Broadening the Base of Treatment for Alcohol Problems (1990) / Chapter Skim
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Chapter 17--Conclusions and recommendations
Chapter 17--Conclusions and recommendations
Pages 399-405
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From page 399... ...
, however, it found that there has been little evaluation of efforts to develop treatment programs tailored to the diverse needs of special populations. There have been no additional studies since the Saxe review to change the conclusion that the evidence is not available to resolve the ongoing disagreement between those who believe that it is important to provide culturalb specialized treatment programs using sta~who share the cultural background (and language, where appropriate)
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From page 400... ...
Such factors as racial and ethnic group identification of the target population and of the program staff, service locations, the structure and programs of the service delivery system, the source and means of financing, and the racial and academic backgrounds of administrators of minority service programs are important variables to be considered in providing culturally specific programming. The committee recognizes that total reliance on isolated treatment programs, each serving a particular subpopulation that has been defined as Special, is neither cost-effective nor realistic at best, and, may be anti-therapeutic at worst.
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From page 401... ...
Little is known regarding the impact on outcome of culturally specific treatments whether implemented in culturally specific programs or generic mainstream programs. There is also limited information on the comparative effectiveness of mainstream treatment for different special population groups and on whether the increased availability of special treatment programs encourages those within the targeted population who are in need of treatment to seek it.
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From page 402... ...
It will then be possible to compare treatment process and treatment outcome for the special population in culturally specific and mainstream programs. The design of such studies should also include identification of the unique and specific elements of treatment in culturally relevant treatment programs.
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From page 403... ...
In the case of special populations, the establishment of rapport with social network members and intimate knowledge of community resources may depend on staff themselves being part of the special population with which the person in treatment is identified. This objective can be achieved either by increasing special population representation among treatment staffs or by increasing the heterogeneity of staff and broadening their training accordingly.
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From page 404... ...
To avoid misinterpretation, the committee believes it prudent to emphasize that the conclusion it noted at the beginning of this chapter regarding the lack of more refined knowledge on the effectiveness of culturally specific treatments should not be taken as a rationale for discontinuing the funding of such programs. Even though there is no definitive evidence at this time that these programs provide more effective treatment, the committee has concluded that there is evidence that access to treatment has been improved for members of special populations, in many cases simply because of the development of these additional culturally sensitive programs.
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From page 405... ...
1988. Executive summary: Culture, special populations and alcoholism treatment.
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