Racial/ethnic disparities in therapist effectiveness: a conceptualization and initial study of cultural competence.

摘要: As a result of mental health disparities between White and racial/ethnic minority clients, researchers have argued that some therapists may be generally competent to provide effective services but lack cultural competence. This distinction assumes client background is source variability in therapist effectiveness. However, there been no direct tests the as disparities. We provided an initial test general competence by examining analyzed cannabis use outcomes from psychotherapy trial (N = 582) for adolescent abuse dependence using Bayesian multilevel models count outcomes. first tested whether differed their effectiveness then treatment varied across caseloads. Results suggested according background. Therapist depend partially on background, providing evidence it valid distinguish