Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

Ramos, Giovanni; Brookman-Frazee, Lauren; Kodish, Tamar; Rodriguez, Adriana; Lau, Anna S.

doi:10.1037/cdp0000357

Cited by 30Psychotherapy Techniques and ApplicationsCounseling Practices and SupervisionHealth Policy Implementation Science

Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

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Ramos, Giovanni, Brookman-Frazee, Lauren, Kodish, Tamar, Rodriguez, Adriana, Lau, Anna S.·2021·Cultural Diversity & Ethnic Minority Psychology

DOI 10.1037/cdp0000357PMC PMC7655698

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Abstract

OBJECTIVES: Examining therapists' experiences implementing evidence-based practices (EBPs) is fundamental to understanding how these interventions are perceived, adapted, and delivered in community settings. However, little is known about racial/ethnic variation in the experiences of therapists serving racial/ethnic minority youth and their families. Through an innovative QUAN → qual → QUAN mixed-methods approach, we examined differences in therapists' perceptions, adaptations performed, and client-engagement challenges in the largest county-operated department of mental health in the United States. METHOD: Surveys were completed by 743 therapists (Latinx [44%], White [34%], other ethnic minority [22%]), most of whom were female (88%), master's level (85%), and unlicensed (58%). A subset of therapists (n = 60) completed semistructured interviews. RESULTS: Latinx therapists reported more positive experiences implementing EBPs, making more adaptations to EBPs, and encountering fewer client-engagement challenges than therapists from other racial/ethnic groups. Qualitative analyses expanded on these results, revealing that Latinx therapists commonly described adapting EBPs in terms of language and culture to improve fit and promote client engagement. Informed by these qualitative themes, a refined statistical model revealed that the ability to deliver EBPs in languages other than English might have accounted for differences in therapist-reported EBP adaptations and client-engagement challenges. CONCLUSIONS: The findings suggest that racial/ethnic minority therapists have positive experiences in implementing EBPs in community settings. In the case of Latinx therapists, bilingual/bicultural competence may facilitate adapting EBPs in ways that reduce perceptions of engagement challenges with racially/ethnically diverse clients. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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Similar approaches have provided relevant data on factors facilitating the provision of traditional face-to-face mental health services for communities of color.
“Similar approaches have provided relevant data on factors facilitating the provision of traditional face-to-face mental health services for communities of color [86].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [86]

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Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children’s mental health services.
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Therapist Delivery of Evidence Based Practice (EBP) Strategies in a System-Driven Implementation of Multiple EBPs for Children
Lind, T., Lau, A. S., Cox, J. R., Chlebowski, C., Lui, J., Byeon, Y. V., & Brookman-Frazee, L. I. (2026) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-026-01501-1
Self-citation

Authors: Ramos, G., Brookman-Frazee, L., Kodish, T., Rodriguez, A., & Lau, A. S.
Affiliations: University of California, Los Angeles (US)
University of California San Diego (US)
ORCID: Ramos, Giovanni
Brookman-Frazee, Lauren
Kodish, Tamar
Lau, Anna S.
Venue: Cultural Diversity & Ethnic Minority Psychology
Publisher: American Psychological Association (APA)
Published: 2021-07
Volume: 27
Issue: 3
Pages: 471-482
ISSN: 1077-341X (ISSN-L)
1939-0106
1099-9809
DOI: 10.1037/cdp0000357
PMC: PMC7655698
OpenAlex: W3021211901
Cited by: 30
References: 57
Citations by year: 2026: 7 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 5
FWCI: 1.50
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
www.apa.org/pubs/journals/resources/open-access.aspx (am)
Locations: Cultural Diversity & Ethnic Minority Psychology (publishedVersion, other-oa)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: University of California, Los Angeles (UCLA) Competitive Edge Program,
UCLA Cota Robles Fellowship
UCLA Graduate Summer Research Mentorship Program
Ford Foundation Fellowship
National Institute of Mental Health (R01MH100134)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: evidence-based practice, community mental health services, customer engagement, language barriers, youth and families, therapist perspectives
MeSH terms: Adolescent, Ethnicity, Female, Humans, Minority Groups, Surveys and Questionnaires, United States, Evidence-Based Practice

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Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

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