An Empirically Supported and Culturally Specific Engagement and Intervention Strategy for African American Adolescent Males

The need for effective culturally responsive treatments has become more urgent as the number of ethnic minority clients continues to increase. Previous research with a clinically referred sample of substance-abusing African American inner-city teenagers found that treatment engagement increased when cultural content was incorporated in the therapeutic process ( Jackson-Gilfort, Liddle, Tejeda, & Dakof, 2001 ). This article amplifies these findings by offering clinical guidelines for how to develop and implement culturally specific interventions that contribute to the therapeutic engagement of African American adolescent males. Clinical outcomes may be improved by integrating culturally responsive intervention methods within a multisystemic approach to the adolescent's treatment

Facilitating Engagement of African American Male Adolescents in Family Therapy: A Cultural Theme Process Study

This study suggests that systematic discussion of culturally salient content in therapy sessions can positively influence engagement (i.e., therapy participation and therapeutic alliance) with clinically referred African American adolescent males. In a sample of 18 African American adolescent males participating in 187 videotaped psychotherapy sessions, the in-session discussion of research derived, developmentally and culturally related content themes (anger/rage, alienation, respect, and journey from boyhood to manhood) were found to be positively associated with therapist-adolescent alliance and adolescent engagement. Discussions that focused on issues of trust and mistrust were found to negatively predict ratings of therapist-adolescent relationship, and discussions of racial identity/racial socialization were found to have no association with adolescent engagement. These findings provide clues about (a) how culturally responsive treatments can be developed, and (b) in this era of manualized therapies, the possibility of enhancing therapeutic outcomes by tailoring treatment protocols at specific levels of content focus and detail

Addressing Immigration-Related Separations in Hispanic Families With a Behavior-Problem Adolescent.

This article presents specialized family therapy intervention strategies for Hispanic families with behavior-problem adolescents who have experienced an immigration-related separation. Such specialized interventions correspond to a philosophy of customized treatment delivery for Hispanic families. Interactional and cognitive/affective features are presented, and guidelines for building therapeutic alliances, identifying core family processes/themes, and transforming interactions are offered