1. Adaptation of Group-Based Suicide Intervention for Latinx Youth in a Community Mental Health Center.
- Author
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Kennard, Beth, Moorehead, Alexandra, Stewart, Sunita, El-Behadli, Ana, Mbroh, Hayden, Goga, Katia, Wildman, Rebecca, Michaels, Molly, and Higashi, Robin T.
- Subjects
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SUICIDE prevention , *COMMUNITY health services , *GROUP psychotherapy , *SUICIDE , *ADOLESCENCE - Abstract
The purpose of this study was to better understand the sociocultural and logistical treatment needs and barriers of low-income Latinx suicidal youth; and to solicit feedback and identify best practices to adapt and implement a suicide treatment program for this population in a community mental health clinic. Working with the largest mental health care provider for urban area under- and uninsured patients, we conducted semi-structured interviews with Latinx suicidal youth (n = 6), their parents (n = 6), and clinical staff (n = 8). Interviews were audio-recorded, transcribed, and analyzed thematically using a deductively-driven codebook corresponding to interview domains. We supplemented semi-structured interview findings with knowledge gleaned from an exhaustive literature search, including best practice findings from other studies. We also conducted a brief provider survey to ensure a diverse sample. Many parents and providers focused on several unmet mental health needs and multiple barriers to accessing treatment that are common among uninsured populations: a need to prioritize parent and adolescent work schedules, lack of transportation, unstable housing, and unmet childcare needs. Additionally, participants described several factors that play a critical role in treatment: stigma, religion, fear related to immigration, gender roles, and acculturation. We mapped these findings, along with literature-identified best practices, to create components of a culturally-tailored adaptation. We combined primary and secondary evidence of Latinx suicidal youth and families' mental health needs and barriers to treatment to propose a tailored adaption of an intensive outpatient program that provides transdiagnostic, suicide-specific care to Latinx adolescents and families in a community setting. Highlights: Rates of suicidal behavior in Latinx youth are high. Access to culturally tailored treatment programs are limited for Latinx youth. Cultural adaptations are feasible, acceptable, and enhance care in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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