Do therapist cultural characteristics influence the outcome of substance abuse treatment for Spanish-speaking adults

This secondary data analysis of the Clinical Trials Network's Motivational Enhancement Therapy effectiveness trial with Spanish-speaking substance users examined whether the degree of birthplace and acculturation similarities between clients and therapists, as well as the therapists' own level of acculturation and birthplace were related to the clients' participation in treatment and level of substance use during outpatient substance use treatment. Sixteen therapists and their 235 clients from the larger effectiveness trial were included in the analyses for this study. Results of the multilevel regression models for client participation in substance use treatment and client days of substance use, taking into account within and between therapist cultural characteristics, revealed that birthplace match and acculturation similarity between each therapist and his or her clients did not predict client outcomes. Instead, therapists' birthplace and level of acculturation independently predicted days of substance use, but not treatment participation for monolingual Spanish-speaking clients. These findings are discussed in the context of the results of the main effectiveness trial and of psychotherapy research with ethnic minority populations, in particular Hispanic minorities

Acculturation · Context (archaeology · Ethnic group · Multilevel model · Psychotherapist · Substance abuse · Substance abuse treatment · Substance use · Clinical Psychology · Community Health and Development · Psychology · Racial and Ethnic Identity Research · Substance Abuse Treatment and Outcomes

• Acculturation

  Kevin M Chun, Pamela Balls Organista et al.•Acculturation•2003

  Incluir item

• Illicit drug use among Mexicans and Mexican Americans in California

  Open Access•William Armando Vega, Ethel Alderete et al.•Addiction•1998

  Incluir item

• Prevalence of Mental Illness in Immigrant and Non-Immigrant U.S. Latino Groups

  Margarita Alegria, Glorisa Canino et al.•American Journal of Psychiatry•2008

  Incluir item

• Ethnic Disparities in Unmet Need for Alcoholism, Drug Abuse, and Mental Health Care

  Kenneth Wells, Kenneth M Wells et al.•American Journal of Psychiatry•2001

  Incluir item

• How to Use a Monte Carlo Study to Decide on Sample Size and Determine Power

  Linda K Muthén, Bengt Muthén et al.•Structural Equation Modeling: A…•2002

  Incluir item

• Gaps in Service Utilization by Mexican Americans With Mental Health Problems

  William A Vega, Bohdan Kolody et al.•American Journal of Psychiatry•1999

  Incluir item

• Major approaches to the measurement of acculturation among ethnic minority populations

  Nolan Zane, Winnie W S Mak et al.•Acculturation•2003

  Incluir item

• Experimental Personality Designs

  Open Access•Stephen G West, Leona S Aiken et al.•Journal of Personality•1996

  Incluir item

• Meta-analyses of ethnic match as a predictor of dropout, utilization, and level of functioning

  Gloria Gia Maramba, Gordon C N Hall•Cultural Diversity & Ethnic…•2002

  Incluir item

• Ethnic Matching Between Therapist and Patient in Psychotherapy

  Roger Karlsson•Cultural Diversity & Ethnic…•2005

  Incluir item

• Bicultural involvement and adjustment in Hispanic-American youths

  Open Access•José Szapocznik, William M Kurtines et al.•International Journal of…•1980

  Incluir item

• Ethnic match and client ethnicity effects on global assessment and visitation

  Open Access•Glenn Gamst, Richard H Dana et al.•Journal of Community Psychology•2000

  Incluir item

• Correlates of Past-Year Mental Health Service Use Among Latinos

  Margarita Alegria, Norah Mulvaney-Day et al.•American Journal of Public Health•2007

  Incluir item

• Natural support systems

  Melvin Delgado, Denise Humm-Delgado•Social Work•1982

  Incluir item

• Cultural and Linguistic Considerations in Psychodiagnosis with Hispanics

  Robert G Malgady, Luis H Zayas•Social Work•2001

  Incluir item

• The effects of culture-compatible intervention on the utilization of mental health services by minority clients

  Open Access•Jacquelyn H Flaskerud•Community Mental Health Journal•1986

  Incluir item

• Perceived Needs and Service Use of Spanish Speaking Monolingual Patients Followed at a Hispanic Clinic

  Open Access•Erik Diaz, Esperanza Diaz et al.•Community Mental Health Journal•2001

  Incluir item

• Psychological impact of biculturalism

  Teresa Lafromboise, Teresa D Lafromboise et al.•Psychological Bulletin•1993

  Incluir item

• Biculturalism

  Open Access•Carmit T Tadmor, Philip E Tetlock•Journal of Cross-Cultural…•2006

  Incluir item