COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Characteristics of Culturally Competent
Treatment Services
(Gains Center: Working Together for Change, 2001)
• Family (as defined by culture) seen as primary
support system
• Clinical decisions culturally driven
• Dynamics within cross-cultural interactions
discussed explicitly & accepted
• Cultural knowledge build into all practice,
programming & policy decisions
• Providers explore youth’s level of
assimilation/acculturation
Characteristics of Culturally Competent
Treatment Programs
(Gains Center: Working Together for Change, 2001)
• Respect for cultural differences
• Creative outreach services to underserved
• Awareness of different cultural views of
treatment/help-seeking behaviors
• Program staff work collaboratively with community
support system
• Treatment approaches build on cultural strengths &
values of minorities
• Ongoing diversity training for all staff
• Providers are similar to youth of color served
Motivational Enhancement Therapy
• Stand-alone brief interventions OR
• Integrated with other modalities
• Client-centered approach for resolving
ambivalence and planning for change
• Demonstrates improved treatment
commitment and reduction of substance
use and risky behaviors
• Developmentally appropriate with
adolescents
Family-Based Interventions
• Structural-Strategic Family Therapy
• Parent Management Training (PMT)
• Functional Family Therapy (FFT)
• Multi-systemic Therapy (MST)
• Multidimensional Family Therapy (MDFT)
– All based on:
• Family systems theory
• Use of functional analysis for interventions that restructure
interactions
• Teaching parents behavioral principles and better monitoring
skills to increase the adolescent’s pro-social behaviors,
decrease substance use, improve family functioning, and
hold treatment gains
Behavioral Therapy Approaches
• Based on operant behavioral principles
– Reward behaviors incompatible with drug use
– Withhold rewards or apply sanctions for use or other
negative behaviors targeted
– Use of physical monitoring (urines, etc.) for close link
of consequences
• Use of individual approach and family
involvement
• Has demonstrated positive results for a number
of problem areas
Community Reinforcement Therapy
• Combines principles & techniques derived
from others (behavioral, CBT, MET, and
family therapy)
• Uses incentives to enhance treatment
outcomes
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