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January 1, 2006Psychotherapy1,249 citations

Culturally adapted mental health intervention: A meta-analytic review.

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DGDerek GrinerTSTimothy B. Smith

Key Points

  • The aim is to evaluate the effectiveness of culturally adapted mental health interventions for racial and ethnic groups.
  • Conducted a meta-analysis of 76 studies evaluating culturally adapted interventions.
  • Calculated the random effects weighted average effect size (d = .45) to measure effectiveness.
  • Compared the effectiveness of interventions based on cultural specificity and language of delivery.
  • Culturally adapted interventions showed a moderate effect size of d = .45, indicating beneficial outcomes.
  • Targeted interventions for specific cultural groups were four times more effective than those for mixed groups.
  • Interventions in clients' native language were twice as effective as those conducted in English.

Abstract

There is a pressing need to enhance the availability and quality of mental health services provided to persons from historically disadvantaged racial and ethnic groups. Many previous authors have advocated that traditional mental health treatments be modified to better match clients' cultural contexts. Numerous studies evaluating culturally adapted interventions have appeared, and the present study used meta-analytic methodology to summarize these data. Across 76 studies the resulting random effects weighted average effect size was d = .45, indicating a moderately strong benefit of culturally adapted interventions. Interventions targeted to a specific cultural group were four times more effective than interventions provided to groups consisting of clients from a variety of cultural backgrounds. Interventions conducted in clients' native language (if other than English) were twice as effective as interventions conducted in English. Recommendations are provided for improving the study of outcomes associated with mental health interventions adapted to the cultural context of the client. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

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Cite This Study

Griner et al. (2006) studied this question.

synapsesocial.com/papers/69d8ac6152654bb436d19b21https://doi.org/10.1037/0033-3204.43.4.531
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