WHY CULTURAL ADAPTATION IN DEVELOPMENTAL PSYCHOPATHOLOGY

This chapter reviews the historical context and challenges that have given rise to this field, the methods and models used to address these challenges, and exemplars of culturally adapted interventions for children and adolescents. Although interventions to address the needs of vulnerable youth exist on a continuum from those that seek primarily to promote health and positive development for whole populations to those targeted at individuals with severe disorders (Weisz, Sandler, Durlak, & Anton, 2005), our presentation of exemplars broadly encompasses the preventive end of the spectrum that addresses risk before it has evolved into debilitating forms of psychopathology, including universal prevention approaches that address risk factors in general populations, selective preventive interventions that target those segments of the population with greater than normal risk of developing a disorder, and indicated approaches that focus on subgroups exhibiting early signs or symptoms of developing a disorder (Mrazek & Haggerty, 1994). The specific goals of the chapter are to: (1) articulate the issues and challenges that have shaped current approaches to cultural adaptation of EBIs; (2) review approaches and models for designing cultural adaptations of EBIs, including frameworks for deciding when, what, and how adaptations should be made; (3) present exemplars of cultural adaptations of EBIs targeting a range of social, emotional, behavioral, and health outcomes; and (4) summarize strengths, limitations, and future directions for the field.

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