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Adaptation of preventive interventions for a low-income, culturally diverse community.

Author information

  • 1Department of Psychiatry, Children's Hospital and Judge Baker Children's Center, Boston, MA 02115, USA. podorefsky@a1.tch.harvard.edu

Abstract

OBJECTIVE:

To describe essential elements in the adaptation of a prevention approach with a high-risk urban sample, chosen to contrast sharply with the primarily middle-class sample in which it had been originally tested.

METHOD:

Key elements of a preventive intervention for families with parental depression were adapted for use in the new context.

RESULTS:

A sequence of alliance-building events was implemented, involving engagement at three levels: community, caregivers, and family. The prevention approach was modified to include an expanded approach to defining depression and resilience; greater flexibility on the part of the clinician; more intensive engagement between clinician and family, with a focus on immediate daily concerns; as well as awareness of cultural issues and responsiveness to the subject's experience of violence.

CONCLUSION:

Core principles of helping family members to discuss the effects of depression and adversity on family life were affirmed.

PMID:
11501686
[PubMed - indexed for MEDLINE]
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