System-level change in cultural and linguistic competence (CLC): how changes in CLC are related to service experience outcomes in systems of care.

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  • Additional Information
    • Source:
      Publisher: Wiley Country of Publication: England NLM ID: 0364535 Publication Model: Print Cited Medium: Internet ISSN: 1573-2770 (Electronic) Linking ISSN: 00910562 NLM ISO Abbreviation: Am J Community Psychol Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : Chichester : Wiley
      Original Publication: Washington, Winston.
    • Subject Terms:
      Cultural Competency* ; Culture* ; Delivery of Health Care, Integrated* ; Linguistics* ; Patient Satisfaction*; Child ; Community Mental Health Services ; Family ; Female ; Health Care Surveys ; Humans ; Interviews as Topic ; Male ; United States
    • Abstract:
      As US demographic trends shift toward more diversity, it becomes increasingly necessary to address differential needs of diverse groups of youth in mental health service systems. Cultural and linguistic competence (CLC) is essential to providing the most appropriate mental health services to youth and their families. The successful implementation of CLC often begins at the system level. Though various factors may affect change and system-level factors set the tone for broad acceptance of CLC within systems, there is limited empirical evidence linking culturally competent practices to outcomes. The purpose of the present study was to examine system-level CLC changes over time within systems of care and their associations with service experiences among youth and their families. Participants were 4,512 youth and their families enrolled in the national evaluation of the Children's Mental Health Initiative (CMHI). Results suggest that implementation of CLC at the system level improves over time in funded systems of care. Further, variation exists in specific system-level components of CLC. In addition, the changes in CLC at the system level are related to family/caregiver participation in treatment. Implications for supporting positive changes in CLC among systems of care communities, and specific strategies for community psychologists, are discussed.
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    • Grant Information:
      R01 MH075828 United States MH NIMH NIH HHS; T32 MH019545 United States MH NIMH NIH HHS; 280-97-8914 United States PHS HHS; 1R01MH075828-01A1 United States MH NIMH NIH HHS; 280-99-8023 United States PHS HHS; R01 MH075828-01A1 United States MH NIMH NIH HHS; 280-00-8040 United States PHS HHS
    • Publication Date:
      Date Created: 20110510 Date Completed: 20120926 Latest Revision: 20211020
    • Publication Date:
      20240628
    • Accession Number:
      PMC3182295
    • Accession Number:
      10.1007/s10464-011-9442-1
    • Accession Number:
      21553095