TABLE 7.

Evidence-Based Youth Treatments With Culture-Responsive Elements

Study	Ethnicity	Treatment & Problem	Culture-Responsive Elements
Clark et al. (1998)	African American	FIAP for abused youth with emotional and behavioral problems	Therapists used client's strengths across multiple life domains, including “cultural/ethnic/spiritual interests and involvement”
Fantuzzo et al. (2005)	African American	Resilient Peer Modeling for socially withdrawn, maltreated youth	Treatment was “culturally appropriate” in its use of family volunteers and socially high-functioning peers, with common cultural backgrounds and experiences
Garza & Bratton (2005)	Mexican American	Child-Centered Play Therapy for behavior problems	Bilingual Hispanic counselors, with counselors responding “in-kind” to youth language preference. Selection of multicultural toys to “capture elements of Hispanic culture”
Ginsburg & Drake (2002)	African American	Group CBT for anxiety disorders	Manual adapted to be “culturally sensitive (e.g., examples changed, alternative situations used, etc.)”
Henggeler, Melton, & Smith (1992)	African American	MST for serious and chronic antisocial behavior	Individualized treatment plans and assessment of multiple contexts, allows MST to “deal flexibly with sociocultural differences in adolescents' psychosocial contexts”
Henggeler, Pickrel, & Brondino (1999)	African American	MST for substance-abusing and dependent, delinquent youth	Two thirds of counselors African American (but unclear if therapist–client ethnic match)
Hudley & Graham (1993)	African American	Attributional Intervention for aggressive youth	Treatment conducted by African American females
Huey & Rank (1984)	African American	Counselor- & peer-led Assertive Training for aggressive youth	Peer and professional counselors were Black. Also, unspecified “adaptations for cultural differences incorporated” into intervention
Liddle et al. (2004)	Primarily African American & Hispanic	Multidimensional Family Therapy for substance use problems	86% of therapists were either Hispanic or Black (but unclear if therapist–client ethnic match)
Lochman, Curry, Dane, & Ellis (2001)	African American	Coping Power (Anger Coping Program)	African American staff involved in development of intervention; in group sessions, participants encouraged to discuss what they already do that works, and those efforts are then used as positive examples; act collaboratively with participants as coaches rather than as teachers
Rossello & Bernal (1999)	Latino (Puerto Rican)	CBT for depression; IPT for depression	IPT and CBT “adapted, taking into consideration cultural aspects of the treatments that consider the ‘interpersonal’ aspects of the Latino culture”
Rossello, Bernal, & Rivera-Medina (in press)	Latino (Puerto Rican)	CBT for depression; IPT for depression	Both CBT and IPT were culturally adapted “based on a framework that employs criteria of ecological validity”
Rowland et al. (2005)	Multiracial Hawaiian (combinations of Asian, Pacific Islander, and Caucasian)	MST for serious emotional and behavioral problems	Cultural background of clinical team representative of client population. Use of “Family Resource Specialist” to “help families develop indigenous social supports and to assist the clinical team in understanding the cultures and contexts in which the families were embedded”
Silverman et al. (1999)	Latino	Group CBT for anxiety disorders	Therapist training involved “sensitizing therapists to issues specific to working with multicultural populations, such as cultural differences in modes of coping, definitions of anxiety-provoking objects or events, and particular parenting styles”
Stein et al. (2003)	Latino (children of Mexican immigrants)	Group CBT for PTSD symptoms	Intervention “designed for use…with a multicultural population”
Szapocznik, Santisteban et al. (1989)	Latino	FET for behavioral and psychological complaints	Treatment addressed intergenerational, cultural conflict. Counselors Hispanic and experience working with Hispanics

Note: CBT = Cognitive Behavioral Therapy; FET = Family Effectiveness Therapy; FIAP = Fostering Individualized Assistance Program; IPT = Interpersonal Psychotherapy; MST = Multisystemic Therapy; PTSD = Posttraumatic Stress Disorder.