ps.20220209,   Huey, S. J., Jr, Park, A. L., Galán, C. A., & Wang, C. X. (2023). Culturally Responsive Cognitive Behavioral Therapy for Ethnically Diverse Populations. Annual review of clinical psychology, 19, 51–78. https://doi.org/10.1146/annurev-clinpsy-080921-072750,  

Evidence-based treatments (EBTs) such as CBT are effective in addressing numerous mental health problems. However, EBTs have been criticized for historically focusing on how individual thoughts and behaviors maintain distress without integrating the impact of sociocultural contexts and systemic discrimination. Additionally, the development and implementation of EBTs often have had limited input from historically marginalized communities, resulting in interventions that may not center community needs or integrate clinician perspectives to facilitate uptake in community mental health settings. Consequently, treatment inequities persist for clients of historically marginalized communities. Our symposium presents research findings from studies examining how treatment disparities unfold among EBTs, and community client and therapist perspectives on facilitating culturally responsive care and improving quality of care for historically marginalized communities. Presenter one will report qualitative findings on client and provider perspectives on culturally responsive mental healthcare practices with Black, Indigenous, People of Color individuals living with HIV/AIDS. Next, presenter two will describe findings from a mixed methods study examining CBT therapist navigation of cultural opportunities within sessions. Presenter three will then report on Queer People of Color perspectives on what is important in culturally adapted treatments of EBTs. Presenter four will describe disparities in Parent-Child Interaction Therapy (PCIT) outcomes between Latinx and White families, and propose data-driven cultural adaptations of PCIT to reduce treatment inequities. Finally, presenter five will report on the development and initial acceptability data of a collaboratively developed clinician toolkit to improve the cultural responsiveness of services for marginalized youth with OCD and other anxiety-related disorders. Our discussant, who is an expert on leveraging EBTs to work with historically marginalized groups, will summarize key findings across all studies, and present implications for training, practice, and research. Our studies use multifaceted, innovative methods to understand how treatment inequities unfold among EBTs and community-driven approaches to addressing these disparities. We provide important recommendations for partnering with community members and training therapists to promote equity in clinical outcomes.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Identify different mechanisms by which treatment disparities can unfold in EBTs.
  2. Describe proposed methods of addressing treatment inequities.
  3. Identify client and therapist perspectives surrounding culturally responsive mental healthcare for diverse populations.
  4. Describe ways in which CBT therapists incorporate cultural opportunities into CBT.
  5. Identify clinician facing strategies to address culture and context within EBT delivery.

Presentations:

  • 10:30 AM – 12:00 PM EST
    (SYM 23) Understanding Culturally Responsive Mental Health Treatment for BIPOC Communities Living with HIV/AIDS

    Speaker: Amber Calloway, Ph.D. (she/her/hers) – University of Pennsylvania

    Co-author: Lily Brown, Ph.D. (she/her/hers) – University of Pennsylvania

    Co-author: Leah Salama, MSPH (she/her/hers) – University of Pennsylvania

    Co-author: Jamie Lee, B.A. (she/her/hers) – University of Pennsylvania

  • 10:30 AM – 12:00 PM EST
    (SYM 23) Cultural Opportunities Within CBT Sessions: A Mixed Methods Approach

    Speaker: Patty B. Kuo, Ph.D. (she/her/hers) – University of Pennsylvania School of Medicine

    Co-author: Halleh Hashtpari, Ph.D (they/them/theirs) – Hawai’i Pacific University

    Co-author: Angela Tseng, B.A. (she/her/hers) – University of Pennsylvania

    Co-author: Amber Calloway, Ph.D. (she/her/hers) – University of Pennsylvania

    Co-author: Torrey Creed, Ph.D. (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania

  • 10:30 AM – 12:00 PM EST
    (SYM 23) Trajectories of Change in Parent-child Interaction Therapy Outcomes in Latinx and White Families: Implications for Cultural Adaptation

    Speaker: Giovanni Ramos, Ph.D. (he/him/his) – University of California, Irvine

    Co-author: Michael Woller, MA – UCLA

    Co-author: Amanda Montoya, PhD – UCLA

    Co-author: Lauren Questch, PhD – University of arkansas

    Co-author: Emma Girard, PsyD – UCR

    Co-author: Miya Barnett, Ph.D. (she/her/hers) – University of California Santa Barbara

    Co-author: Anna S. Lau, Ph.D. (she/her/hers) – UCLA

    Co-author: Denise A. Chavira, Ph.D. – University of California Los Angeles

  • 10:30 AM – 12:00 PM EST
    (SYM 23) Development and Perceived Utility of the Revamping Evidence Based Supports to Promote Effective culturally Responsive Treatment (RESPECT) Toolkit for Anxiety and OCD

    Speaker: Amanda Sanchez, Ph.D. (she/her/hers) – George Mason University

    Co-author: Michal Weiss, B.S. – Perelman School of Medicine at the University of Pennsylvania

    Co-author: Temma L. Schaechter, PhD – University of Pennsylvania School of Medicine

    Co-author: Ana Baumann, PhD – Division of Public Health Sciences, Department of Surgery Washington University School of Medicine

    Co-author: Darlene Davis Goodwine, Ph.D., LP, LCADC – Aidan Behavioral Health and Consulting

    Co-author: Vanesa Mora Ringle, Ph.D. – Lehigh University

    Co-author: Emily Becker-Haimes, Ph.D. (she/her/hers) – University of Pennsylvania

  • 10:30 AM – 12:00 PM EST
    (SYM 23) Are All Cultural Adaptations Appreciated Equally? An Exploratory Study on Perceived Importance of Cultural Adaptations Among QPOC

    Speaker: Clarissa V. Velez, M.S. (she/her/hers) – University of Miami

    Co-author: Jessica Lin, M.S. (she/her/hers) – Palo Alto University

    Co-author: Alayna L. Park, Ph.D. (she/her/hers) – University of Oregon