Cultural adaptations of motivational interviewing: A systematic review.

Motivational interviewing (MI; Miller & Rollnick, 2012) has expanded from treating substance use disorders to other health concerns across a range of racial-ethnic groups and ages. The spirit of MI lends itself well to working with culturally diverse populations by eliciting the client's values and goals in a collaborative and client-centered approach in pursuit of behavior change. Additionally, MI has been further adapted for use with racial-ethnic minority groups to enhance its effectiveness with specific populations. The aim of this review was to investigate existing cultural adaptations of MI (CAMI), their effectiveness, and to provide directions for future cultural adaptations in both research and clinical settings. This systematic review identified studies of CAMI over the past 20 years using MEDLINE/Pubmed and Embase. The final dataset consisted of 25 peer review studies. In the randomized controlled trial (RCT) studies that utilized a control condition (n = 17), 10 studies showed that the CAMI condition performed significantly better on at least the primary outcome measure than the control condition. All 10 studies adapted Context, Content, and Concepts-three of the dimensions of cultural adaptation defined by the ecological validity framework used in this study (Bernal et al., 1995). (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The Educational, Health, and Economic Impacts of COVID-19 Among Haitians in the USA: Time for Systemic Change.

Haitians are the fourth largest Afro-Caribbean immigrant group in the USA, and there is a dearth of research focusing on the factors impacting their lives. As a marginalized group with extensive pre-existing conditions, Haitian immigrants are disproportionately affected by the pandemic in areas such as education, health, and economics. This paper provides a summary of existing disparities among Haitians in the USA and how COVID-19 has significantly impacted this group. It concludes with an analysis of how the Strategic Framework for Improving Racial and Ethnic Minority Health and Eliminating Racial and Ethnic Health Disparities can be used to guide, organize, and coordinate systematic planning for sustainable changes to address these disparities. Addressing immigrant and minority health in the USA requires a deeper dive into the various immigrant groups. This paper concludes with recommendations for research and policy changes necessary to eliminate disparities in the USA.

Investigating the Psychological Impact of COVID-19 on Healthcare Professionals: Implications and Recommendations.

Public health crises that increase the demand for healthcare professionals (HCPs) often result in increased mental distress in HCPs. The current study investigated the specific mental health ramifications of the COVID-19 pandemic on HCPs and perceived support from their places of work. Data was collected from US-based HCPs (N = 325) working as physicians (21.8%), nurses (26.8%), mental health professionals (MHPs; 30.5%), and allied healthcare professionals (AHPs; 20.9%) from April 2020 to April 2021 amidst the COVID-19 pandemic, using an online self-report survey. Descriptive and correlational statistical analyses assessed worry, stressors, psychological functioning, and perceived support. A majority of participants expressed worry about the pandemic broadly (93%), and approximately half (50.5%) indicated that their degree of worry was moderate to extreme. Respondents worried most about the risk of infection for family and relatives. HCPs reported not having been able to enjoy daily activities (66.9%), losing sleep (43.1%), and feeling constantly under strain (66.9%), compared to usual. Most HCPs indicated a strong desire for clear communication regarding the pandemic and psychological support from their workplaces. This paper provides recommendations to support HCP mental health by both ameliorating distress caused by the COVID-19 pandemic as well as protecting the health and wellness of HCPs more generally. HCPs and institutions that employ them should seek out or provide access to mental health resources and services, engage with or provide opportunities and activities to actively address mental health, and improve communication regarding COVID-19 or other topics HCPs demonstrate interest in.

When public health messages become stressful: Managing chronic disease during COVID-19.

To curb the spread of COVID-19, the United States has endorsed a variety of public health measures and distributed their content expediently. While these measures are critical for saving the lives of thousands, they may be sources of stress for individuals managing a chronic disease or make disease management more challenging. Forty-five percent of Americans live with chronic disease and already manage a range of everyday stressors related to their disease, making the additional stress produced by this public health guidance and their messages more difficult. Guided by Cohen and colleagues' Stage Model of Stress and Disease (Cohen et al., 2016) and Ryan and Sawin's Individual and Family Self-Management Theory (Ryan & Sawin, 2009), this paper identifies the various dimensions of these public health measures that may cause stress and negatively impact individuals managing chronic disease. Further, this paper presents a conceptual model for understanding how these stressors and common stressors associated with managing chronic disease interact and significantly impact chronic disease management. Considering the impact of these stressors on individuals managing chronic disease is paramount to ensure this population is empowered to manage this additional stress healthily and effectively. Recommendations for individuals managing chronic disease and health care professionals working with this population are provided.

Racialized violence in the lives of Black people: Illustrations from Haiti (Ayiti) and the United States.

Notwithstanding the cessation of the transatlantic slave trade in the 19th century and the end of "classical" colonization in African and Caribbean nations in the last century, racialized violence persists and continues to adversely impact the lives of African-descended people throughout the world. In this article, racialized violence involving Black people refers to physical acts and structural processes that prove injurious or deadly to Black people as Black people. The structural manifestations of racialized violence include unjust laws and normative practices that constrain the fulfillment of Black people's basic needs (like safety) and diminish their pursuit of liberation from persistent oppression. Using Nicolas's systemic and long-standing work in Haiti (Ayiti) as an illustration, we describe how the objectives of ending Black racialized violence and achieving genuine liberation from racism are integral to Black psychological health. Highlighting how racialized violence "works" in maintaining societal racism over the course of history in 2 settings-Ayiti and the United States, we urge psychologists worldwide to improve their practices with Black people by (a) instituting (new) norms that unsilence Black voices in treatment and research, (b) (re)committing to a process of peace promotion that forcefully disrupt the systemic perpetuation of racism, and (c) advancing an agenda of every-day activism aimed at increasing the health and life chances of Black people within and across the diaspora. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Pathways to understand help-seeking behaviors among Haitians.

The earthquake in Haiti led to an outpouring of outreach from groups of the Haitian international community as well as to residents of the island. Thus, an understanding of the help-seeking behavior patterns of this group is necessary to make meaning of their receptivity of assistance in a time of need. This paper summarizes help-seeking behavior patterns of 150 Haitian immigrants residing in the US. The results indicate that, overall, this sample was more likely to go to their family for assistance, regardless of the nature of the problem. In contrast, they were least likely to go to professionals for help, even when in need of emotional assistance. Given the increased rate of Haitians living outside of Haiti and around the world, a more comprehensive understanding of their mental health needs, coping patterns, and barriers to seeking help from mental health professionals is warranted.

Regional conferences--a capacity-building mandate: report on CRCP2011-Building Bridges and Building a Regional Structure.

The Caribbean Regional Conference of Psychology was held in Nassau, The Bahamas, from 15 to 18 November 2011, under the auspices of the International Association of Applied Psychology (IAAP), the International Union of Psychological Science (IUPsyS), and the International Association for Cross-Cultural Psychology (IACCP). The conference was hosted by the Bahamas Psychological Association, and organized by a committee chaired by Dr Ava Thompson, College of the Bahamas. The CRCP2011 attracted over 400 participants from 37 countries, including 20 nations/territories in the Caribbean. A broad scientific program, organized around six conference themes, addressed strengths and challenges to psychology in the region; the current state of psychological research, assessment, and intervention; historical, cultural, and language influences; and links between Caribbean and global models. Conference outcomes included planning for a series of publications to expand on conference themes and presentations, as well as establishment of a steering group to launch a regional organization to support the science and practice of psychology in the Caribbean.

Impacts of the 2010 Haitian earthquake in the diaspora: findings from Little Haiti, Miami, FL.

In January 2010, a massive earthquake struck Haiti resulting in unprecedented damage. Little attention, however, has focused on the earthquake's mental health impact in the Haitian diaspora community. As part of an established community-based participatory research initiative in Little Haiti, the predominately Haitian neighborhood in Miami, FL, USA, community health workers conducted surveys with neighborhood residents about earthquake-related losses, coping strategies, and depressive/traumatic symptomology. Findings reveal the earthquake strongly impacted the diaspora community and highlights prominent coping strategies. Following the earthquake, only a small percentage of participants self-reported engaging in any negative health behaviors. Instead, a majority relied on their social networks for support. This study contributes to the discourse on designing culturally-responsive mental health initiatives for the Haitian diaspora and the ability of existing community-academic partnerships to rapidly adapt to community needs.

Empathic family stress as a sign of family connectedness in Haitian immigrants.

Research on familial experiences has documented the important role of receiving family support, but has not examined the effects of providing such support. Empathic family stress refers to the stress that individuals experience in response to difficult life circumstances of family members. The current study took a first step in examining the empathic family stress of 134 Haitian immigrants. Results from hierarchical regressions indicate that empathic family stress is a significant predictor of depressive symptoms, but not acculturative stress, for Haitian immigrants. Findings from the study are examined from a strengths-based perspective, where empathic family stress is viewed as a sign of strong family connections among Haitian immigrants. Recommendations are provided for clinicians working with Haitian immigrants to help them experience empathic family stress in a healthy manner.

Expression and treatment of depression among Haitian immigrant women in the United States: clinical observations.

Existing research demonstrates that culture has a profound impact on the expression and manifestation of mental illness, especially on depressive disorders among ethnically diverse populations. Currently, little research has focused on the Haitian population, despite the growing number of Haitians living in the United States. This paper discusses clinical observations of the expression of depression among Haitian immigrant women living in the United States. Specifically, this paper examines three distinctive types of depression (pain in the body, relief through God, and fighting a winless battle), explains their symptoms, and provides case examples to illustrate the expression of each type of depression. Additionally, the paper describes treatment processes for each type of depression and makes recommendations to mental health providers with respect to each type of depression. The information provided in this paper highlights the importance of a more systematic and scientific investigation of depression among Haitian women, men, and youths in the United States.

Family first: the development of an evidence-based family intervention for increasing participation in psychiatric clinical care and research in depressed African American adolescents.

Researchers have documented health disparities for African American and other youth of color in the area of mental health. In accordance with calls for the development of innovative methods for use in reducing these disparities, the purpose of this article is to describe the development of an evidence-based intervention targeting the use of psychiatric clinical care by African American families. The authors summarize current research in the areas of perceived and demonstrated bias in the provision of mental health services, the significance of the problem of low African American participation in psychiatric clinical research and care, and evidence-based approaches to conducting family-oriented research to address adolescent mental illness in this population. This discussion is followed by a description of the development of an intervention to improve familial treatment engagement and plans to test the intervention. The article is provided as a foundation for carefully defined plans to address the unmet mental health needs of depressed African American adolescents within a culturally relevant familial context.