Adaptation of preventive interventions for a low-income, culturally diverse community

J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):879-86. doi: 10.1097/00004583-200108000-00008.


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.

Publication types

  • Case Reports
  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Boston
  • Caregivers / education
  • Caregivers / psychology
  • Child
  • Child of Impaired Parents / psychology*
  • Community Mental Health Services
  • Cultural Characteristics
  • Depression / therapy*
  • Family Therapy / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Poverty / psychology*
  • Primary Prevention
  • Psychotherapy, Brief / methods
  • Single Parent / education
  • Single Parent / psychology*
  • Social Problems / prevention & control