Two approaches to tailoring strongtreatmentstrong for cultural minority.pdfVIP

Journal of Substance Abuse Treatment 43 (2012) 190 – 203 Regular article Two approaches to tailoring treatment for cultural minority adolescents Sarah W. Feldstein Ewing, (Ph.D.) a,b,⁎, Alisha M. Wray, (Ph.D.) a , Hilary K. Mead, (Ph.D.) a , Sue K. Adams, (Ph.D.) c aThe Mind Research Network, Pete Nancy Domenici Hall, 1101 Yale Blvd NE, Albuquerque, NM 87106 b University Honors Program, University of New Mexico, 1 University of New Mexico, MSC 06 3890, Albuquerque, NM 87131 cThe University of Rhode Island, 2 Lower College Road, Transition Center 210, Kingston, RI 02881 Received 14 August 2011; received in revised form 30 November 2011; accepted 12 December 2011 Abstract At this time, compared with mainstream (Caucasian) youth, cultural minority adolescents experience more severe substance-related consequences and are less likely to receive treatment. Although several empirically supported interventions (ESIs), such as motivational interviewing (MI), have been evaluated with mainstream adolescents, fewer published studies have investigated the fit and efficacy of these interventions with cultural minority adolescents. In addition, many empirical evaluations of ESIs have not explicitly attended to issues of culture, race, and socioeconomic background in their analyses. As a result, there is some question about the external validity of ESIs, particularly in disadvantaged cultural minority populations. This review seeks to take a step toward filling this gap, by addressing how to improve the fit and efficacy of ESIs like MI with cultural minority youth. Specifically, this review presents the existing literature on MI with cultural minority groups (adult and adolescent), proposes two ap