Evidence-based practice in mental health care to ethnic minority communities: has its practice fallen short of its evidence?
Soc Work
; 53(4): 297-306, 2008 Oct.
Article
em En
| MEDLINE
| ID: mdl-18853666
ABSTRACT
Evidence-based practice (EBP) has contributed substantially to the advancement of knowledge in the treatment and prevention of adult mental health disorders. A fundamental assumption, based on documented evidence of effectiveness with certain populations, is that EBP is equally effective and applicable to all populations. However, small sample sizes of ethnic minority populations in randomized clinical trials prevent strong and clear conclusions about the effectiveness and generalizability of EBP with regard to people of color. In addition, the appropriateness of EBPs to ethnic minority communities has rarely been investigated. This article critically examines the applicability and dissemination of adult mental health EBP to diverse ethnic minority populations. It highlights limitations of EBP rooted in its epistemological narrowness, exclusion of communities of color, and lack of cultural competence and examines whether the practice of EBP has overstepped its evidence. This article presents a framework characterized by pathways of epistemological partnership and substantive inclusion of racial and ethnic minority groups to facilitate the promotion of culturally responsive EBPs and to inform mental health practice and policy implementation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviço Social
/
Padrões de Prática Médica
/
Etnicidade
/
Transtornos Mentais
/
Serviços de Saúde Mental
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Soc Work
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Estados Unidos