Culturally Adapted Acceptance And Commitment Therapy For Treating Depression Among Latino Adults

The decision between the Therapist and Latino client is a remarkable example of the importance of being sensitize and culturally competent. The therapist appeared to have inadvertently added to the client’s stress which potentially negatively affect the worker-client relationship as well as the intervention process. My initial response to the dialog was that of confusion. Although I tried to empathize with the counselor’s method of getting the young lady to take responsibility for her actions. I totally disagreed with his lack of insensitivity to the client’s indirect message. The young lady was trying to convey her feelings about her experiences as a Latino woman. He did not take inconsideration that although humans often have similar stories.

One of the most promising approaches to the field of multicultural counseling/therapy has been the work on racial/cultural identity development among minority groups. This model acknowledges within groups differences that have implications for treatment. The high failure-to-return rate of many clients seems to be intimately connected to the mental health professional’s inability to assess the cultural identity of clients accurately. The model also acknowledges

It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).

Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities

The Latino community, from immigrating to United States born Latinos are often known to be depressed. Depression is a medical illness that causes a constant feeling of sadness and lack of interest, it affects how the person feels, behaves and thinks. Many Latinos rely on their extended family, community, traditional healers, or churches for help during a health crisis. As a result, many Latinos with mental illnesses often go without professional mental treatment. But why is it that Latinos are so reluctant to receiving help? Sheila Dichoso states that, “there are only 29 Latino mental-health professionals for every 100,000 Latinos in the United States, compared to 173 non-Hispanic white providers

In the United States, the Latino American population has risen by over 40% within the past decade and accounts for over 17.1% of the Nations society. In 2050, the Latino Community is expected to make up nearly one-fourth of the population and 2/3 of the U.S. Hispanics are from the Mexican-American Subgroup. In the United States, there has been extensive research examining the prevalence of varying psychiatric disorders among the Latino Hispanic Communities. There are many deeply rooted and socioeconomic factors that may contribute to the diagnosis, treatment, and outcome of psychiatric disorders. Example factors, such as reception of immigrations, history of immigration, experiences involving discrimination, and strength of an ethnic community, are just to name a few. Due to the expansion of the Latino and Hispanic minorities in the United States, this has become a major challenge for today’s healthcare system.

Due to a clinicians’ lack of understanding of Hispanic culture, feelings of alienation can result from the patient. Family and social structures are different in Hispanic culture, whereas “professional help may not be sought due to Hispanics considering substance abuse a family problem” (Reif, Horgan & Ritter, 2008). In Hispanic culture it is perceived that family issues remain in the family, thus outside help is frowned upon. When treating clients from this population, clinicians need to include the whole family in the treatment plan and to respect family

The purpose of chapter 11 in Lum (2011) is to discuss cultural competence work with Latino Americans. The growth of the Latino population in the United States has been greatly increasing. As of 2008, 15.1% of the United States population is Latino. Some concerns that elderly Latinos may face are: “family roles, health, caregiving, end of life issues, protective factors, and effective interventions” (p. 309). Many of the Central American Latino grandparents have not completed high school, which has left them unemployed. Social workers who serve this group, should become more aware of the historical discrimination that this population has faced.

The culturally skilled counselor attempting a cross-cultural approach would be cognizant of his/her own tendencies toward personal bias and stereotyping of Santana’s appearance and attitude, as well as the very likely possibility of his client being on the receiving end of ridicule and criticism from others negatively stereotyping him as lazy, uneducated, or a “drug runner” just because he is Latino. Effective management and control of personal biases pave the way for open dialogue and the establishment of a clinical trust or professional bond that ideally leads to the discovery of core issues within the client that can subsequently be addressed.

This paper will introduce and define the need for Multicultural awareness as a clinical mental health counselor. It will further explore examples of various topics in Multicultural counseling such as: Racial and ethnic diversity, gender and social economic status. As a result of this research, in Multicultural awareness, the self-assessment rendered the identity of myself. It allowed me to realize what and who I was as “other.” In realizing who I was as “other”, I saw my own self-identity, and some of my flaws. Therefore, this assessment made me realize the need to develop a plan to correct areas of which demonstrated lower scores in: acceptance of change, stereotyping, and assuming may interfere as a mental health counselor if not corrected. Multicultural Self-Assessment After taking the multicultural self-assessment, my results revealed the following about myself. For the most part of this assessment, my strongest points were rounded in cultural diversity and understanding. Contrary to such, I scored lower in the areas of “assuming something is when it’s not,” “stereotyping,” and “adapting new changes” (Petrone, M. C. 2004). Lastly, more often than not results displayed equality, and positive outlook type of personality. For example, in posting to the discussion board, I tried to respond to topics without, disrespecting ones’ values, and at the same time introducing awareness about the topic. First Time I Realized I was “Other” The first

In all psychological and biological assessment, the use of culturally attuned assessments is top priority. “We may define culturally informed psychological assessment as an approach to evaluation that is keenly perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other culture-related variables as they may impact the evaluation process or the interpretation of resulting data” (Cohen, Swerdlik, & Sturman, 2013). Through this process key individuals contribute to the understanding of the client including family, friends, and coworkers input and information. Through the use of translators and other cultural affiliates clinicians are able to demonstrate a clearer understanding, a culturally applicable assessment, and ensure that the client understands the ins and outs of the assessment process. One important aspect of the implementation of the “one size fits all approach” to culturally attuned treatment and care in our mental health facilities (Cohen, Swerdlik, & Sturman, 2013). Assessment and clinical evaluations should not be a cookie cutter experience. The amount of patients that are

The DSM-5s' inclusion of the Cultural Formation Interview (CFI) has positive cultural care implications as it expanded cultural considerations and enabled greater provision of more individualised care by reducing racial and ethnic disparities in treatment (Halter, Rolin-Kenny, Dzurec, and Cox, 2013). “The CFI follows a person-centered approach to cultural assessment designed to avoid stereotyping, in that each individual’s cultural knowledge affects how he or she interprets illness experience and guides how he or she seeks help” (APA, 2013, p.

Underutilization and early termination of mental health services for Latinos in the U.S continues to be a concern for current research and practice in social work. A synthesis of current research demonstrates that there are several factors impacting access and utilization of mental health services for Latinos. According to U.S Department of Health and Human Services (2001), although Latinos are at increased vulnerability for developing mental illness, they continue to be half as likely in comparison to whites to access mental health services. Low rates of utilization of mental health services among the Latino community can be associated to a variety of factors including socioeconomic factors, cultural variables, stigma, psychotherapeutic challenges, client-therapist interaction (Kouyoumdjian, Zamboanga, & Hansen, 2003). Mental health conditions can significantly impact and individual’s ability to function and achieve their highest potential, consideration of these factors is essential in order to address the needs of a vulnerable population, and support Latinos in accessing mental health services when needed. This learning brief will focus on exploring how client system factors specific to Latinos’ resources, culture and worldview are associated with the underutilization of services for Latinos and important implications for practitioners when providing treatment.

There are many people in the United States who are experiencing mental health problems, yet, according to research, most of these people are not seeking help. Since it is expected that about 40 percent of adolescents living in the Unites States will be Latin-American by 2060 (qtd. In Kapke), this has made researchers want to help provide effective, accessible, and appropriate services for Latin-American families. In the article “Latino Early Adolescent Mental Health: Examining the Impact of Family Functioning, Familism, and Global Self-Worth” by Theresa Kapke, she explains that Latin American children are at risk of mental health problems due to discrimination, immigration, and serious cases of poverty that is forced upon them. Also in the

There are a number of cultural issues to consider when counseling a student who is Hispanic. A traditional Hispanic family is a close-knit group. The father is the head of the household and the mother is responsible for the home. He also may act as the final disciplinarian of the children. In Isabella’s case, her father has been deported. Given the uncertainty associated with deportation, the family unit is going through a very stressful time. If the father was the sole provider of the family, the family may enter into discussions about returning to Mexico. This may be one of the main reasons for Isabella’s anxiety.