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EngagementStrategies2.pdf

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10/29/2020

Culturally Responsive, Evidence-Based Practices for Engaging Communities of Color Workshop #1

Jonathan I. Martinez, Ph.D. Associate Professor CSUN PSY 471 Cultural-Clinical Psychology

1. Structural/Practical Cost, lack of insurance, transportation problems, childcare issues, scheduling , etc. 2. Perceptual/Cultural Stigma, mistrust, past negative tx experiences, belief that problem can be handled on own , using other sources of help, keeping problems within family

3. Perceptions about MH Treatment

Barriers to MH Care

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Engagement Strategies

Engagement StrategiesEmpowerment

Psycho- Education

Relationship Building/

Personalismo Collaboration

Barriers to Participation

Relationship-Building/ Personalismo Strategies

Active/ Reflective Listening

Empathizing with Family’ Experience

Validating/ Expressing

Concern

• In initial sessions, families want you to “hear their story” to understand “where they are coming from.”

• It is important to be patient and listen to family in an empathic and nonjudgmental manner

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Psychoeducation Strategies

Describing Emotional/ Behavioral

Issues

Discussing Causes of

Emotional/ Behavioral

Issues

Describing What Will

Occur in Tx

• EBP that emphasizes presentation of factual info about MH problems & effective tx options o Facilitates comprehension of complex info o Provides optimistic messages

• Family beliefs about tx credibility and expectations for tx are significant predictors of engagement

Empowerment Strategies

Emphasizing Family as

Expert

Praising Family

Strengths & Effort

Supporting Self-

Efficacy

• Let family (especially parents) know they are the expert on their family and their role is invaluable

• Support family strengths/effort to make them feel confident in their abilities to carry out therapy work

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Collaboration Strategies

Conveying Provider-

Family Partnership

Offering Suggestions

for Tx

Seeking & Incorporating Family Input

• Emphasizing a team-based, partnership approach between family and provider in tx is key

• Understanding changes that family wants will help with buy-in and collaborative goals

Barriers to Tx Strategies

Address Family

Concerns

Help Identify

Potential Barriers

Help Problem-

Solve Barriers

• If we do not ask what might get in the way of coming into tx consistently, families may not return

• It is crucial to help families identify barriers and help problem-solve to increase chances of them returning