System-Level Change in Cultural and Linguistic Competence (CLC): How Changes in CLC are Related to Service Experience Outcomes in Systems of Care

被引:7
作者
Barksdale, Crystal L. [1 ]
Ottley, Phyllis Gyamfi [2 ]
Stephens, Robert [2 ]
Gebreselassie, Tesfayi [2 ]
Fua, Imogen [4 ]
Azur, Melissa [5 ]
Walrath-Greene, Christine [3 ]
机构
[1] Univ Maryland, Sch Med, Maryland Child & Adolescent Community Innovat Ins, Baltimore, MD 21201 USA
[2] ICF Macro, Atlanta, GA USA
[3] ICF Macro, Calverton, MD USA
[4] Walter R McDonald & Associates Inc, Rockville, MD USA
[5] Math Policy Res Inc, Washington, DC USA
关键词
Cultural and linguistic competence; Children's mental health; Mental health services; System of care; CHILDRENS MENTAL-HEALTH; CONCEPTUAL-MODEL; DISPARITIES; INTERVENTIONS; FRAMEWORK;
D O I
10.1007/s10464-011-9442-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
As US demographic trends shift toward more diversity, it becomes increasingly necessary to address differential needs of diverse groups of youth in mental health service systems. Cultural and linguistic competence (CLC) is essential to providing the most appropriate mental health services to youth and their families. The successful implementation of CLC often begins at the system level. Though various factors may affect change and system-level factors set the tone for broad acceptance of CLC within systems, there is limited empirical evidence linking culturally competent practices to outcomes. The purpose of the present study was to examine system-level CLC changes over time within systems of care and their associations with service experiences among youth and their families. Participants were 4,512 youth and their families enrolled in the national evaluation of the Children's Mental Health Initiative (CMHI). Results suggest that implementation of CLC at the system level improves over time in funded systems of care. Further, variation exists in specific system-level components of CLC. In addition, the changes in CLC at the system level are related to family/caregiver participation in treatment. Implications for supporting positive changes in CLC among systems of care communities, and specific strategies for community psychologists, are discussed.
引用
收藏
页码:483 / 493
页数:11
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