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The term institutional racism was first used with the intent of differentiating individual racist acts from policies or practices that are built into the structures of various social  institutions  and  which continue to operate even without the active support and maintenance of individuals. Seen from this angle, discrimination, and racism more specifically, exists on a spectrum ranging from individual to the institutional to the structural. In the United States, 92% of Blacks, 78% of Latinxs, 75% of Native Americans, and 61% of Asian Americans have reported experiencing racial discrimination in the form of racial slurs, violence, threats, and harassment. Discrimination is associated with poor mental and physical health, unhealthy behaviors, declines in the utilization of care, and nonadherence to medical recommendations and treatment. This panel discusses terms related to racism, institutional racism, and prejudice and their impact on the mental health of communities of color. Panelists address, practices, policies, and regulations that perpetuate an imbalance of power and opportunity in mental health systems for communities of color and will provide recommendations for practitioners.

This one and half-hour online session provides information on third, sixth, and eighth-largest population of Hispanic origin living in the United States. The presenter provides information about the languages, traditions, customs, values, spirituality, and the social, historical, and political context that led them to immigrate to the United States. Also, he discusses migration trauma and its impact on mental health.   Slides are available here.

This one and half-hour part two online training was designed to provide an overview of the culturally adapted Dialectical Behavior Therapy (DBT) for Hispanic and Latino clients. During this second part, participants learn and apply fundamentals of DBT skills: Mindfulness, Distress Tolerance, Emotion Regulation, Dialectical Thinking, and Interpersonal Effectiveness. A case study of a Mexican woman presenting cultural issues and with a diagnosis of depression and anxiety will be discussed using a Spanish DBT group therapy modality. Dr. Reutter discusses types of parenting that impact Latina adolescents with suicidal behavior. Participants receive resources and recommendations regarding culturally adapted DBT for Latino clients. Slides are available here.

This 90-minute online session discusses concepts and skills related to family therapy as well as the cultural values that may be incorporated into therapy with Latino children and adolescents. The speakers discuss a case that illustrates the application of structural family therapy with a young Mexican girl and their family using active listening, play therapy, cultural elements of familismo, spirituality, and personalismo in treatment provision. Challenges encountered during engagement and treatment with the client and their family will be described as well as resources and recommendations for those challenges.   Slides are available here.

This one and half-hour online session provides information on the largest Hispanic and Latino population in the United States, the Mexican population. The presenter provides information about the languages, traditions, customs, values, spirituality, and the social, historical, and political context that led them to immigrate to the United States. Also, they will discuss how to engage them in the assessment, evaluation, and diagnosis of mental health illness.   Slides are available here.

This one and half-hour part one online training is designed to provide an overview of the culturally adapted Dialectical Behavior Therapy (DBT) for Hispanic and Latino clients. This virtual training is divided into two parts. In Part 1 of the presentation, Dr. Kirby reviews the basic goals, history, and philosophy of DBT and will apply a mindfulness exercise. It also will describe practical adaptations and explain how to implement DBT skills effectively for Hispanic and Latino clients.   Slides are available here.

Click the link above to view the webinar recording of Understanding Suicide session 2: Adolescents and the Changing Brain from July 8th, 2020. 

Click the link above to download the handouts for the webinar Understanding Suicide session 2: Adolescents and the Changing Brain that was held on July 8th, 2020. 

Hispanos y latinos Mayores en los Estados Unidos con Condiciones de Salud Mental es una hoja informativa basada en el webinar facilitado por el Dr. Bernardo Ng, psiquiatra Latino y ex presidente de la American Society of Hispanic Psychiatry. La población de latinos mayores es heterogénea y está subrepresentada en la investigación, lo cual representa un desafío para los clínicos. Entre los trastornos de salud mental más frecuentes entre los latinos mayores se encuentra la depresión, la enfermedad de Alzheimer y otros trastornos neurocognitivos. Los proveedores de servicios de salud mental que atienden latinos mayores deben considerar el uso de traductores e intérpretes, o tener acceso a profesionales que hablan español para personas monolingües. Además, pueden aumentar la literacia en salud de sus clientes al desarrollar y diseminar materiales educativos en español u otros dialectos. A su vez, los clínicos interesados ​​en ofrecer servicios a los latinos mayores deben evaluar su propio nivel de sensibilidad cultural con respecto a las poblaciones hispanas y latinas.   Versión en inglés  

En este webinar comenzamos conociendo los conceptos básicos de la comunidad LGBT. Además, nos adentramos al contexto psicosocial de la comunidad trans, cuir y no binarie para poder ser empáticos, sensibles y efectivos en la provisión de servicios de salud a esta población.   Slides are available here.

This brochure covers all programs offered through the Native Center for Behavioral Health at the University of Iowa. 

This webinar will start defining the basic concepts that comprehend the LGBTQ+ community. These concepts will set the tone to understand how minority groups become vulnerable populations in Latinx communities. Our main objective is to promote sensible, empathic, and effective treatment strategies for the provision of mental health services.   Slides are available here.

  This online session provides to mental health providers information about a tailored CBT for Latinx youths. Cognitive behavioral therapy (CBT) is an evidence-based treatment for depressed Latinx youths as well as White youths with depression and suicidal behaviors. However, evidence-based treatments for ethnic minority and gender and sexually diverse youth, including Latinx teens with suicidal behaviors, is limited. A culturally centered CBT treatment protocol for suicidality (Socio-Cognitive Behavioral Therapy for Suicidal Behavior-SCBT-SB) was developed in Puerto Rico to address the specific needs of Latinx teens and their families. The SCBT-SB addresses central issues in adolescent identity formation (e.g. ethnicity and sexual orientation) along with family interactions and communication. Further modifications were done to expand the SCBT-SB applicability to Latinx families in the USA. The feasibility of this modified version of the SCBT-SB was tested in the USA by conducting a pilot randomized clinical trial (RCT) of the SCBT versus treatment-as-usual (TAU) in a real-world setting with positive results. A randomized clinical trial is underway, funded by the National Institute on Minority and Health Disparities (NIMHD), to test the efficacy and effectiveness of the SCBT-SB. The rationale for developing a culturally centered CBT protocol, the change model, and its main components will be presented.  Slides are available here.

This is a PDF version of the slides shared in this presentation!

Our webinar from JUNE 10th, 2020 Understanding Suicide Introduction and General Information on Suicide Prevention is available for viewing at the link above.

Talking about death and dying is always difficult, but communicating to families during pandemics like COVID-19 poses special challenges. This presentation discusses strategies for respectfully communicating with Latino families about COVID related end of life issues.

This one-hour online session discusses the intersection between posttraumatic stress disorder (PTSD) and intimate partner violence (IPV) in Latino military families. IPV is a public health problem in the United States that manifests at significantly higher rates and differently in military populations than their civilian counterparts as they are exposed to trauma who evidence symptoms of PTSD and other mental health conditions. As this presentation illustrates, evidence indicates that the development of posttraumatic psychopathology, and particularly PTSD, is strongly associated with the development of violence and abusive behavior in relationships. The intersection between PTSD and Trauma and the development of family violence manifests uniquely among mono and interracial Latino families. In addition to the review of research on the association between PTSD and IPV in Latino military families, in this presentation, we discuss information processing models explaining the link between PTSD and IPV and potential moderators of this association, as well as strategies to prevent and treat IPV in this population. Recommendations for future work in this area of investigation and program development are also provided. Slides are available here.  

Presentation Slides    Webinar's FAQ   COVID-19 has impacted so many individuals physically, psychologically, socially, and financially. Many individuals from the Latino population have been significantly impacted due to the ongoing disparities in health care and resource availability. Telehealth services have been a way to provide desperately needed services in a safe way, but there are significant challenges to providing services that consider the cultural needs of the individual as well. In this webinar, we will discuss the challenges of treating Latino clients during the COVID crisis, and we will discuss how to assess and provide interventions to meet the needs of Latino individuals using telehealth modalities.

The National American Indian and Alaska Native Mental Health Technology Transfer Center would like to share with you Volume 2, Issue 1 of our newsletter, Mental Health in our Native American Communities for Summer 2020: Caring for Our Relations: Post-Traumatic Stress Disorder in Indian Country. Please take a few moments to explore this issue.

Disparities in health care and mental health care are more evident than ever. Some areas of concern include limited access to high-quality care and the availability of culturally grounded evidence-based treatment and services for Hispanics and Latinos. Addressing these disparities, the National Hispanic and Latino MHTTC developed this booklet. It emphasizes the social determinants of health (SDOH), as well as non-medical health-related social needs (HRSN) and their impact on mental health outcomes. It offers recommendations for mental health providers, researchers, and consumers to reduce disparities among Latino communities, including increasing awareness and the importance of being trained in culturally grounded evidence-based interventions. Treatment works! Most Latinos who seek specialty mental health care do get better.

This one-hour online session focuses on the importance of co-developing the Training of Trainers (TOT) curriculum with the direct participation of community members. One academic institution and two non-profit organizations collaborated to co-develop a TOT about the intersection of domestic violence, trauma, and mental health among Latinx families and children. We will review the implementation of the TOT and the preliminary results, as well as for the creative ways of disseminating the TOT under the nation's COVID-19 crisis. Participants will learn about the importance of partnering with grassroots organizations to develop psychoeducational curricula and become familiar with the impact of the intersection of domestic violence, trauma, and mental health in Latinx children and families. The presenter will provide innovative ways of disseminating a TOT curriculum online.

The current worldwide public health emergency has prompted many mental health providers to adapt to an online method of service delivery. In response to the changes demanded by COVID-19, this webinar provides general guidance on the integration of Latinx cultural values and motivational interviewing principles via telehealth. Specifically, this webinar focus on providing strategies for adapting motivational interviewing through a culturally affirming lens to enhance engagement and facilitate change.

This one-hour online session focus on the identification and description of common barriers to treatment when working with traumatized Hispanics and Latinos. The presenter will provide practical treatment strategies for overcoming these barriers during the COVID-19 pandemic, strategies for effective and efficient trauma processing, and a concrete model for rapid crisis de-escalation based on a case study of a Hispanic client.

Aims: Minority groups are underrepresented in the research on coordinated specialty care (CSC). New Mexico (NM) has the highest percentage of Hispanics and Latinos (48.8%) and the second-highest percent of Native Americans (8.7%) in the U.S. Therefore, NM is in a unique position to better understand the socio-demographic and clinical characteristics of Hispanics and other minorities (H&OM) referred to and enrolled in CSC and to learn about the communities in which they live. Methods: A cross-sectional design was used to explore differences among 67 White Non-Hispanics and 113 H&OMs referred to CSC. Several variables were explored, such as age at referral, history of substance use, referral source, and enrollment status. Zip code data were also examined to explore differences in poverty and high school graduation rates. Results: H&OMs were significantly more likely than non-Hispanics to (i) be referred from inpatient and outpatient mental health services rather than communities sources (86% vs 65%), (ii) have a history of substance use (69% vs .46%), (iii) be lost to follow-up after initial referral (64% vs. 28%), and (iv) reside in communities with higher rates of poverty (20% vs. 16%) and lower rates of high school graduates (85% vs. 91%). Conclusions: These exploratory findings suggest the importance of (i) increasing psychosis literacy among H&OM families and community agencies that serve these individuals, and (ii) identifying ways to engage H&OMs referred to CSC. The community-level differences also suggest that H&OMs may benefit more than their non-Hispanics counterparts from vocational services within CSC and linkage to other community resources, such as food stamps.