%0 Journal Article
%T Adaptation of preventive interventions for a low-income, culturally diverse community
%J Journal of the American Academy of Child and Adolescent Psychiatry
%D 2001
%A Podorefsky, Donna L.
%A McDonald-Dowdell, M.
%A Beardslee, W. R.
%V 40
%N 8
%P 879-886
%X OBJECTIVE: To describe essential elements in the adaptation of a prevention approach with a high-risk urban sample, chosen to contrast sharply with the primarily middle-class sample in which it had been originally tested. METHOD: Key elements of a preventive intervention for families with parental depression were adapted for use in the new context. RESULTS: A sequence of alliance-building events was implemented, involving engagement at three levels: community, caregivers, and family. The prevention approach was modified to include an expanded approach to defining depression and resilience; greater flexibility on the part of the clinician; more intensive engagement between clinician and family, with a focus on immediate daily concerns; as well as awareness of cultural issues and responsiveness to the subject's experience of violence. CONCLUSION: Core principles of helping family members to discuss the effects of depression and adversity on family life were affirmed.<p /> <p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 0890-8567
%U http://dx.doi.org/