Culturally informed child psychiatric practice

Child and Adolescent Psychiatric Clinics of North America

Volumn 19, Issue 4, 2010, Pages 739-757

  Pumariega, Andres J ^a,b   Rothe, Eugenio M ^c   Song, SuZan ^d   Lu, Francis G ^e  

^a READING HOSPITAL AND MEDICAL CENTER   (United States)

^b TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c FLORIDA INTERNATIONAL UNIVERSITY   (United States)

^d STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Adolescents; Assessment; Children; Culture; Psychiatry; Treatment

Indexed keywords

CHILD PSYCHIATRY; CHILD WELFARE; CLINICAL ASSESSMENT; CLINICAL COMPETENCE; COGNITIVE THERAPY; CRIMINAL JUSTICE; CULTURAL FACTOR; ETHNICITY; HEALTH CARE ACCESS; HEALTH CARE DISPARITY; HUMAN; MEDICAL PRACTICE; MENTAL DISEASE; MENTAL HEALTH SERVICE; PRIORITY JOURNAL; PSYCHOSOCIAL ENVIRONMENT; PSYCHOTHERAPY; REVIEW; SELF CONCEPT; SOCIAL ADAPTATION; SOCIAL PSYCHOLOGY;

ADOLESCENT; CHILD; CHILD ADVOCACY; CHILD HEALTH SERVICES; CHILD PSYCHIATRY; CHILD WELFARE; CULTURAL DIVERSITY; ETHNIC GROUPS; FAMILY CHARACTERISTICS; HUMANS; MENTAL DISORDERS; PSYCHOTHERAPY; SOCIAL WORK, PSYCHIATRIC; UNITED STATES;

EID: 78149273050     PISSN: 10564993     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.chc.2010.07.004     Document Type: Review

References (84)

1. U.S.Census Population reports Available at:, Accessed May 14, 2010. http://www.census.gov/population/index.htlm.
2. Eaton D., Kann L., Kinchen S., et al. Youth risk behavior surveillance-United States, 2007. MMWR Surveill Summ 2008, 57(S S04):1-130.
3. Cross T., Bazron B., Dennis K., et al. Towards a culturally competent system of care 1989, CASSP Technical Assistance Center, Georgetown University Child Development Center, Washington, DC.
4. Kilgus M., Pumariega A., Cuffe S. Race and diagnosis in adolescent psychiatric inpatients. J Am Acad Child Adolesc Psychiatry 1995, 34:67-72.
5. Hong V., Pumariega A., Licata C. Race, minority status, cultural isolation, and psychiatric diagnosis in children in public mental health. Proceedings of the 14th annual conference proceedings- A system of care for children's mental health: expanding the research base 2002, University of South Florida, Research and Training Institute for Children's Mental Health, Tampa (FL), p. 313-7.
6. Malgady R., Rogler L., Dharma E. Cultural expression of psychiatric symptoms: idioms of anger amongst Puerto Ricans. Psychol Assmt 1996, 8:265-268.
7. Glover S., Pumariega A., Holzer C., et al. Anxiety symptomatology in Mexican-American adolescents. J Child Fam Stud 1999, 8:47-57.
8. Kataoka S., Zhang L., Wells K. Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry 2002, 159:1548-1555.
9. Chentsova-Dutton Y., Tsai J., Chu J., et al. Depression and emotional reactivity: variation among Asian Americans of East Asian descent and European-Americans. J Abnorm Psychol 2007, 116:776-785.
10. American Psychiatric Association Diagnostic and statistical manual of mental disorders, Version IV-text revision 2000, American Psychiatric Press, Arlington (VA).
11. Kleinman A. Rethinking psychiatry 1988, Free Press, New York.
12. Simons R., Hughes C. Culture bound syndromes. Culture ethnicity and mental illness 1993, American Psychiatric Press, Washington, DC. A. Gaw (Ed.).
13. Rogler L., Cortes D., Malgady R. The mental health relevance of idioms of distress. Anger and perceptions of injustice among New York Puerto Ricans. J Nerv Ment Dis 1994, 182:327-330.
14. Lewis-Fernandez R., Das A., Alfonso C., et al. Depression in US Hispanics: diagnostic and management considerations in family practice. J Am Board Fam Pract 2005, 18:282-296.
15. Jaycox L., Stein B., Kataoka S., et al. Violence exposure, posttraumatic stress disorder, and depressive symptoms among recent immigrant schoolchildren. J Am Acad Child Adolesc Psychiatry 2002, 41:1104-1110.
16. McFarlane J., Groff J., O'Brien J., et al. Behaviors of children who are exposed and not exposed to intimate partner violence: an analysis of 330 Black, white and Hispanic children. Pediatrics 2003, 112:e202-e207.
17. Romero J., Carvajal S., Valle F., et al. Adolescent bicultural stress and its impact on mental well-being among Latinos, Asian-Americans, and European-Americans. J Comp Psychol 2007, 35:519-534.
18. Martinez C., McClure H., Eddy J. Language brokering contexts and behavioral and emotional adjustment among Latino parents and adolescents. J Early Adolesc 2009, 29:71-98.
19. Four Racial Ethnic Panels Cultural competence standards for managed care mental health for four racial/ethnic underserved/ underrepresented populations 1999, Center for Mental Health Services, Substance Abuse and Mental Health Administration, U.S. Department of Health and Human Services, Rockville (IN).
20. Pumariega A., Rogers K., Rothe E. Culturally competent systems of care for children's mental health: advances and challenges. Community Ment Health J 2005, 41:539-556.
21. Freedenthan S., Stiffman A. " They might think I was crazy": young American Indian's reasons for not seeking help when suicidal. J Adol Research 2007, 22:58-77.
22. Suite D., LaBril R., Primm A., et al. Beyond misdiagnosis, misunderstanding, and mistrust: Relevance of the historical perspective in the medical and mental health treatment of people of color. J Natl Med Assoc 2007, 99:879-885.
23. Institute of Medicine Unequal treatment Confronting racial and ethnic disparities in health care 2002, National Academies Press, Washington, DC.
24. Cooper L., Roter D., Johnson R., et al. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med 2003, 139(11):907-915.
25. Napoles-Springer A., Santavo J., Houston K., et al. Patients' perceptions of cultural factors affecting the quality of their medical encounters. Health Expect 2005, 8:4-17.
26. Szapocznik J., Kurtines W. Breakthroughs in family therapy with drug abusing and problem youth 1989, Springer, New York.
27. Pumariega A, Rothe E. Leaving no children or families behind: the challenges of immigration. Am J Orthopsychiatry 2010;80(4), in press.
28. Chatters L., Taylor R., Jayakody R. Fictive kinship relations in black extended families. J Comp Fam Stud 1994, 25:297-313.
29. Rothe E. Hispanic adolescents in the United States: psychosocial issues and treatment considerations. Adolesc Psychiatry 2004, 28:251-278.
30. American Psychiatric Association Diagnostic and statistical manual of mental disorders 2000, text revision, American Psychiatric Association, Washington, DC, p. 897-904. 4th edition.
31. Lu F., Lim R., Mezzich J. Review of psychiatry. Issues in the assessment and diagnosis of culturally diverse individuals 1995, vol. 14:477-510. American Psychiatric Press, Washington, DC. J. Oldham, M. Riba (Eds.).
32. Tseng W. Culture and psychotherapy: review and practical guidelines. Transcult Psychiatry 1999, 36:131-179.
33. Curry J., Rohe P., Simons A., et al. Predictors and modifiers of acute outcome in the Treatment for Adolescents with Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 2006, 45:1427-1439.
34. Tamayo J., Pumariega A., Rothe E., et al. A comparison of Latino versus Caucasian pediatric outpatients with ADHD in a combined analysis of two acute open-label studies with atomoxetine. J Child Adol Psychopharm 2008, 18:44-53.
35. Durell T., Pumariega A., Rothe, et al. Effects of open-label Atomoxetine on African-American and Caucasian pediatric outpatients with attention-deficit/ hyperactivity disorder. Ann Clin Psychiatry 2009, 21:26-37.
36. Arnold E., Elloitt M., Sachs L., et al. Effects of ethnicity on treatment attendance, stimulant response/ dose, and 14-month outcome in ADHD. J Consult Clin Psychol 2003, 71(4):713-727.
37. Zito J., Safer D., Dosreis S., et al. Racial disparity in psychotropic medications prescribed for youths with Medicaid insurance in Maryland. J Am Acad Child Adolesc Psychiatry 1998, 32:179-184.
38. Snowden L., Evans-Cuellar A., Libby A. Minority youth in foster care: managed care and access to mental health treatment. Med Care 2003, 41:264-274.
39. Leslie L., Weckerly J., Landsverk J., et al. Racial/ethnic differences in the use of psychotropic medication in high-risk children and adolescents. J Am Acad Child Adolesc Psychiatry 2003, 42:1433-1442.
40. Brown C., Schulberg H., Sacco D., et al. Effectiveness of treatments for major depression in primary care practice: a post-hoc analysis of outcomes for African-American and white patients. J Affect Disord 1999, 53:185-192.
41. Rosello J., Jimenez-Chafey M. Cognitive-behavioral therapy for depression in adolescents with diabetes: a pilot study. Interam J Psychol 2006, 40:219-226.
42. Constantino G., Malgady R., Rogler L. Storytelling through pictures: culturally sensitive psychotherapy for Hispanic children and adolescents. J Clin Child Psychol 1994, 23:13-20.
43. De Rios M. Magical realism: a cultural intervention for traumatized Hispanic children. Cult Divers Ment Health 1997, 3:159-170.
44. Rousseau C., Benoit M., Gauthier M.F., et al. Classroom drama therapy program for immigrant and refugee adolescents: a pilot study. Clin Child Psychol Psychiatry 2007, 12:451-465.
45. Mitrani M., Santiesteban D., Muir J. Addressing immigration related separations in Hispanic families with a problem-behavior adolescent. Am J Orthopsychiatry 2004, 74:219-229.
46. Santisteban D., Mena M. Culturally informed and flexible family-based treatment for adolescents: a tailored and integrative treatment for Hispanic youth. Fam Process 2009, 48:253-268.
47. Salvendy J. Ethnocultural considerations in group psychotherapy. Int J Group Psychother 1999, 49:429-464.
48. Guerda L., Arntz D., Hirsh D., et al. Cultural adaptation of a group treatment for Haitian American adolescents. Prof Psychol Res Pr 2009, 40:378-384.
49. Shendler J. The efficacy of psychodynamic psychotherapy. Am Psychol 2010, 98-109.
50. Lustig S., Weine S., Saxe G., et al. Testimonial psychotherapy for adolescent refugees: a case series. Transcult Psychiatry 2004, 41:31-45.
51. Rothe E. A psychotherapy model for treating refugee children caught in the midst of catastrophic situations. J Am Acad Psychoanal Dyn Psychiatry 2008, 36:625-642.
52. Kazdin A. Dropping out of psychotherapy: issues for research and implications for practice. Clin Child Psychol Psychiatry 1996, 1:133-156.
53. Mufson L., Dorta K., Wickramaratne P. A randomized effectiveness trial of interpersonal psychotherapy for depressed adolescents. Arch Gen Psychiatry 2004, 61:577-584.
54. Rosello J., Bernal G. The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. J Consult Clin Psychol 1999, 67:734-745.
55. Comas-Diaz L., Jacobsen F. Ethno cultural transference and countertransference in the therapeutic dyad. Am J Orthopsychiatry 1991, 61:392-402.
56. Weinstein C., Tomlinson-Clarke S., Curran M. Toward a conception of culturally responsive classroom management. J Teacher Educ 2004, 55:25-38.
57. Cardemil E., Reivich K., Beevers C., et al. The prevention of depressive symptoms in low-income minority children: two year follow-up. Behav Res Ther 2007, 45:313-327.
58. Kataoka S., Stein B., Jaycox L., et al. A school-based mental health program for traumatized Latino immigrant children. J Am Acad Child Adolesc Psychiatry 2004, 42:311-318.
59. Morsette A., Gyda S., Saxe G., et al. Cognitive Behavioral Intervention for Trauma in Schools (CBITS): School-based treatment on a rural American Indian reservation. Transcult Psychiatry 2004, 41:31-45.
60. US Department of Health and Human Services Administration for children and families, administration on children, youth and families, children's bureau. Child Maltreat 2007, Available at:, Accessed May 14, 2010. http://www.acf.hhs.gov/programs/cb/pubs/cm07/index.htm.
61. Blumberg E., Landsverk J., Ellis-MacLeod E., et al. Use of the public mental health system by children in foster care: client characteristics and service use patterns. J Ment Health Adm 1996, 23:389-405.
62. McCarthy J., Van Buren E., Irvine M. Child and family services reviews 2001-2004: a mental health analysis 2007, Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children's Mental Health and the Technical Assistance Partnership for Child and Family Mental Health, American Institutes for Research, Washington, DC.
63. Cross T., Earle K., Simmons D. Child abuse and neglect in Indian country: policy issues. Fam Soc 2000, 81:49-58.
64. Pires S., Lazear K., Conlan L. A primer for child welfare 2008, National Technical Assistance Center for Children's Mental Health; Georgetown University Center for Child and Human Development, Washington, DC.
65. dosReis S., Zito J., Safer D., et al. Mental health services for youths in foster care and disabled youths. Am J Public Health 2001, 91:1094-1099.
66. Harman J., Childs G., Kelleher K. Mental health care utilization and expenditures by children in foster care. Arch Pediatr Adolesc Med 2000, 154:1114-1117.
67. Halfon N., Zapeda A., Inkelas M. Mental health services for children in foster care. UCLA Center Healthier Children Fam Comm 2002, 4:1-13.
68. McMillen J., Scott L., Zima B., et al. Use of mental health services among older youths in foster care. Psychiatr Serv 2004, 55:811-817.
69. Clark H., Davis M. Transition to adulthood: a resource for assisting young people with emotional or behavioral difficulties 2000, Paul H. Brookes, Baltimore (MD).
70. Courtney M., Barth R., Berrick J. Race and child welfare services: past research and future directions. Child Welfare 1996, 75:99-137.
71. Leve L., Fisher P., Chamberlain P. Multidimensional treatment foster care as a preventive intervention to promote resiliency among youth in the child welfare system. J Pers 2009, 77:1869-1902.
72. Weiner D., Schneider A., Lyons J. Evidence based treatments for trauma among culturally diverse foster youth: Treatment retention and outcomes. Child Youth Serv Rev 2009, 31:1199-1205.
73. Hsia H., Bridges G., McHale R. Disproportionate minority confinement: 2002 update 2004, Department of Justice, Office of Juvenile Justice and Delinquency Prevention, Washington, DC.
74. Kashani J., Jones M., Bumby K., et al. Youth violence: psychosocial risk factors, treatment, prevention, and recommendations. J Emot Behav Disord 1999, 7:200-210.
75. Atkins D., Pumariega A., Montgomery L., et al. Mental health and incarcerated youth. I: Prevalence and nature of psychopathology. J Child Fam Stud 1999, 8:193-204.
76. Teplin L., Abran K., McClelland G., et al. Psychiatric disorders in youth in juvenile detention. Arch Gen Psychiatry 2002, 59:1133-1143.
77. Shufelt J., Cocozza J. Youth with mental health disorders in the juvenile justice system: results from a multi-state prevalence study 2006, National Center for Mental Health and Juvenile Justice Research and Program Brief, Delmar (NY), Available at:, Accessed August 14, 2010. http://www.ncmhjj.com/pdfs/publications/PrevalenceRPB.pdf.
78. Rogers K., Zima B., Powell E., et al. Who is referred to mental health services in the juvenile justice system?. J Child Fam Stud 2002, 10(4):485-494.
79. Vander-Stoep A., Evens C., Taub J. Risk of juvenile justice system referral among children in a public mental health system. J Ment Health Adm 1997, 24:428-442.
80. Zachik A., Naylor M., Klaehn R. Child and adolescent psychiatry leadership in public mental health, child welfare, and developmental disabilities agencies. Child Adolesc Psychiatr Clin N Am 2010, 19:47-61.
81. Altschuler D. Intermediate sanctions and community treatment for serious and violent juvenile offenders. Serious and violent juvenile offenders 1998, 367-388. Sage, Thousand Oaks (CA). R. Loeber, D. Farrington (Eds.).
82. Lipsey M., Wilson D., Cothern L. Effective intervention for serious juvenile offenders OJJDP Bull 2000, U.S. Department of Justice: Office of Juvenile Justice and Delinquency Prevention, Washington, DC, Available at:, Accessed August 14, 2010. http://www.ncjrs.gov/pdffiles1/ojjdp/181201.pdf.
83. Sexton T., Alexander J. Functional family therapy for at-risk adolescents and their families. Comprehensive handbook of psychotherapy: cognitive-behavioral approaches 2002, 117-166. Wiley, New York. F. Kaslow, T. Patterson (Eds.).
84. U.S.Office of the Surgeon General Mental health: race, ethnicity, and culture: a supplement to the surgeon general's report on mental health 2001, Substance Abuse and Mental Health Administration, U.S. Department of Health and Human Services, Washington, DC.