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Cultural Adaptation • Grant Program
The Hogg Foundation for Mental Health launched its Cultural Adaptation
Initiative grant program in July 2006 with the announcement of awards
totaling more than $2.9 million over three years. Five organizations
have been funded to adapt the delivery of evidence-based practices
(EBPs) to be compatible with the cultures of their populations of
color.
Cultural adaptation
is the process of adjusting the delivery of mental health services
to be consistent with the client's culture. There is no one way
to culturally adapt mental health services. The best way to do so
depends on the cultural background and needs of the treatment population
and the resources of the provider organization. Frank, ongoing assessment
of the population's needs and the organization's response to those
needs at the administrative, service delivery, and clinician level
is essential, as is creative, thoughtful translation of those assessment
findings into action.
Cultural
Adaptation Grantees
Community Family
Centers (Centros Familiares de la Comunidad)
DePelchin Children's
Center
Family Service of El
Paso
Lena Pope Home, Inc.
Tropical Texas Center
for Mental Health and Mental Retardation
Training
and Technical Assistance
Cultural
Adaptation Grantees
The five grantee
organizations will work closely with the Foundation and various
expert consultants throughout the three-year period as they implement
an EBP and make adjustments at the administrative, service delivery,
and clinician levels to make the treatment consistent with their
client populations' cultures. The Foundation will provide grantees
with a variety of resources and technical assistance to help them
achieve their goals.
The Foundation's
Cultural Adaptation Initiative grantees are:
Community
Family Centers
Located in Houston, Community Family Centers (Centros Familiares
de la Comunidad) was awarded $607,107 to culturally adapt cognitive-behavioral
therapy for Latino adolescents diagnosed with depressive disorders.
Community Family Centers is a nonprofit community-based organization
that has provided educational and social services to low-income
Latinos in Houston's East End for over 30 years.
Its services are designed with the goals of "strengthening families
and enriching the quality of life in the community and providing
a safe and nurturing environment for children to excel."
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DePelchin
Children's Center
DePelchin Children's Center in Houston received a grant of $919,515
over three years to modify their delivery of trauma-focused cognitive-behavioral
therapy to reflect the culture of Latino children and their parents.
For over 100 years, DePelchin has provided services for Harris
County children and families to "strengthen the lives of children
and their families in our community by providing a continuum of
services to prevent and resolve social and emotional crises."
The organization has a multicultural client base, with Latinos
representing the largest segment of clients seen. The majority
of the organization's clients are on Medicaid.
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Family
Service of El Paso
A grant of $384,441 over three years was awarded to Family Service
of El Paso (FSEP) to adapt the provision of cognitive-behavioral
therapy for depression in adults to fit the culture of its Latino
service population.
This private nonprofit organization was founded in 1893, with
the mission of improving the quality of individual, family, and
community life in El Paso. It provides mental health services
to the community regardless of the ability to pay.
FSEP primarily serves El Paso County, but also provides services
to people from the areas surrounding Juarez, Mexico, and Las Cruces,
New Mexico. The majority of its clients are Latino, most of whom
speak Spanish as their primary language, and low-income.
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Lena
Pope Home, Inc.
Lena Pope Home, Inc., in Forth Worth received a grant of $536,695
over three years to adapt the Defiant Child model for treating
children with attention-deficit hyperactivity disorder and oppositional
defiant disorder. The organization will culturally adapt the model
for African American children.
This private nonprofit organization will collaborate with the
Fort Worth Independent School District, The City of Fort Worth
Public Health Department, and The University of Texas at Arlington
for the initiative.
Lena Pope Home provides a range of programs designed to meet the
behavioral health care needs of children, families, and adults.
The majority of its services are provided to children and families,
the majority of whom are African American or Latino and uninsured.
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Tropical
Texas Center for Mental Health and Mental Retardation
Based in Edinburg, Tropical Texas Center for Mental Health and
Mental Retardation received a grant of $526,855 over three years
to modify the delivery of behavior and exposure therapies for
the treatment of anxiety disorders in Latino children and adults.
Tropical Texas was the first community mental health center established
in Texas. Located in the Rio Grande Valley, the organization provides
services to the residents of Hidalgo, Willacy, and Cameron Counties.
It serves a population that is predominantly Latino, low-income,
and uninsured.
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Training
and Technical Assistance
This
fall, the cultural competence and EBP training curricula will be
finalized, and the consultants will begin to train the grantee teams.
The evaluator will also meet with grantees during this period to
finalize the evaluation design.
The
grantees will focus in the initiative's first year on developing
proficiency in the EBP they selected. Once trained in the treatment
through a "train the trainer" model, clinicians will begin providing
the EBP to the target populations of color.
By
the second year of the initiative, grantees will have implemented
a cultural adaptation of the EBP. Adaptations will involve modifications
in the organization's provision of services, changes in the clinicians'
approach to their relationship with clients, or alterations to the
EBP itself.
An
independent evaluator will use program evaluation results throughout
the adaptation process to provide feedback to the Foundation and
grantees on the impact of their efforts.
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Grant
Program •
Expert Panels • Assessment
Tools • Evidence-Based
Practices
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