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Cultural Adaptation Expert Panels
In November 2005, the Foundation convened two expert panels to determine
what is known about culturally adapting mental health treatments
touted as "evidence-based." Dr. Arthur L. Whaley, Associate Director
for Mental Health Services Research and long-time cultural competence
expert, facilitated the expert panel discussions designed to assist
the Foundation in developing its initiative on Cultural Adaptation:
Providing Evidence-Based Practices to People of Color.
Overview
Expert
Panel #1 November 8-9, 2005
Expert
Panel #2 November 29-30, 2005
Overview
Participants
in the two meetings came from around the country, representing diverse
experience and perspectives on cultural competence and evidence-based
practices. Distinguished advocates like Ms. Holly Echo-Hawk, mental
health consultant and Secretary of the First Nations Behavioral
Health Association, and influential researchers like Dr. Guillermo
Bernal, Professor of Psychology at the University of Puerto Rico,
provided thought-provoking insights into the interface of these
complex issues.
The first expert
panel grappled with defining elusive key concepts such as culturally
competent care, evidence, and mental health, contrasting the perspectives
of traditional researchers with those of community advocates. Discussants
challenged the assumption of many mental health services researchers
that widely researched psychological treatments are appropriate
for people of color regardless of whether those populations have
been adequately represented in the research.
The second panel
picked up the first group's discussion threads, providing a critique
of the various approaches to adapting mental health services for
populations of color and evaluating the outcomes of adapted models.
An important context for the discussion was a frank assessment of
the existing research literature on using mental health treatments
considered evidence-based (e.g., cognitive-behavioral therapy) with
people of color.
A central theme
of both panel discussions was the importance of involving the target
community at all stages when developing a treatment program for
people of color and its evaluation. Without the community's input,
discussants asserted, attempts to develop culturally appropriate
services will not be valid and will ultimately fail.
Findings from
the expert panel have been used to guide the development of the
Foundation's Request for Proposals on Cultural Adaptation: Providing
Evidence-Based Practices to People of Color. In the coming months,
the Foundation will continue drawing upon the expertise of expert
panel participants as it selects the Cultural Adaptation Initiative
grantees and launches the grant program.
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For more
information, please click on the following links:
Expert
Panel #1 November 8-9, 2005
List
of Expert Panel #1 Participants [PDF]
Agenda
for Expert Panel #1 Discussion [PDF]
Discussion
Questions for Expert Panel #1 [PDF]
Summary
of Expert Panel #1 Discussion [PDF]
Expert
Panel #2 November 29-30, 2005
List
of Expert Panel #2 Participants [PDF]
Agenda
for Expert Panel #2 Discussion [PDF]
Discussion
Questions for Expert Panel #2 [PDF]
Summary
of Expert Panel #2 Discussion [not yet available]
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Grant
Program
Expert Panels Assessment
Tools Evidence-Based
Practices
Bibliography
Resources
and Links
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