Culturally Responsive Trauma-Informed Services: A Multilevel Perspective from Practitioners Serving Latinx Children and Families

Guevara, Ana Maria Meléndez; Johnson, Sarah Lindstrom; Elam, Kit K.; Hilley, Chanler; Mcintire, Cami; Morris, Kamryn S.

doi:10.1007/s10597-020-00651-2

Cited by 24 publications

(15 citation statements)

References 60 publications

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“…Understanding what providers know about complex layers of trauma in Latinx immigrants points to the necessity to identify and treat ongoing and cumulative trauma with trauma-informed, evidence based, and culturally sensitive practices. Consistent with prior research, providers often lack culturally sensitive training on how to identify and treat ongoing trauma (Meléndez Guevara et al, 2021). Providers, however, are aware of and learn about the family’s history of trauma through informal conversations rather than from screening tools (Meléndez Guevara et al, 2021).…”

Section: Discussionmentioning

confidence: 93%

“…Consistent with prior research, providers often lack culturally sensitive training on how to identify and treat ongoing trauma (Meléndez Guevara et al, 2021). Providers, however, are aware of and learn about the family’s history of trauma through informal conversations rather than from screening tools (Meléndez Guevara et al, 2021). This is perhaps because trauma screening tools with psychometric properties have yet to be adapted to meet the needs of Latinx immigrant families (Venta & Mercado, 2019).…”

Section: Discussionmentioning

confidence: 93%

“…Access barriers include lack of insurance (Valdez et al, 2011), mental health resources (Valdez et al, 2011), language concordance (Valdez et al, 2011), and discrimination (Edward & Hines-Martin, 2015). The inability to address trauma through a cultural lens (Meléndez Guevara et al, 2021), including the overreliance on culture to understand psychological distress (Olcoń & Gulbas, 2018) were identified as barriers providers faced during treatment. These studies point future research to first better understand what providers know about the mental health needs of Latinx immigrant families who are actively engaged in care and providers’ experiences addressing these needs in order to improve service delivery and develop culturally sensitive mental health interventions.…”

mentioning

confidence: 99%

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Latinx immigrants and complex layers of trauma: Providers’ perspectives.

Grafft¹,

Rodrigues²,

Costas-Rodriguez³

et al. 2022

Journal of Latinx Psychology

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There is a large body of literature dedicated to understanding the postimmigration factors that influence the mental health of Latinx immigrant families with little attention paid to experiences prior to or during the migration journey. Given that providers, who work predominantly with the Latinx immigrant population, have first-hand knowledge and can offer a unique perspective on the mental health needs of Latinx immigrants and the interplay between immigration and mental health, this study sought their input. A total of 21 providers were recruited. The participants were direct service providers who had extensive experience working with Latinx immigrant families. We oversampled mental health providers. The data were analyzed using thematic analysis and themes were matched with the transnational theory of cultural stress. Most providers (90%) were females. Two-thirds of providers were Latinx. The majority of providers (57%) had been practicing 5 years or more. Five themes emerged: (1) exposure to violence in the clients’ country of origin, (2) issues of violence and family separation encountered during the clients’ immigration journey, (3) unique immigration-related difficulties influence clients’ mental health upon arrival to the U.S., (4) complex layers of trauma, and (5) clients proactively utilize community organizations for resources and support. Findings from this study indicate that the experience of trauma, along the immigration continuum, is common for Latinx immigrant families. Future research should aim to create culturally appropriate trainings and use validated trauma screening tools to appropriately identify and treat trauma in the Latinx immigrant population.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 93%

mentioning

confidence: 99%

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Latinx immigrants and complex layers of trauma: Providers’ perspectives.

Grafft¹,

Rodrigues²,

Costas-Rodriguez³

et al. 2022

Journal of Latinx Psychology

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“…An often overlooked but fundamental principle of a trauma-informed approach involves cultural humility [ 34 ]. Cultural humility through culturally competent practices (e.g., acknowledgement of diverse values, beliefs, and behaviors) supports the understanding of the multilayered intersection between trauma and aspects of culture including race, ethnicity, gender, geographic location, socio-political particularities, and language [ 35 , 36 ]. Unfortunately, current guidelines in trauma-informed approaches do not sufficiently account for cultural humility as a facilitator of service delivery and engagement in working with ethnic/racial minorities.…”

Section: Cultural Humilitymentioning

confidence: 99%

“…Unfortunately, current guidelines in trauma-informed approaches do not sufficiently account for cultural humility as a facilitator of service delivery and engagement in working with ethnic/racial minorities. As evidenced by the findings of a systematic review by Hanson and Lang [ 37 ] on the principal components of trauma-informed approaches from well-established frameworks, such as SAMHSA, cultural humility did not emerge as a core component, nor did the significant role of structural inequities on traumatic exposure or service access [ 35 ].…”

Section: Cultural Humilitymentioning

confidence: 99%

Next Steps: Applying a Trauma-Informed Model to Create an Anti-Racist Organizational Culture

Esaki

Reddy²,

Bishop

2022

Behavioral Sciences

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Although there has been a significant increase in the delivery of evidence-supported, trauma-informed care over the past few years, there has been less discussion around the consideration of the broader cultural, political, and societal factors that contextualize client trauma and that also need to be recognized and understood to promote healing and prevent future trauma. In support of sharing some best practices and lessons learned, this article provides a case study of one agency that has used the Sanctuary Model®, an evidence-supported, trauma-informed organizational change model, to introduce the practice of cultural humility with staff as a facilitator of improved service delivery for clients from culturally marginalized communities. The model supports these endeavors through the adherence to the seven commitments, a set of organizational values for creating a trauma-informed community, allowing for all voices to be heard and considered and providing opportunities to begin the repair of previous experiences of inequity and suppression. Through the board of directors, leadership, and staff, the organization transformed its culture into one that truly supports and embraces diversity, equity, and inclusion in its operation for the benefit of both staff and clients alike.

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Finding voice in a year of collective trauma: Case study of an online photovoice project with youth

Macias

Nava²,

Delgadillo³

et al. 2022

American J of Comm Psychol

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In this article, we share findings from a qualitative case study of a virtual youth photovoice program implemented across three regions of the United States. The purpose of the program was to engage youth in research on a social issue relevant to them during an unprecedented year marked by two public health crises, COVID‐19 and anti‐Black racial violence. Results of an analysis of curriculum and archival program materials lend support for online strategies for youth engagement including individualized support and online audiovisual presentations with avatars. Racial justice and trauma‐informed adaptations were designed to be responsive to youth needs for flexible programming and safe spaces. Themes captured in the first online gallery of youth photos include (1) tools for mental health, (2) meaningful connection, and (3) community advocacy, bringing attention to structural issues as well as family and community strengths. Findings suggest photovoice can be thoughtfully adapted for youth researchers and support individual and group storytelling in response to collective trauma.

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Culturally Responsive Trauma-Informed Services: A Multilevel Perspective from Practitioners Serving Latinx Children and Families

Cited by 24 publications

References 60 publications

Latinx immigrants and complex layers of trauma: Providers’ perspectives.

Latinx immigrants and complex layers of trauma: Providers’ perspectives.

Next Steps: Applying a Trauma-Informed Model to Create an Anti-Racist Organizational Culture

Finding voice in a year of collective trauma: Case study of an online photovoice project with youth

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