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Prevention Center of Excellence

 

Prevention Center of Excellence

Annotated Bibliography: Substance Abuse Prevention & Cultural Competency

Substance Abuse Prevention & Cultural Competency available in PDF. Adobe Acrobat PDF(Download Acrobat Reader)

Compiled by Clare Desrosiers
June 6, 2006

Amodeo, M., Peou, S., Grigg-Saito, D., Berke, H., Pin-Riebe, S., & Jones, L. K. (2004). Providing culturally specific substance abuse services in refugee and immigrant communities: Lessons from a Cambodian treatment demonstration project. Journal of Social Work Practice in the Addictions, 4(3), 23-46.

In relation to substance abuse prevention, the article cites a definition of culturally relevant social work practice. It also summarizes another researcher’s guidelines for culturally competent practice. These include ensuring that members of the target population are on the staff and advisory boards, assessing the importance of ethnicity to clients and families, validating and strengthening ethnic identity, understanding of how to engage and communicate with bicultural clients, use of the client’s support systems, awareness of the association between minority group status and disenfranchisement etc., and awareness that cultural factors may not be the primary issue for clients. Based on the case study presented in the article, the authors make several recommendations for micro-level substance abuse work with refugees and immigrant populations.

Castro, F. G., & Garfinkle, J. (2003). Critical issues in the development of culturally relevant substance abuse treatment for specific minority groups. Alcoholism: Clinical and Experimental Research, 27(8), 1381-1388.

The article provides a definition of cultural competence and presents the idea of a cultural competence continuum, which is described. The authors also review the concepts of acculturation, assimilation, biculturalism, marginalization, separatism, and traditionalism. The authors recommend incorporation of cultural variables as factors in research and identify variables that should be considered.

Cervantes, R. C., Kappos, B., Duenas, N., & Arellano, D. (2003). Culturally focused HIV prevention and substance abuse treatment for Hispanic women. Addictive Disorders & Their Treatment, 2(3), 69-77.

The authors of this article describe a study of a substance abuse treatment and HIV prevention intervention that was specifically developed for a Hispanic population. Findings from the study suggest that “culturally sensitive staff that promotes a culturally and gender appropriate programming can lead to changes in psychological and family functioning, and reductions in drug use".

Christopherson, T. M., & Jordan-Marsh, M. (2004). Culture and risk taking in adolescents’ behaviors. MCN, 29(2), 100-105.

The article briefly reviews current health and behavioral challenges facing adolescents and how these vary among those with different cultural backgrounds. It provides a framework for developing culturally competent programs.

Corneille, M. A., Ashcraft, A. M., & Begrave, F. Z. (2005). What’s culture got to do with it? Prevention programs for African American adolescent girls. Journal of Health Care for the Poor and Underserved, 16, 38-47.

The author emphasizes the need for prevention programs to understand the culture of the individuals they serve and tailor programs in to their needs in accordance with their cultural background. She describes three studies of prevention programs conducted by herself and her colleagues which suggested that "culturally specific prevention interventions can be effective in increasing resiliency factors and also in promoting alcohol and drug refusal self-efficacy". The author also provides a comprehensive definition of cultural competency and how to achieve it.

Crunkilton, D., Paz, J. J., & Boyle, D. P. (2005). Culturally competent intervention with families of Latino youth at risk for drug abuse. Journal of Social Work Practice in the Addictions, 5(1/2), 113-131.

The article describes the study and study findings of an intervention with families of Latino youth. Findings provide “preliminary evidence that a culturally competent approach improved drug knowledge of Latino parents” p 127.

Harvey, A. R., & Hill, R. B. (2004). Africentric youth and family rites of passage program: Promoting resilience among at-risk African-American youths. Social Work, 49(1), 65-74.

The article relates findings of a study of outcomes from a substance abuse prevention intervention tailored to its target population. Positive effects were evidenced among the target population after the intervention occurred, though they were not statistically significant. Feedback from program participants who later attended focus groups was that the Africentric characteristic of the program was a contributor to the program’s success.

Hosley, C. A., Gensheimer, L., & Yang, M. (2003). Building effective working relationships across culturally and ethnically diverse communities. Child Welfare, LXXXII(2), 157-168.

In this case study, authors describe the experience of implementing two SAMHSA model programs among Hmong and Cambodian communities. They make several recommendations for promoting cross-cultural collaboration.

Paz, J. (2002). Culturally competent substance abuse treatment with Latinos. Journal of Human Behavior in the Social Environment, 5(3/4), 123-136.

In this article, the author sets forth a foundation for cultural competence in regards to work with Latinos. This framework consists of knowledge, values and skills. Knowledge in this context consists of a theoretical knowledge base for practice in relation to the culture of the individuals being served. The author also specified the benchmarks of institutional cultural competence: “(1) evidence that the agency recognizes and values cultural diversity, (2) adherence to a mission statement embracing diversity, (3) hiring of culturally competent staff, (4) the delivery of well articulated culturally competent services, and (5) management and the board of directors that represents the ethnic/racial composition of the community". The author reviews the six elements of the cultural competence continuum (see p. 133). Finally, the authors notes that culturally competent services must include several skills, one of which includes assessment of acculturation.

Unger, J. B., Baezconde-Garbanati, L., Shakib, S., Palmer, P. H., Nezami, E., & Mora, J. (2004). A cultural psychology approach to “drug abuse” prevention. Substance Abuse and Misuse, 39(10-12), 1779-1820.

The authors provide a review of studies related to adolescent substance abuse, culture, and acculturation. The authors report that population based surveys in the US show there is racial and ethnic variation in adolescent substance abuse and that there are further variations within sub-groups of these populations. The authors identify multiple cultural variables that impact substance use. The authors recommend that both prevention providers and researchers ensure that the content of interventions and research is culturally appropriate for the target population and addresses issue that are important to them. The authors provide a definition of cultural competence and note that in order to be culturally competent, providers and researchers must have “a thorough understanding of the target population, including their language capabilities, educational level, socioeconomic status, and cultural beliefs” (p. 1804). In regards to research, the authors recommend community-based participation in the research process in which cultural beliefs and values and community needs are taken into account from development of the research questions, interventions, and instrumentation, to evaluation of outcomes.

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