Abstract
Providing effective psychiatric rehabilitation to ethnic minority patients with serious persistent mental illness (SPMI) requires an understanding of the role of cultural values and ethnicity-relevant factors on the course and outcome of severe mental disorders. In this paper, the author identifies some of the cultural factors that are relevant for Latinos with SPMI, and describes how these factors were incorporated into existing rehabilitation modalities. The results of a pilot study designed to test the efficacy of culturally-modified social skills training are presented. The results suggest that the cultural modifications improved Latino patients' ability to learn the material and enhanced their use of these skills in their natural environments. Future research will be aimed at identifying and incorporating these salutary cultural forces into the rehabilitation process of the severely mentally ill.
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Benton, M. K., & Schroeder, H. E. (1990). Social skills training with schizophrenics: A metaanalytic evaluation.Journal of Consulting and Clinical Psychology, 58, 741–747.
Carrascoso Lopez, F. J., & Roldan Maldonado, G. M. (1993). Abordaje de trastornos psicoticos en un Equipo de Salud Mental de Distrito: Descripcion de un modelo de intervencion posible.Apuntes de Psicologia, 38, 113–128.
Council on Scientific Affairs. (1991). Hispanic health in the United States.Journal of the American Medical Association, 265, 248–252.
Cuevas Yust, C., & Hernandez, F. E. (1993). Funcion del psicologo clinico en la rehabilitacion psicosocial del enfermo mental cronico en el ambito communitario.Apuntes de Psicologia, 38, 163–181.
Higginbotham, H. N., & Tanaka-Matsumi, J. (1991). Cross-cultural application of behavior therapy.Behavior Change, 8, 35–42.
Jarne, A., Sanz, A., & Gene, R. (1989). Aspectos psicosociales del deterioro en la psicosis esquizofrenica.Revista de Psiqulatria de la Facultad de Medicina de Barcelona, 17, 88–91.
Karno, M., Jenkins, J., De la Selva, A., Santana, F., Telles, C., Lopez, S., & Mintz, J. (1987). Expressed emotion and schizophrenic outcome among Mexican-American families.Journal of Nervous and Mental Disease, 175, 143–151.
Liberman, R. P., Wallace, C. J., Blackwell, G., Eckman, T. A., Vaccaro, J. V., & Kuehnel, T. G. (1993)). Innovations in skills training for the seriously mentally ill: The UCLA Social and Independent Living Skills Modules.Innovations and Research, 2, 43–59.
Liberman, R. P. (1994). Psychosocial treatments for schizophrenia.Psychiatry, 57, 104–114.
Nuechterlein, K. H., Dawson, M. E., Ventura, J., Gitlin, M., Subotnik, K. L., Snyder, K. S., Mintz, J., & Bartzokis, G. (1994). The vulnerability/stress model of schizophrenic relapse: A longitudinal study.Acta Psychiatrica Scandinavica, 89 (Suppl 382), 58–64.
O'Sullivan, M. J., Peterson, P. D., & Cox, G. B. (1989). Ethnic populations: Community mental health services ten years later.American Journal of Community Psychology, 17, 17–30.
Otero, V., & Rebolledo, S. (1992). Evaluacion de un programa de rehabilitacion psiquiatrica.Psiquis: Revista de Psiquiatria, Psicologia y Psicosomatica, 13, 54–61.
Rogler, L. H., Malgady, R. G., & Constantino, G. (1987). What do culturally sensitive mental health services mean? The case of Hispanics.American Psychologist, 42, 565–570.
Woodward, A. M., Dwinell, A. D., & Arons, B. S. (1992). Barriers to mental health care for Hispanic Americans: A literature review and discussion.Journal of Mental Health Administration, 19, 224–236.
Zabala Blanco, I., Favrod, J., & Lebigre, F. (1992). Entrenamiento de la capacidad de resoluclon ae los problemas cotidianos en un grupo de pacientes esquizofrenicos cronicos.Psiquis: Revista de Psiquiatria. Psicologia y Psicosomatica, 13, 38–46.
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Kopelowicz, A. Social skills training: The moderating influence of culture in the treatment of Latinos with schizophrenia. J Psychopathol Behav Assess 19, 101–108 (1997). https://doi.org/10.1007/BF02229037
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DOI: https://doi.org/10.1007/BF02229037