Products and Resources Catalog

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  

Recovery in the Hispanic and Latinx Community Presentation Slides and Transcript

Recovery from SMI has been studied and documented by researchers, practitioners, and individuals with lived experience around the world and across time. Recovery is real. Recovery can be supported by practices and services that encourage participant engagement, community inclusion, valued social roles, and overall wellness. This webinar introduces recovery from SMI and many of the evidence-based and promising practices that support recovery. This session focuses on recovery in the Hispanic and Latinx community.  Webinar Objectives:  Review the terminology used to describe the Hispanic and Latinx demographic  Identify the cultural aspects that may affect mental health in the Latinx community Discuss the impact of culture, gender roles, religion/spirituality, and acculturation in the recovery process Identify strategies to make counseling culturally sensitive Identify interventions that are considered best practices for counseling   View presentation slides and transcript

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.

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.

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.

Mental Health Issues among Older Hispanic and Latino Adults in the United States is a fact sheet based on the webinar; Older Latinos in the U.S.: Mental Health Issues provided by Bernardo Ng, MD. Latino older adults are considered heterogenic and are underrepresented in research, posing challenges for practitioners. Some of the most prevalent mental health disorders among older Latinos include depression, neurocognitive disorders due to Alzheimer´s disease, and other neurocognitive disorders. Mental health clinicians serving older Latinos should consider the use of translators, interpreters, or having access to Spanish-speaking professionals for monolingual clients. Also, they can increase health literacy by creating and disseminating educational materials in Spanish or other dialects. Clinicians interested in offering services to Latinos should assess their own level of cultural responsiveness regarding Hispanic and Latino cultures. Spanish Version

Research has shown that individual outcomes are better, program compliance is higher, and organizations decrease staff time spent and complete fewer assessments when using interpreters in health and behavioral health settings. This net effect is mutually beneficial. There is a cost-saving for organizations and equal opportunity for limited English proficient service seekers. Discussion topics for this session include: • Latinx, Language Access, & COVID-19 • The importance of trained interpreters • Common practices of trained interpreters • Strategies for working with trained and untrained interpreters • Considerations for mental health settings

Due to the need for many mental health providers to transition to online service delivery as a result of COVID-19, this webinar will provide general guidance on the use of telehealth services. In particular, this webinar focus on providing recommendations for adapting common Cognitive Behavioral Therapy tools (e.g., repeated assessment, homework tracking, etc.) for use with clients via telehealth. Special linguistic and cultural considerations for providers of Latino clients will also be presented throughout the webinar.

For Latina survivors of gender-based violence added risks may result from the current lockdown and social distancing measures. 

Practicing one's culture promotes well-being. In this series, we explore how Latinx and Native people use cultural elements such as community pride, family, spirituality, and resiliency to live safe, happy, and healthy lives.  

The Northwest MHTTC invites you to read our April newsletter. We invite you to engage in self-care and share some resources and supports from our partners and colleagues who have poignant messages of coping and staying resilient. We are pleased to share several new products including webinars on stigma reduction among people with HIV to improve health outcomes, culturally and linguistically responsive care for early psychosis and behavioral health crisis response systems.

Efforts to improve the quality and population reach of services for psychosis underscore the need to provide culturally and linguistically responsive care (CLR). With an emphasis on early psychosis, this presentation reviews clinical and organizational best practices to promote such care. Highlights of research findings that empirically support the need for CLR care are presented and largely focus on Latinx sub-populations. For example, patients’ and their caregivers’ narratives of illness (psychosis) and of its treatment, expectations of patients’ functioning, and the nature of care-giving relationships, alongside social disadvantages are known to be linked with early psychosis service utilization and course of illness. Implications for practice and research applicable to multiple service settings with varying service sectors are illustrated.  Resources Slides available for download here View references for this presentation   Speaker Jorge Ramírez García, PhD, cared over 30 years for a family member diagnosed with Serious Mental Illness. His professional activities have focused on service programming and research to strengthen family and community care of individuals with psychosis. His research has examined holistic frameworks of family and ethno-cultural factors that affect – and are affected by – individuals with psychosis as well as at-risk-youth. He serves on the editorial boards of Cultural and Ethnic Minority Psychology and Journal of Latinx Psychology. Jorge is a Research and Evaluation Scientist at Oregon Research Institute and has held Program and Research Analyst and Health Equity Coordinator positions at Greater Oregon Behavioral Health. He currently serves on the Cultural Competence and Continuing Education steering committee and the Health Equity Committee of the Oregon Health Authority.        

Every year we celebrate Hispanic Heritage Month and make strides to helping the broader U.S. society learn more about Hispanics as a group. This is important and we should continue to do so. But to truly begin to impact the health and mental health inequities impacting Latinx, we must go beyond the three F’s that characterize heritage months: food, fun, and festival. We need to better understand the significant differences in the very diverse Latinx community, from generational, linguistic, and acculturation differences among various Latinx subgroups, to geographic differences across the U.S. We must also truly understand that being Latinx is not sufficient to effectively work with Latinx communities, and that non-Latinx providers, who are the majority of providers, can learn to work effectively with the Latinx community. This 1-hour webinar targeted to Latinx and non-Latinx providers will help us begin to “unpack” Latinx diversity and discuss what this diversity means for service provision in health and behavioral health.

This presentation, by a non-Latino clinician who has worked extensively in Spanish and with Latino patients, integrates available research on effective clinical practice with Latinos with the first-hand experience in providing transcultural psychotherapy.

On this webinar, the developer of a therapeutic intervention for adults, youth, and families who are experiencing behavioral health problems related to past or ongoing traumatic victimization or adversity will provide an introductory overview of Trauma Affect Regulation: Guide for Education and Therapy© (TARGET). The intervention provides unique psychoeducation based on a translation of neurobiological research on the impact of trauma on brain functioning, and a practical transtheoretical sequential skillset for recovering from complex traumatic stress symptoms (“survival mode”) and associated behavioral health problems and developing resilience. A description of the research will provide support on the use and implementation of TARGET’s effectiveness.

This webinar reviews the state of knowledge on suicide attempts by adolescent Latinas who have reported higher-than-average rates over the past 30 years. Dr. Zayas will cover the developmental issues of adolescence and cultural and family systems that bear on Latina’s suicide attempts. Some time will be devoted to how the girls describe suicide attempts. Approaches to prevention and identification in schools and to family-centered treatments will be discussed.