Adaptation of Community Mental Health Worker Curricula: A Literature Review of Existing Framework and a Proposed Framework for Haitian Americans Público
Pierre-Louis, Bensey (Spring 2022)
Published
Abstract
Background: The United States is estimated to become more racially and ethnically diverse in
the next few decades. The increasing diversification of the United States population places a
responsibility on the health systems to ensure their services reach those of different racial
backgrounds. Black and Indigenous communities and People of Color (BIPOC) still face
extreme health disparities, especially in relation to mental health outcomes. Among Haitian
Americans (who represent a unique health disparity population in the U.S.), accessing quality
health care remains an important challenge, partly driven by a lack of culturally congruent
services. In an effort to address the unmet mental health needs of Haitian American
communities, a research team at the Morehouse School of Medicine (MSM) has undertaken a
cultural adaptation of the High School and Young Adult Community Health Worker
(HSYACMHW) Training Curriculum, originally developed by MSM’s Innovation Learning Lab
in 2015.
Purpose: The purpose of this thesis is to develop a framework for best cultural adaptation
practices for mental health interventions targeting Haitian American young adults. These
recommendations will be integrated into the cultural adaptation process that the Morehouse
School of Medicine’s Innovation Learning Lab will use in tailoring the HSYACMHW program
for a Haitian American population.
Methods: This chapter presents a summary and analysis of literature published between 1995
and 2021 on best practices for cultural adaptation for mental health interventions and contexts
where it has been implemented. I created a new framework that integrated components from the
Ecological Validity Model and the 4 Domain Cultural Adaptation Model.
Results: A new cultural adaptation framework that will aid the cultural adaptation of mental
health interventions for Haitian Americans was created. Supplemental materials include a
cultural adaptation content checklist and a cultural adaptation template to document
recommendations with examples from MSM’s program
Discussion: The integrated framework is among the newest cultural adaptation frameworks for
mental health interventions within the Haitian American young adult community. Its
development and future application to the Haitian American population are promising for the
future of Haitian American mental health. This new framework and the supplemental material
will help MSM’s Innovation Learning Lab to culturally adapt its HSYACMHW curriculum for
the Haitian American young adult population. My thesis will also assist organizations in their
mission to strengthen mental health.
Table of Contents
Chapter 1 Introduction ......................................................................................................... 1
Purpose Statement ....................................................................................................................... 3
Objectives .................................................................................................................................... 3
Significance Statement ................................................................................................................ 4
Key Terms ................................................................................................................................... 4
Chapter 2 Literature Review ................................................................................................ 5
General Cultural Adaptation Frameworks ..................................................................................... 5
Mental Health First Aid Interventions ......................................................................................... 12
Haitian Specific Interventions ....................................................................................................... 18
Chapter 3 Methods .............................................................................................................. 23
Figure 1: Categorization of General Adaptation Frameworks ..................................................... 23
Table 1: Ecological Validity Model in Topics, Definition and Elements ....................................... 24
Table 2: 4-Domain Cultural Adaptation Model (CAM4) ............................................................. 26
Chapter 4 Project Content ................................................................................................... 29
Integration of the Ecological Validity Model and the 4-Domain Cultural Adaptation Model to the . 29
Cultural Adaptation of Mental Health Interventions for Haitian Americans .................................... 29
Cultural Adaptation Content Checklist .............................................................................................. 31
Cultural Adaptation Template for Mental Health Intervention .......................................................... 32
Chapter 5 Discussion ............................................................................................................ 34
Integration of the Ecological Validity Model and the 4-Domain Cultural Adaptation Model to the
Cultural Adaptation of Mental Health Interventions for Haitian Americans ..................................... 34
Culturally Adaptation Content Checklist ........................................................................................... 35
Cultural Adaptation Template for Mental Health Intervention ........................................................ 35
Application to the Innovation Learning Lab ...................................................................................... 36
Figure 2: Innovation Learning Lab Young Adult Community Health Worker Training Modules .... 36
Limitations ........................................................................................................................................ 37
Implications for Public Health/Recommendations .......................................................................... 38
Future Directions/Recommendations ................................................................................................ 38
Conclusion ......................................................................................................................................... 39
References ............................................................................................................................ 40
About this Master's Thesis
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