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Improving access and reducing barriers to depression treatment for Latino elders: Un Nuevo Amanecer (A New Dawn)

TitleImproving access and reducing barriers to depression treatment for Latino elders: Un Nuevo Amanecer (A New Dawn)
Publication TypeJournal Article
Year of Publication2012
AuthorsChavez-Korell, S, Rendon, ADelgado, Beer, J, Rodriguez, N, Garr, AD, Pine, CA, Farias, R, Larson, L, Malcolm, E
JournalProfessional Psychology: Research and PracticeProfessional Psychology: Research and Practice
Volume43
Pagination217-226
Date PublishedJun
ISBN Number0735-7028<br/>1939-1323
Accession NumberPeer Reviewed Journal: 2012-14976-006
Keywords*Aging, *Cultural Sensitivity, *Latinos/Latinas, *Major Depression, *Treatment Barriers, Collaboration, Health & Mental Health Services [3370], Human Adulthood (18 yrs & older) Middle Age (40-64 yrs) Aged (65 yrs & older), Latino mental health, collaborative care, cultural adaptation, depression, older adults, access, barriers, Un Nuevo Amanecer, A New Dawn, Mental Health, Treatment Outcomes, us
AbstractCultural adaptations to evidenced-based practices have the potential to bridge scientifically rigorous interventions to underserved populations. Un Nuevo Amanecer (A New Dawn) is a depression treatment program for Latino older adults and elders (age 60 years and older) with depressive disorders (i.e., major depression, minor depression, and dysthymia). We have implemented an evidence-based practice, originally designed for older adults in a primary care setting, into a community center setting serving Latino elders. Implementation of the evidence-based practice involved relatively little adaptation of the clinical protocol, which facilitated fidelity to the evidence-based model. The major adaptations were cultural adaptations in response to the target population and the community center setting. Treatment outcomes provide preliminary support for a significant reduction in depressive symptoms for Un Nuevo Amanecer clients. In this article, we introduce the presenting concerns and the implemented evidence-based practice; delineate key cultural adaptations to the evidence-based practice specific to our population and setting; offer a case example; and provide preliminary outcome data. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract).