Cultural Elements for Treating Hispanic and Latino populations National Hispanic and Latino ATTC Task Force Meeting January, 2015 Objectives Provide a description of the training Describe possible uses of the material Encourage more trainings Explore new possibilities 1
Hispanic Initiative Collaboration with Caribbean Basin and Hispanic ATTC (2005-2006) Training objectives MODULE I Provide an overview, including current statistics of the Hispanic and Latino populations in the U.S. Define terms that are useful in the treatment of culturally diverse populations. MODULE II Demonstrate understanding of how culture change affects Hispanics and Latinos and their substance use. Identify and address barriers faced by Hispanics and Latinos around access and readiness for treatment and recovery. Explain the relationship between culture and treatment 2
Objectives Describe common themes among Hispanic and Latino populations. Explain how family transformation influences the ability of Hispanics and Latinos to access, participate, complete and sustain recovery. MODULE III Describe concepts related to substance use disorders and recovery. Describe and apply counselor s role during the course of recovery. Understand challenges Hispanic and Latino populations face sustaining a course of recovery. MODULE IV Describe how individuals and organizations can incorporate culture into treatment. Describe special considerations related to substance use and recovery in Hispanic and Latino populations. Guide Developed by Dr. William Vega (2006) Updated and revised by Dr. Richard Cervantes (2013) 3
About the Authors Dr. William Vega WILLIAM VEGA holds USC appointments in social work, preventive medicine, psychiatry and family medicine. He is also emeritus professor at the University of California, Berkeley and codirects the Network for Multicultural Research on Health and Healthcare at UCLA. An elected member of the Institute of Medicine, Vega has conducted community and clinical research projects on health, mental health and substance abuse throughout the United States and Latin America. His specialty is multi-cultural epidemiologic and services research with adolescents and adults -- work that has been funded by multiple public and private sources. He has published more than 170 articles and chapters, in addition to several books. The 2006 ISI Web of Science listed him in the top half of 1 percent of the most highly cited researchers worldwide in social science literature over the past 20 years. Prior to joining the Roybal Institute, Vega was director of the Luskin Center on Innovation at UCLA. In 2002, he received the Society for Prevention Research's Community, Culture and Prevention Science Award and the National Hispanic Science Network on Drug Abuse's National Award of Excellence in Research by a Senior Scientist. Vega has served on numerous boards and task forces, including health disparities work groups of the National Institutes of Health, the U.S. Attorney General's Task Force on Methamphetamine, the Institute of Medicine Board on Population Health, the Committee on Post-Traumatic Stress Disorder Treatment Effectiveness and the Institute of Medicine Health Disparities Roundtable. He is also a member of the National Institutes of Health Fogarty International Center and the Robert Wood Johnson Foundation Scholars in Health Policy Research advisory committees. Dr. Richard Cervantes Dr. Cervantes received his Ph.D. in Psychology from Oklahoma State University. Dr. Cervantes is Research Director at Behavioral Assessment, Inc. and is Senior Research fellow at the California State University, Long Beach Center for Behavioral Research and Services Department of Psychology. He served as Research Psychologist at the UCLA Spanish Speaking Mental Health Research Center (1984-89), and held a full-time faculty appointment in the USC School of Medicine, Department of Psychiatry and the Behavioral Sciences (1990-1995). He has served as Principal Investigator on numerous National Institite of Health (NIH) and foundation funded studies and has published extensively over a 25 year career span. Dr. Cervantes has served or currently serves on a number of national level advisory groups and committees, including National Institutes of Health, Center for Substance Abuse Prevention s (CSAP) Technical Expert Group for the National Cross-Site Evaluation of Substance Abuse Prevention Grants for the Minority AIDS Initiative, Substance Abuse and Mental Health Services Administration s (SAMHSA) State Incentive Grant Evaluation Guidance Committee, and numerous other expert panels. Dr. Cervantes served as a science consultant for the United Nations International Drug Control Program (UNDCP). He has published well over two dozen scientific journal articles as well as over a dozen book chapters relevant to Hispanic/Latino youth, family, mental health, and health issues. He is the developer of the Hispanic Stress Inventory and Familia Adelante, a family focused behavioral health promotion program. Dr. Cervantes has over 20 years of experience in the conduct of community based research and evaluation and is familiar with necessary multi-dimensional evaluation methodologies needed in community and applied settings. Finally, Dr. Cervantes has served as an expert witness to the courts on issues related to Hispanic families, drug and alcohol abuse, cultural risk factors including immigration/acculturation stress, and juvenile gangs. He has served as an expert on over twenty death penalty cases, both in the trial/penalty phase, as well as in the appeals process. 4
Modules Module 1: Hispanics and Latinos in the U.S.: Statistics, Health Disparities and Definitions Module 2: Cultural Change and Family Transformation Module 3: Approaching Recovery Module 4: Approaches to Integrating Culture into Treatment Module 1 Sociodemographic data Data relevant to substance use among Hispanics Definition of culture-related terms pertinent to training 5
Module 2 Immigration and changes in family Description of cultural values as they apply to treatment Familismo Confianza Personalismo Spirituality Other related terms Module 3 Recovery process in Hispanics and Latinos 6
Module 4 Organizational issues Other special issues Complementary group exercises The Story of My Name Case example: Bianca Case example: Mrs. C Case scenarios 7
Training of Trainers June 24-25, North Carolina Moderator: Dr. Luis García Sustainability trainings Date Region State July, 2013 Region 2 New York August, 2013 Region 6 Texas August, 2013 Region 9 California October, 2013 Region 3 Virginia March, 2014 Region 3 Virginia June, 2014 Region 8 Utah July, 2014 Region 10 Washington August, 2014 Region 3 Philadelphia 8
Presentations Date Topic Conference May, 2013 Cultural Elements in treating Latino Health Equity Hispanic and Latino populations Conference (Portland, OR) May, 2013 October, 2013 March, 2014 August, 2014 Cultural Elements in treating Hispanic and Latino populations Cultural Elements in treating Hispanic and Latino populations Cultural Elements in Treating Hispanic and Latino populations Cultural Elements in treating Hispanic and Latino populations Pacific Clinics Conference San Gabriel, CA CADAAC/CFAAP Conference TERRROS 10 th Annual Cesar E. Chavez Behavioral Health Conference Arizona Arkansas Behavioral Health Institute Conference Learning Community Possible participants received the Cultural Elements in Treating Hispanic and Latino populations training. Possible participants received an orientation regarding the learning community, its purpose and requirements. Interested participants completed a qualification form. Participants were selected and contacted to begin the recruitment process. 9
Learning community The purpose of this learning community is to provide a forum where individuals interested in cultural elements in treating Hispanic and Latino populations with substance use disorders (SUD) collaborate, exchange knowledge and share experiences to advance the development of culturally and linguistically competent mental health services for Hispanics and Latinos. The learning community includes ongoing contact and sharing between participants and facilitators regarding cultural elements present in the treatment of Hispanic and Latino populations in SUD treatment, challenges, possible solutions and implementation of culturally relevant practices at the individual and organizational level. Learning community Learning community Objectives: After completing the learning community, participants are able to: Integrate cultural aspects in the treatment of substance use disorders with Hispanics and Latinos Recognize and identify cultural issues and their relatedness to substance use Implement changes in individual practice regarding integration of cultural issues in treating Hispanic and Latino clients with SUDs Promote implementation of organizational changes regarding integration of cultural aspects in the promotion, provision and approaches to treating Hispanic and Latino clients with SUD 10
Questions or comments 11