Toolkit for Modifying Evidence-Based Practices to Increase - PowerPoint Presentation

Slide1

Toolkit for Modifying Evidence-Based Practices to Increase Cultural Competence

Wendy Schudrich, LMSW

Charles

Auerbach

, PhD, LCSW-R

Yeshiva University, New York, NYSlide2

Presentation Topics

Development of the Toolkit Overview of the methodologyHow has the Toolkit been used?Community benefitsFuture activitiesQuestions?Slide3

Toolkit Development

Developed with funding from NKI Center of Excellence in Culturally Competent Mental HealthStudy the intersection of mental health and cultureDevelop tools to help agencies achieve a high level of cultural competence in the delivery of services

Train agencies and practitioners to apply tools within their organizations with the goal of engaging consumers and improving

outcomes

Multidisciplinary collaborationSlide4

The Need to Modify EBPs

There is a need for effective mental health interventions for cultural groups

EBPs have not been developed

with cultural groups in mind

EBPs have been developed, but not tested for effectiveness for specific cultural groups

EPBs have been developed and tested for specific cultural groups, but materials such as training manuals do not reflect the breadth of cultures

served

SAMHSA’s registry of EBPs include a growing list of effective

interventions

There is no systematic method for considering modifications to EBPs for cultural groupsSlide5

An Overview of the ProcessSlide6

Working with Communities

Goals:Increase knowledge about cultural groups and their mental health needs

Increase acceptance of services

Community involvement hinges on the development and work of a

working group:

Determining who to work with and why

Working together on modifications

Working through implementation issuesSlide7

Selecting an EBP

Identify possible EBPs

Evaluate the cultural appropriateness of EBPs

Determining cultural fit

Pragmatic considerations

Identifying the need for cultural

modifications

Making a final decisionSlide8

Modifying EBPs

Breaking down the EBP into components using the helping process model and determining which components to modify

The process of

modification

Documenting

modifications

Piloting the modified

EBP

Evaluating the success of the modificationSlide9

A Framework for Identifying Components

Access

Specific cultural factorsSlide10

Toolkit TablesSlide11

Implementation Issues

Evaluating organizational readiness for changeEvaluating the organization’s current level of cultural competence

Final implementationSlide12

Other resources in the Toolkit

Checklist and workbook to help users complete the processAnnotated bibliography

Specific instruments for helping organizations change:

Organizational cultural competency

Organizational readiness for change

In progress – program-level measure of cultural competenceSlide13

NKI Conducted Implementation Study at these 2 Agencies

We provided:Training at each agency to provide an overview of the methodology

All existing Toolkit materials

Technical assistance throughout the project

In exchange:

Attended all meetings related to the cultural modification project

Received all agency-based exchanges (e.g., notes, e-mails, handouts) that were a product of the projectSlide14

Use of the Toolkit in Practice

Agency 1 – largest social service agency in a large northeastern city.Problem to address: large number of Russian speaking seniors presenting with symptoms of depression

Agency 2

– large provider of social services in predominantly urban/suburban region.

Problem to address:

poor participation among African-Americans in an existing evidence-based parenting program in a small upstate city.Slide15

What We Have Learned

Agencies can do this with Master’s-level staff!Initial training for agency staff was critical for understanding the methodology and the scope of the projectWhile agencies do work with community members, forming the working groups proved challenging

Identifying a constellation of group members that was appropriate

Getting away from mental/behavioral health

Figuring out how to explain the project in layperson’s terms and asking for participation

Learning to identify possible EBPs required more skills than some agency staff had

The process can be streamlined based upon agency and community needs – 3 meetings with working group seems sufficientSlide16

Agencies and community members appreciated the project

“It [the Toolkit project] was helpful. We got feedback about what the community needs…. The Toolkit process gave us direction and resources and strategies.”

Project Lead

“I was skeptical at first. The community wasn’t asking for this. I felt it was our idea, and I had my doubts. Now I understand that there is rampant discrimination. This process has helped me understand what is going on in your community.”

Agency working group member

“The project was really helpful to us. We are planning to repeat the process in the Latino community.”

- Director of Social Services Slide17

Follow-ups:

The Toolkit and Workbook should be updated to reflect useful examples from the implementation study.Continue to provide technical assistance and begin to create a learning community for those doing cultural modifications.

Study the degree to which cultural modifications using the Toolkit methodology improve outcomes for clients.Slide18

Questions?

Thank you!Wendy Schudrich – schudric@yu.eduCharles

Auerbach

–

auerbach@yu.edu

To access the Toolkit

and Workbook:

http://

ssrdqst.rfmh.org/cecc/index.php?q=node/86