Empirical Status of Culturally Competent Practices

Part of the Contemporary Social Work Practice book series (Contemp. Social Work Practice)


Effective prevention and treatment programs are rooted in each individual client, their families, and their larger social and cultural networks. This chapter considers the role of culture of origin in relation to resiliency and protection from substance abuse and addiction processes. Research findings suggest that substance abuse treatment and prevention interventions can be more effective when they are grounded in the clients’ culture. Further, cultural specific interventions tend to be more efficacious in recruiting and retaining participants and in attaining prevention and treatment goals. Specifying ways in which culture of origin can be successfully integrated into preventive interventions based on the empirical research literature in this area is delineated.


Substance Abuse Substance Abuse Treatment Substance Abuse Prevention American Indian Youth Cultural Competency Training 
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  1. Abrams, L. S., & Moi, J. A. (2009). Critical race theory and the cultural competence dilemma in social work education. Journal of Social Work Education, 45, 245–261.CrossRefGoogle Scholar
  2. Amaro, H., & Cortés, D. E. (2003). National strategic plan on Hispanic drug abuse research: From the molecule to the community. Boston: Northeastern University.Google Scholar
  3. Backer, T. (2001). Finding the balance: Program fidelity and adaptation in substance abuse prevention: A state-of-the-art review. Rockville, MD: Center for Substance Abuse Prevention.Google Scholar
  4. Botvin, G. J. (2004). Advancing prevention science and practice: Challenges, critical issues, and future directions. Prevention Science, 5, 69–72.CrossRefGoogle Scholar
  5. Bridge, T. J., Massie, E. G., & Mills, C. S. (2008). Prioritizing cultural competence in the implementation of an evidence-based practice model. Children and Youth Services Review, 30, 1111–1118.CrossRefGoogle Scholar
  6. Bronfenbrenner, U. (1977). Toward an environmental ecology of human development. American Psychologist, 32, 513–531.CrossRefGoogle Scholar
  7. Carter, S., Straits, K. J. E., & Hall, M. (2007). Project Venture: Evaluation of an experiential culturally based approach to substance abuse prevention with American Indian Youth. Journal of Experiential Education, 29, 397–400.Google Scholar
  8. Castro, F. G., Barrera, M., Jr., & Holleran Steiker, L. K. (2010). Issues and challenges in the design of culturally adapted evidence-based interventions. Annual Review of Clinical Psychology, 6, 213–239.CrossRefGoogle Scholar
  9. Castro, F. G., Barrera, M., & Martinez, C. R. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5, 41–45.CrossRefGoogle Scholar
  10. Cheung, Y. W. (1991). Ethnicity and alcohol/drug use revisited: A framework for future research. Substance Use & Misuse, 25, 581–605.CrossRefGoogle Scholar
  11. Coatsworth, J. D., Pantin, H., & Szapocznik, J. (2002). Familias Unidas: A family-centered ecodevelopmental intervention to reduce risk for problem behavior among Hispanic adolescents. Clinical Child and Family Psychology Review, 5, 113–132.CrossRefGoogle Scholar
  12. Coatsworth, J. D., Santisteban, D. A., McBride, C. K., & Szapocznik, J. (2001). Brief strategic family therapy versus community control: Engagement, retention, and an exploration of the moderating role of adolescent symptom severity. Family Process, 40, 313–332.CrossRefGoogle Scholar
  13. Collins, R. L. (1995). Issues of ethnicity in research on prevention of substance abuse. In G. J. Botvin, S. Schinke, & M. A. Orlandi (Eds.), Drug abuse prevention with multiethnic youth (pp. 28–45). Thousand Oaks, CA: Sage.Google Scholar
  14. Cross, T. L., Friesen, B. J., Jivanjee, P., Gowen, L. K., Bandurraga, A., Mathew, C., & Maher, N. (2011). Defining youth success using culturally appropriate community-based participatory research methods. Best Practices in Mental Health, 7, 94–114.Google Scholar
  15. Davis, L. E., & Proctor, E. K. (1989). Race, gender, and class: Guidelines for practice with individuals, families, and groups. Boston, MA: Allyn & Bacon.Google Scholar
  16. Dishion, T., & Andrews, D. (1995). Preventing escalation in problem behaviors with high-risk young adolescents: Immediate and 1-year-outcomes: Prediction and prevention of child and adolescent antisocial behavior. Journal of Consulting and Clinical Psychology, 63, 538–548.CrossRefGoogle Scholar
  17. Dumas, J. E., Lynch, A. M., Laughlin, J. E., Phillips-Smith, E., & Prinz, R. J. (2001). Promoting intervention fidelity: Conceptual issues, methods, and preliminary results from the EARLY ALLIANCE prevention trial. American Journal of Preventive Medicine, 20(Suppl.), 38–47.CrossRefGoogle Scholar
  18. Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5, 47–53.CrossRefGoogle Scholar
  19. Fisher, D. G., Lankford, B. A., & Galea, R. P. (1996). Therapeutic community retention among Alaska Natives 1: Akeela house. Journal of Substance Abuse Treatment, 13, 265–271.CrossRefGoogle Scholar
  20. Frable, D. E. S. (1997). Gender, racial, ethnic, sexual, and class identities. Annual Review of Psychology, 48, 139–162.CrossRefGoogle Scholar
  21. Gil, A. G., Wagner, E. F., & Tubman, J. G. (2004). Culturally sensitive substance abuse intervention for Hispanic and African American adolescents: Empirical examples from the Alcohol Treatment Targeting Adolescents in Need (ATTAIN) project. Addiction, 99, 140–150.CrossRefGoogle Scholar
  22. Gira, E. C., Kessler, M. L., & Poertner, J. (2004). Influencing social workers to use research evidence in practice: Lessons from medicine and the allied health professions. Research on Social Work Practice, 14, 68–79.CrossRefGoogle Scholar
  23. Glasner-Edwards, S., & Rawson, R. (2010). Evidence-based practices in addiction treatment: Review and recommendations for public policy. Health Policy, 97, 93–104. doi: 10.1016/l.healthpol.2010.05.013 (Downloaded on 04-01-11).CrossRefGoogle Scholar
  24. Goodkind, J. R., Ross-Toledo, K., John, S., Hall, J. L., Ross, L., Freeland, L., et al. (2011). Rebuilding trust: A community, multiagency, state, and university partnership to improve behavioral health care for American Indian youth, their families, and communities. Journal of Community Psychology, 39, 452–477.CrossRefGoogle Scholar
  25. Gottfredson, D. C., & Gottfredson, G. D. (2002). Quality of school-based prevention programs: Results from a national survey. Journal of Research in Crime and Delinquency, 39, 3–35.CrossRefGoogle Scholar
  26. Grinnell, R. M., & Unrau, Y. A. (2011). Social work research and evaluation: Foundation for evidence-based practice. Oxford: New York.Google Scholar
  27. Hecht, M. L., Marsiglia, F. F., Elek, E., Wagstaff, D. A., Kulis, S., Dustman, P., et al. (2003). Culturally grounded substance use prevention: An evaluation of the keepin’ it REAL curriculum. Prevention Science, 4, 233–248.CrossRefGoogle Scholar
  28. Jackson, K. F., & Hodge, D. R. (2010). Native American youth and culturally sensitive interventions: A systematic review. Research on Social Work Practice, 20, 260–271.CrossRefGoogle Scholar
  29. Kandel, D. B. (1995). Ethnic differences in drug use: Patterns and paradoxes. In G. Botvin, S. Schinke, & M. Orlandi (Eds.), Drug abuse prevention with multi-ethnic youth (pp. 81–104). Newbury Park, CA: Sage.Google Scholar
  30. Kazdin, A. E. (1993). Adolescent mental health: Prevention and treatment programs. American Psychologist, 48, 127–141.CrossRefGoogle Scholar
  31. Kulis, S., Nieri, T., Yabiku, S., Stromwall, L., & Marsiglia, F. F. (2007). Promoting reduced and discontinued substance use among adolescent substance users: Effectiveness of a universal prevention program. Prevention Science, 8, 35–49.CrossRefGoogle Scholar
  32. Kumpfer, K. L., & Kaftarian, S. J. (2000). Bridging the gap between family-focused research and substance abuse prevention practice: Preface. The Journal of Primary Prevention, 21, 169–184.CrossRefGoogle Scholar
  33. La Roche, M. J., & Christopher, M. S. (2009). Changing paradigms from empirically supported treatment to evidence-based practice: A cultural perspective. Professional Psychology: Research and Practice, 40, 396–402.CrossRefGoogle Scholar
  34. Levinson, D., Schaefer, J. M., Sylvester, R., Meland, J. A., & Haugen, B. (1982). Information dissemination and overload in the alcoholism treatment field. Journal of Studies on Alcohol, 43, 570–575.Google Scholar
  35. Marsella, A. J., & Yamada, A. M. (2007). Culture and psychopathology: Foundations, issues, directions. In S. Kitayama & D. Cohen (Eds.), Handbook of cultural psychology (pp. 797–818). New York, NY: Guilford.Google Scholar
  36. Marsiglia, F. F., & Hecht, M. L. (2005). Keepin’ it REAL: An evidence-based program. Santa Cruz, CA: ETR Associates.Google Scholar
  37. Marsiglia, F. F., & Kulis, S. (2009). Diversity, oppression, and change: Culturally grounded social work. Chicago, IL: Lyceum Books.Google Scholar
  38. McAdoo, H. P. (1997). Upward mobility across generations in African American families. In H. P. McAdoo (Ed.), Black families (3rd ed., pp. 139–162). Thousand Oaks, CA: Sage.Google Scholar
  39. McGoldrick, M., Giordano, J., & Garcia-Preto, N. (2005). Ethnicity and family therapy. New York: The Guilford Press.Google Scholar
  40. Merrell, K. W. (2010). Linking prevention science and social and emotional learning: The Oregon Resiliency Project. Psychology in the Schools, 47, 55–70.Google Scholar
  41. Miller, G. A. (2004). Learning the language of addiction counseling. Hoboken, NJ: Wiley.Google Scholar
  42. Moore, D., & Coyhis, D. (2010). The multicultural wellbriety peer recovery support program: Two decades of community-based recovery. Alcoholism Treatment Quarterly, 28, 273–292.CrossRefGoogle Scholar
  43. Nathan, P. E., & Gorman, J. M. (2002). A guide to treatments that work. London: Oxford University Press.Google Scholar
  44. National Association of Social Workers. (2000). Cultural competence in social work profession. In Social work speaks: NASW policy statements (pp. 59–62). Washington, DC: NASW Press.Google Scholar
  45. Nelson, A., & Arthur, B. (2003). Storytelling for empowerment: Decreasing at-risk youth’s alcohol and marijuana use. The Journal of Primary Prevention, 24, 169–180.CrossRefGoogle Scholar
  46. Nobles, W. W., Goddard, L. L., & Gilbert, D. J. (2009). Culture-ecology, women, and African-centered HIV prevention. Journal of Black Psychology, 35, 228–246.CrossRefGoogle Scholar
  47. Pantin, H., Coatsworth, J. D., Feaster, D. J., Newman, F. L., Briones, E., Prado, G., et al. (2003). Familias Unidas: The efficacy of an intervention to promote parental investment in Hispanic immigrant families. Prevention Science, 4, 189–201.CrossRefGoogle Scholar
  48. Phillips, A. (2007). Multiculturalism without culture. Princeton: Princeton University Press.Google Scholar
  49. Resnicow, K., Baranowski, T., Ahluwalia, J. S., & Braithwaite, R. L. (1999). Cultural sensitivity in public health: Defined and demystified. Ethnicity & Disease, 9, 10–21.Google Scholar
  50. Roth, A., & Fonagy, P. (2004). What works for whom? A critical review of psychotherapy research (2nd ed.). New York: Guilford.Google Scholar
  51. Rycroft-Malone, J., Seers, K., Titchen, A., Harvey, G., Kitson, A., & McCormack, B. (2004). What counts as evidence in evidence-based practice? Journal of Advanced Nursing, 47, 81–90.CrossRefGoogle Scholar
  52. SAMHSA. (2009). Identifying and selecting evidence-based interventions: Revised guidance document for the strategic prevention framework state incentive grant program. Rockville, MD: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration.Google Scholar
  53. Santisteban, D. A., Coatsworth, J. D., Perez-Vidal, A., Mitrani, V., Jean-Gilles, M., & Szapocznik, J. (1997). Brief structural/strategic family therapy with African and Hispanic high-risk youth. Journal of Community Psychology, 25, 453–471.CrossRefGoogle Scholar
  54. Santisteban, D. A., Muir-Malcolm, J. A., Mitrani, V. B., & Szapocznik, J. (2002). Integrating the study of ethnic culture and family psychology intervention science. In H. Liddle, R. Levant, D. A. Santisteban, & J. Bray (Eds.), Family psychology: Science based interventions (pp. 331–352). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  55. Santisteban, D. A., Perez-Vidal, A., Coatsworth, J. D., Kurtines, W. M., Schwartz, S. J., LaPerriere, A., et al. (2003). Efficacy of brief strategic family therapy in modifying Hispanic adolescent behavior problems and substance use. Journal of Family Psychology, 17, 121–133.CrossRefGoogle Scholar
  56. Santisteban, D. A., & Szapocznik, J. (1994). Bridging theory, research and practice to more successfully engage substance abusing youth and their families into therapy. Journal of Child & Adolescent Substance Abuse, 3, 9–24.CrossRefGoogle Scholar
  57. Santisteban, D. A., Szapocznik, J., Perez-Vidal, A., Kurtines, W. M., Murray, E. J., & LaPerriere, A. (1996). Efficacy of intervention for engaging youth and families into treatment and some variables that may contribute to differential effectiveness. Journal of Family Psychology, 10, 35–44.CrossRefGoogle Scholar
  58. Santisteban, D., Vega, R. R., & Suarez-Morales, L. (2006). Utilizing dissemination findings to help understand and bridge the research and practice gap in the treatment of substance abuse disorders in Latino populations. Drug and Alcohol Dependence, 84, 94–101.CrossRefGoogle Scholar
  59. Schinke, S. P., Orlandi, M. A., Botvin, G. J., Gilchrist, L. D., Trimble, J. E., & Locklear, V. S. (1988). Preventing substance abuse among American-Indian adolescents: A bicultural competence skills approach. Journal of Counseling Psychology, 35, 87–90.CrossRefGoogle Scholar
  60. Schinke, S. P., Tepavac, L., & Cole, K. C. (2000). Preventing substance use among native American youth: Three-year results. Addictive Behaviors, 25, 387–397.CrossRefGoogle Scholar
  61. Shadish, W. R., Montgomery, L. M., Wilson, P., Wilson, M. R., Bright, I., & Okwumabua, T. (1993). Effects of family and marital psychotherapies: A meta-analysis. Journal of Consulting and Clinical Psychology, 61, 992–1002.CrossRefGoogle Scholar
  62. Sobell, L. C. (1996). Bridging the gap between scientists and practitioners: The challenge before us. Behavior Therapy, 27, 297–320.CrossRefGoogle Scholar
  63. Sorensen, J. L., & Midkiff, E. E. (2000). Bridging the gap between research and drug abuse treatment. Journal of Psychoactive Drugs, 32, 379–382.CrossRefGoogle Scholar
  64. Szapocznik, J., & Coastworth, J. D. (1999). An ecodevelopmental framework for organizing the influences on drug abuse: A developmental model of risk and protection. In M. D. Glantz & C. R. Hartel (Eds.), Drug abuse: Origins & interventions (pp. 331–366). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  65. Thyer, B. A. (2004). What is evidence-based practice? Brief Treatment and Crisis Intervention, 4, 167–176.CrossRefGoogle Scholar
  66. Torrey, W., & Gorman, P. (2005). Closing the gap between what services are and what they could be. In R. E. Drake, M. R. Merrans, & D. W. Lynde (Eds.), Evidence-based mental health practice (pp. 167–188). New York: W.W. Norton.Google Scholar
  67. Turner, W. L. (2000). Cultural considerations in family-based primary prevention programs in drug abuse. The Journal of Primary Prevention, 21, 285–303.CrossRefGoogle Scholar
  68. Turner-Musa, J. O., Rhodes, W. A., Harper, P. T. H., & Quinton, S. L. (2008). Hip-hop to prevent substance use and HIV among African American youth: A preliminary investigation. Journal of Drug Education, 38, 351–365.CrossRefGoogle Scholar
  69. Willis, D. (2007). Evidenced-based practice implementation issues. Panel Presentation presented at the University of Michigan Conference: Solving problems in society: Ideas and people, Ann Arbor, MI.Google Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Arizona State University, Southwest Interdisciplinary Research Center, School of Social WorkTempeUSA

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