TY - JOUR
T1 - Adaptation of Group-Based Suicide Intervention for Latinx Youth in a Community Mental Health Center
AU - Kennard, Beth
AU - Moorehead, Alexandra
AU - Stewart, Sunita
AU - El-Behadli, Ana
AU - Mbroh, Hayden
AU - Goga, Katia
AU - Wildman, Rebecca
AU - Michaels, Molly
AU - Higashi, Robin T.
N1 - Funding Information:
This project was funded by the University of Texas Southwestern Medical Center Community-Based Pilot Research Grants. We are grateful for the teens, families, and clinicians who provided invaluable feedback that contributed to the adaptation and development of the program. We especially would like to acknowledge Rochelle Schutte, MA, Carol North, MD, and John Burruss, MD, who partnered with us to adapt this program for a community mental health setting. In addition, we are grateful to Dr Simon Lee who provided guidance on the qualitative methods used in this study. We would also like to acknowledge the support and partnership of the Hannah4Hope foundation, an organization that continues to inspire us through their meaningful contributions to our community.
Funding Information:
BDK receives research support from the National Institute of Mental Health and royalties from Guilford Press, and she serves on the Board of Trustees of the Jerry M. Lewis, M.D. Research Foundation. The other authors report no conflict of interests or financial disclosures.
Funding Information:
This project was funded by the University of Texas Southwestern Medical Center Community-Based Pilot Research Grants. We are grateful for the teens, families, and clinicians who provided invaluable feedback that contributed to the adaptation and development of the program. We especially would like to acknowledge Rochelle Schutte, MA, Carol North, MD, and John Burruss, MD, who partnered with us to adapt this program for a community mental health setting. In addition, we are grateful to Dr Simon Lee who provided guidance on the qualitative methods used in this study. We would also like to acknowledge the support and partnership of the Hannah4Hope foundation, an organization that continues to inspire us through their meaningful contributions to our community.
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - The purpose of this study was to better understand the sociocultural and logistical treatment needs and barriers of low-income Latinx suicidal youth; and to solicit feedback and identify best practices to adapt and implement a suicide treatment program for this population in a community mental health clinic. Working with the largest mental health care provider for urban area under- and uninsured patients, we conducted semi-structured interviews with Latinx suicidal youth (n = 6), their parents (n = 6), and clinical staff (n = 8). Interviews were audio-recorded, transcribed, and analyzed thematically using a deductively-driven codebook corresponding to interview domains. We supplemented semi-structured interview findings with knowledge gleaned from an exhaustive literature search, including best practice findings from other studies. We also conducted a brief provider survey to ensure a diverse sample. Many parents and providers focused on several unmet mental health needs and multiple barriers to accessing treatment that are common among uninsured populations: a need to prioritize parent and adolescent work schedules, lack of transportation, unstable housing, and unmet childcare needs. Additionally, participants described several factors that play a critical role in treatment: stigma, religion, fear related to immigration, gender roles, and acculturation. We mapped these findings, along with literature-identified best practices, to create components of a culturally-tailored adaptation. We combined primary and secondary evidence of Latinx suicidal youth and families’ mental health needs and barriers to treatment to propose a tailored adaption of an intensive outpatient program that provides transdiagnostic, suicide-specific care to Latinx adolescents and families in a community setting.
AB - The purpose of this study was to better understand the sociocultural and logistical treatment needs and barriers of low-income Latinx suicidal youth; and to solicit feedback and identify best practices to adapt and implement a suicide treatment program for this population in a community mental health clinic. Working with the largest mental health care provider for urban area under- and uninsured patients, we conducted semi-structured interviews with Latinx suicidal youth (n = 6), their parents (n = 6), and clinical staff (n = 8). Interviews were audio-recorded, transcribed, and analyzed thematically using a deductively-driven codebook corresponding to interview domains. We supplemented semi-structured interview findings with knowledge gleaned from an exhaustive literature search, including best practice findings from other studies. We also conducted a brief provider survey to ensure a diverse sample. Many parents and providers focused on several unmet mental health needs and multiple barriers to accessing treatment that are common among uninsured populations: a need to prioritize parent and adolescent work schedules, lack of transportation, unstable housing, and unmet childcare needs. Additionally, participants described several factors that play a critical role in treatment: stigma, religion, fear related to immigration, gender roles, and acculturation. We mapped these findings, along with literature-identified best practices, to create components of a culturally-tailored adaptation. We combined primary and secondary evidence of Latinx suicidal youth and families’ mental health needs and barriers to treatment to propose a tailored adaption of an intensive outpatient program that provides transdiagnostic, suicide-specific care to Latinx adolescents and families in a community setting.
KW - Latinx youth
KW - Suicidality
KW - Suicide intervention
UR - http://www.scopus.com/inward/record.url?scp=85085319108&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85085319108&partnerID=8YFLogxK
U2 - 10.1007/s10826-020-01718-0
DO - 10.1007/s10826-020-01718-0
M3 - Article
AN - SCOPUS:85085319108
SN - 1062-1024
VL - 29
SP - 2058
EP - 2069
JO - Journal of Child and Family Studies
JF - Journal of Child and Family Studies
IS - 7
ER -