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A Toolkit for Applying the Cultural Enhancement Model To Evidence-Based Practice

Accession Number: 028402
Media Type: 

"At a national level, minority clients are less likely to access mental and behavioral health services and drop out of treatment more frequently than nonminority counterparts. While this phenomenon is driven by social and economic factors, it is reasonable to assume it also may be due to a lack of adequate training in culturally congruent therapeutic approaches. The Cultural Enhancement Model presented in this paper addresses engagement factors at the community and individual-level in order to overcome barriers to EBP [evidence-based practice] dissemination and program retention." Sections of this toolkit include: introduction—EBP implementation challenges, cultural competence, cultural adaptation framework, and engagement; the Cultural Enhancement Model (CEM)—Family Integrated Transitions (FIT), and five phases in applying the CEM (identify community advisory team, information-gathering, development, implementation, and evaluation); and summary. Appendixes provide an example of a work plan, sample survey, enhancement proposal example, and FIT Latino Enhancement Materials—common conversational Spanish phrases, "Barriers to Discussing Emotions with Latino Clients", "Conversational Spanish as an Engagement Tool", "Key DBT [Dialectical Behavioral Therapy] Terms and Definitions: English to Spanish Translation", "Working with an Interpreter", "DBT Concepts with Latino Clients: Discussing Emotions", " DBT Concepts with Latino Clients: Distress Tolerance", DBT Concepts with Latino Clients: Wise Mind", and "Como se Siente Usted? (How Do You Feel?).

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