Cited by 247Psychotherapy Techniques and ApplicationsCounseling Practices and SupervisionCultural Competency in Health Care

The contribution of cultural competence to evidence-based care for ethnically diverse populations

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Huey, Stanley J., Tilley, Jacqueline Lee, Jones, Eduardo O., Smith, Caitlin A.·2014·Annual Review of Clinical Psychology

Abstract

Despite compelling arguments for the dissemination of evidence-based treatments (EBTs), questions regarding their relevance to ethnically diverse populations remain. This review summarizes what is known about psychotherapy effects with ethnic minorities, with a particular focus on the role of cultural competence when implementing EBTs. Specifically, we address three questions: (a) does psychotherapy work with ethnic minorities, (b) do psychotherapy effects differ by ethnicity, and (c) does cultural tailoring enhance treatment effects? The evidence suggests that psychotherapy is generally effective with ethnic minorities, and treatment effects are fairly robust across cultural groups and problem areas. However, evidence for cultural competence is mixed. Ethnic minority-focused treatments frequently incorporate culturally tailored strategies, and these tailored treatments are mostly efficacious; yet support for cultural competence as a useful supplement to standard treatment remains equivocal at best. We also discuss research limitations, areas for future research, and clinical implications.

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  1. Chambless DL, Sanderson WC, Shoham V, Bennett Johnson S, Pope KS, et al. 1996. An update on empirically validated therapies. Clin. Psychol. 49(2):5-18
  2. O'Donohue W, Benuto L. 2010. The many problems of cultural sensitivity. Sci. Rev. Ment. Health Pract. 7(2):34-37
  3. Smith TB, Rodríguez MD, Bernal G. 2011. Culture. J. Clin. Psychol. 67(2):166-75
  4. Yuen RK. 2004. The effectiveness of culturally tailored interventions: a meta-analytic review. Unpubl. PhD diss., Loyola Univ., Chicago

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Authors
Huey, S. J., Tilley, J. L., Jones, E. O., & Smith, C. A.
Affiliations
University of Southern California (US)
Venue
Annual Review of Clinical Psychology
Published
2014-03-28
Volume
10
Issue
1
Pages
305-338
ISSN
  • 1548-5943 (ISSN-L)
  • 1548-5951
OpenAlex
W2128213957
Cited by
247
References
174
Citations by year
2026: 13 · 2025: 14 · 2024: 20 · 2023: 26 · 2022: 33 · 2021: 28 · 2020: 27 · 2019: 18 · 2018: 23 · 2017: 14 · 2016: 17 · 2015: 8 · 2014: 5
FWCI
2.22
Type
journal article
Language
en
Open access
Locations
  • Annual Review of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords
cultural competence, evidence-based treatment, ethnic minorities, dissemination of evidence-based treatment
MeSH terms
Mental Disorders, Ethnicity, Humans, Minority Groups, Models, Psychological, Psychotherapy, Cultural Diversity, Cultural Competency, Evidence-Based Practice

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