Person-Centered Cultural Assessment Can Improve Child Mental Health Service Engagement and Outcomes. Sanchez, A. L., Jent, J., Aggarwal, N. K., Chavira, D., Coxe, S., Garcia, D., La Roche, M., & Comer, J. S. Journal of Clinical Child & Adolescent Psychology, 51(1):1–22, Routledge, January, 2022. _eprint: https://doi.org/10.1080/15374416.2021.1981340
Person-Centered Cultural Assessment Can Improve Child Mental Health Service Engagement and Outcomes [link]Paper  doi  abstract   bibtex   
Objective Disparities in child mental health service engagement suggest traditional evidence-based practices do not properly consider cultural and contextual factors relevant for marginalized families. We propose a person-centered approach to improve the cultural responsiveness of services. Preliminary research supports broadening standard assessments to include a person-centered evaluation of patient cultural factors, however, controlled studies have not been conducted in the context of children’s mental health care.Methods Participants included families (N = 89; 89% racial/ethnic minority) receiving services for child externalizing problems. Prior to intake, caregivers were randomized to receive either Assessment as Usual (AAU) or AAU augmented with the Cultural Formulation Interview (CFI+AAU), a brief caregiver assessment of cultural factors affecting their child’s problems and family help-seeking.Results Implementation data showed strong provider fidelity and clinical utility. Following assessments, CFI+AAU caregivers (relative to AAU caregivers) reported feeling better understood by their provider, and providers reported better understanding CFI+AAU families’ values. Caregiver satisfaction was rated highly overall, yet providers reported being more satisfied with the assessment when the CFI was incorporated. Engagement outcomes found CFI+AAU families were significantly more likely than AAU families to subsequently complete the first phase of treatment. Further, among families receiving services in Spanish, CFI+AAU, relative to AAU, was associated with significantly higher treatment attendance, homework completion, and treatment response.Conclusions The results underscore the utility of incorporating a brief cultural assessment in pretreatment assessments. To improve the cultural responsiveness of services, efforts may do well to promote the uptake of person-centered approaches such as cultural assessment into usual care. Registered at clinicaltrials.gov (NCT03499600).
@article{sanchez_person-centered_2022,
	title = {Person-{Centered} {Cultural} {Assessment} {Can} {Improve} {Child} {Mental} {Health} {Service} {Engagement} and {Outcomes}},
	volume = {51},
	issn = {1537-4416},
	url = {https://doi.org/10.1080/15374416.2021.1981340},
	doi = {10.1080/15374416.2021.1981340},
	abstract = {Objective Disparities in child mental health service engagement suggest traditional evidence-based practices do not properly consider cultural and contextual factors relevant for marginalized families. We propose a person-centered approach to improve the cultural responsiveness of services. Preliminary research supports broadening standard assessments to include a person-centered evaluation of patient cultural factors, however, controlled studies have not been conducted in the context of children’s mental health care.Methods Participants included families (N = 89; 89\% racial/ethnic minority) receiving services for child externalizing problems. Prior to intake, caregivers were randomized to receive either Assessment as Usual (AAU) or AAU augmented with the Cultural Formulation Interview (CFI+AAU), a brief caregiver assessment of cultural factors affecting their child’s problems and family help-seeking.Results Implementation data showed strong provider fidelity and clinical utility. Following assessments, CFI+AAU caregivers (relative to AAU caregivers) reported feeling better understood by their provider, and providers reported better understanding CFI+AAU families’ values. Caregiver satisfaction was rated highly overall, yet providers reported being more satisfied with the assessment when the CFI was incorporated. Engagement outcomes found CFI+AAU families were significantly more likely than AAU families to subsequently complete the first phase of treatment. Further, among families receiving services in Spanish, CFI+AAU, relative to AAU, was associated with significantly higher treatment attendance, homework completion, and treatment response.Conclusions The results underscore the utility of incorporating a brief cultural assessment in pretreatment assessments. To improve the cultural responsiveness of services, efforts may do well to promote the uptake of person-centered approaches such as cultural assessment into usual care. Registered at clinicaltrials.gov (NCT03499600).},
	number = {1},
	urldate = {2023-02-14},
	journal = {Journal of Clinical Child \& Adolescent Psychology},
	publisher = {Routledge},
	author = {Sanchez, Amanda L. and Jent, Jason and Aggarwal, Neil Krishan and Chavira, Denise and Coxe, Stefany and Garcia, Dainelys and La Roche, Martin and Comer, Jonathan S.},
	month = jan,
	year = {2022},
	note = {\_eprint: https://doi.org/10.1080/15374416.2021.1981340},
	pages = {1--22},
}
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