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ViewAttendees 7

Symposia

Culture / Ethnicity / Race

Session: Cultural Adaptation and Implementation of Evidence-Based Interventions

4 - (SYM 92) Development and Implementation of a Cognitive Behavioral Therapy Toolkit for Community Clinicians Serving Racially, Ethnically, and Socioeconomically Diverse Youth and Families

Saturday, November 18, 2023
2:30 PM – 4:00 PM PST
Location: Tahuya (508), Level 5

Access to evidence-based mental health services is limited for youth in communities of color (Wang et al., 2000). Community settings where these youth access services are faced with implementation challenges, like time and cost demands of evidence-based trainings and turnover of trained staff (Higa & Chorpita, 2008). Therefore, there is a need for an approach that balances high quality evidence-based care with a flexible, minimally burdensome implementation approach. The Behavioral and Emotional Wellness (BE WELL) initiative is a response to this need. This presentation will describe the adaptation and implementation of the BE WELL initiative within the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework (Aarons, Hurlburt, & Horwitz, 2011) and guided by a community-based participatory approach (Isreal, Eng, Shulz, & Parker, 2005). In the Exploration phase, focus groups and key informant interviews were held with community clinicians, caregivers, and youth to assess youth mental health and clinical training needs. Thematic analysis highlighted a need for evidence-based skills focused on the caregiver-child relationship (e.g., communication and behavior management skills). The Preparation phase included the co-adaptation of 1) a clinician toolkit of cognitive behavioral and behavioral parent training skills, 2) the implementation approach, and 3) the training model in collaboration with a community clinician consultant and a Diversity, Equity, and Inclusion consultant. The Implementation phase is currently ongoing and includes the training of 43 clinicians (74% school-based, 14% outpatient, 11% other). We will present data on the attendance at and content of clinical consultation calls, as well as frequency of use and utility of BE WELL resources. We will use this information to shape the Sustainment phase, including recommendations for best practice informed by the successes and challenges of program implementation. Findings will have implications for increasing access to light touch evidence-based mental health training for clinicians and care for youth in communities of color.