Cited by 290Health Policy Implementation ScienceCultural Competency in Health CareMental Health Treatment and Access

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A two-way street: bridging implementation science and cultural adaptations of mental health treatments

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Cabassa, Leopoldo J, Baumann, Ana A·2013·Implementation Science

DOI 10.1186/1748-5908-8-90PMC PMC3765289

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Abstract

BACKGROUND: Racial and ethnic disparities in the United States exist along the entire continuum of mental health care, from access and use of services to the quality and outcomes of care. Efforts to address these inequities in mental health care have focused on adapting evidence-based treatments to clients' diverse cultural backgrounds. Yet, like many evidence-based treatments, culturally adapted interventions remain largely unused in usual care settings. We propose that a viable avenue to address this critical question is to create a dialogue between the fields of implementation science and cultural adaptation. In this paper, we discuss how integrating these two fields can make significant contributions to reducing racial and ethnic disparities in mental health care. DISCUSSION: The use of cultural adaptation models in implementation science can deepen the explicit attention to culture, particularly at the client and provider levels, in implementation studies making evidence-based treatments more responsive to the needs and preferences of diverse populations. The integration of both fields can help clarify and specify what to adapt in order to achieve optimal balance between adaptation and fidelity, and address important implementation outcomes (e.g., acceptability, appropriateness). A dialogue between both fields can help clarify the knowledge, skills and roles of who should facilitate the process of implementation, particularly when cultural adaptations are needed. The ecological perspective of implementation science provides an expanded lens to examine how contextual factors impact how treatments (adapted or not) are ultimately used and sustained in usual care settings. Integrating both fields can also help specify when in the implementation process adaptations may be considered in order to enhance the adoption and sustainability of evidence-based treatments. SUMMARY: Implementation science and cultural adaptation bring valuable insights and methods to how and to what extent treatments and/or context should be customized to enhance the implementation of evidence-based treatments across settings and populations. Developing a two-way street between these two fields can provide a better avenue for moving the best available treatments into practice and for helping to reduce racial and ethnic disparities in mental health care.

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Authors: Cabassa, L. J., & Baumann, A. A.
Affiliations: Columbia University (US)
Washington University in St. Louis (US)
Corresponding author: Cabassa, Leopoldo J
ORCID: Cabassa, Leopoldo J
Baumann, Ana A
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2013-08-19
Volume: 8
Issue: 1
Pages: 90-90
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/1748-5908-8-90
PMC: PMC3765289
OpenAlex: W2149971315
Cited by: 290
References: 109
Citations by year: 2026: 29 · 2025: 27 · 2024: 28 · 2023: 33 · 2022: 40 · 2021: 29 · 2020: 24 · 2019: 15 · 2018: 20 · 2017: 11 · 2016: 15 · 2015: 10 · 2014: 8
FWCI: 1.32
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: Implementation Science (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Columbia Academic Commons (Columbia University)
Funders: New York State Office of Mental Health
National Institutes of Health (UL1TR000448, TR000448)
National Institute of Mental Health (K01MH091118, R25MH080916)
National Cancer Institute (U54CA155496)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: cultural adaptation, evidence-based treatment, racial and ethnic disparities, mental health services, implementation outcomes, acceptability, ecological perspective
MeSH terms: Mental Disorders, Culture, Humans, Mental Health Services, United States, Evidence-Based Medicine, Healthcare Disparities, Translational Research, Biomedical

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A two-way street: bridging implementation science and cultural adaptations of mental health treatments

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