Diversity Issues in Pediatric Behavioral Health Care

Valenzuela, Jessica M.; Tatum, Kristina; Lui, Joyce H. L.

doi:10.1007/978-3-030-21683-2_3

Jessica M. Valenzuela⁴,
Kristina Tatum⁴ &
Joyce H. L. Lui⁵

Part of the book series: Autism and Child Psychopathology Series ((ACPS))

1823 Accesses

Abstract

Youth from racial/ethnic, sexual, and gender minority groups have significant disparities in health and mental health outcomes. While the literature suggests that evidence-based cognitive behavioral therapies benefit youth and families with minority or marginalized status, less research has focused specifically on these populations in pediatric behavioral health care. Existing evidence pointing to the potential positive impact of pediatric psychologists working with marginalized communities including racial/ethnic minority and LGBTQ youth will be reviewed, along with a brief discussion of the relevance of culturally adapted or tailored interventions in pediatric behavioral health care. Important considerations for practitioners working with minority or marginalized youth and families will be discussed, including issues of mistrust, stigma, and accessibility of services.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Chapter: USD 29.95; Price excludes VAT (USA)

eBook: USD 219.00; Price excludes VAT (USA)

Softcover Book: USD 279.99; Price excludes VAT (USA)

Hardcover Book: USD 279.99; Price excludes VAT (USA)

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

Akresh, I. R., & Frank, R. (2008). Health selection among new immigrants. American Journal of Public Health, 98(11), 2058–2064. https://doi.org/10.2105/AJPH.2006.100974.
Article Google Scholar
Alexander, S. C., Fortenberry, J. D., Pollak, K. I., Bravender, T., Østbye, T., & Shields, C. G. (2014). Physicians’ use of inclusive sexual orientation language during teenage annual visits. LGBT Health, 1(4), 283–291. https://doi.org/10.1089/lgbt.2014.0035.
Article Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed.). Arlington, VA: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596.
Book Google Scholar
American Psychological Association. (2012). Guidelines for psychological practice with lesbian, gay, and bisexual clients. The American Psychologist, 67(1), 10–42. https://doi.org/10.1037/a0024659.
Article Google Scholar
American Psychological Association & National Association of School Psychologists. (2015). Resolution on gender and sexual orientation diversity in children and adolescents in schools. Retrieved from http://www.apa.org/about/policy/orientation-diversity.aspx
American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61(4), 271. https://doi.org/10.1037/0003-066X.61.4.271.
Article Google Scholar
Anton, B. S. (2010). Proceedings of the American Psychological Association for the legislative year 2009: Minutes of the annual meeting of the council of representatives and minutes of the meetings of the board of directors. American Psychologist, 65(5), 385–475. https://doi.org/10.1037/a0019553.
Article Google Scholar
Austin, A., & Craig, S. L. (2015). Transgender affirmative cognitive behavioral therapy: Clinical considerations and applications. Professional Psychology: Research and Practice, 46(1), 21. https://doi.org/10.1037/a0038642.
Article Google Scholar
Avila, R. M., & Bramlett, M. D. (2013). Language and immigrant status effects on disparities in Hispanic children’s health status and access to health care. Maternal and Child Health Journal, 17(3), 415–423. https://doi.org/10.1007/s10995-012-0988-9.
Article Google Scholar
Aylward, B. S., Bender, J. A., Graves, M. M., & Roberts, M. C. (2009). Historical developments and trends in pediatric psychology. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (4th ed., pp. 3–18). New York, NY: Guilford Press.
Google Scholar
Banna, J. C., Kaiser, L., Drake, C., & Townsend, M. (2012). Acculturation, physical activity and television viewing in Hispanic women: Findings from the 2005 California Women’s Health Survey. Public Health Nutrition, 15, 198–207. https://doi.org/10.1017/S1368980011001273.
Article Google Scholar
Barrera, M., Jr., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81(2), 196–205. https://doi.org/10.1037/a0027085.
Article Google Scholar
Barrera, M., Jr., Berkel, C., & Castro, F. G. (2017). Directions for the advancement of culturally adapted preventive interventions: Local adaptations, engagement, and sustainability. Prevention Science, 18(6), 640–648. https://doi.org/10.1007/s11121-016-0705-9.
Article Google Scholar
Beck, A. F., Cohen, A. J., Colvin, J. D., Fichtenberg, C. M., Fleegler, E. W., Garg, A., et al. (2018). Perspectives from the Society for Pediatric Research: Interventions targeting social needs in pediatric clinical care. Pediatric Research, 83(6), 1–12. https://doi.org/10.1038/s41390-018-0012-1.
Article Google Scholar
BeLue, R., Miranda, P., Elewonibi, B., & Hillemeier, M. (2014). The association of generation status and health insurance among US children. Pediatrics, 134, 307–314. https://doi.org/10.1542/peds.2013-3337.
Article Google Scholar
Ben, J., Cormack, D., Harris, R., & Paradies, Y. (2017). Racism and health service utilisation: A systematic review and meta-analysis. PLoS One, 12, e0189900. https://doi.org/10.1371/journal.pone.0189900.
Article Google Scholar
Berlan, E. D., Corliss, H. L., Field, A. E., Goodman, E., & Austin, S. B. (2010). Sexual orientation and bullying among adolescents in the growing up today study. Journal of Adolescent Health, 46(4), 366–371. https://doi.org/10.1016/j.jadohealth.2009.10.015.
Article Google Scholar
Bernal, G., Jiménez-Chafey, M. I., & Domenech Rodríguez, M. M. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice. Professional Psychology: Research and Practice, 40(4), 361–368. https://doi.org/10.1037/a0016401.
Article Google Scholar
Berry, J. W. (2006). Acculturative stress. In T. Wong & G. Wong (Eds.), Handbook of multicultural perspectives on stress and coping (pp. 287–295). Dallas, TX: Spring Publications.
Chapter Google Scholar
Boroughs, M. S., Bedoya, C. A., O’Cleirigh, C., & Safren, S. A. (2015). Toward defining, measuring, and evaluating LGBT cultural competence for psychologists. Clinical Psychology: Science and Practice, 22(2), 151–171. https://doi.org/10.1111/cpsp.12098.
Article Google Scholar
Brannon, E. E., Kuhl, E. S., Boles, R. E., Aylward, B. S., Benoit Ratcliff, M., Valenzuela, J. M., et al. (2013). Strategies for recruitment and retention of families from low-income, ethnic minority backgrounds in a longitudinal study of caregiver feeding and child weight. Children’s Health Care, 42(3), 198–213. https://doi.org/10.1080/02739615.2013.816590.
Article Google Scholar
Breland-Noble, A., Bell, C., Burriss, A., & AAKOMA Project Adult Advisory Board. (2011). “Mama just won’t accept this”: Adult perspectives on engaging depressed African American teens in clinical research and treatment. Journal of Clinical Psychology in Medical Settings, 18, 225–234. https://doi.org/10.1007/s10880-011-9235-6.
Article Google Scholar
Callahan, E. J., Sitkin, N., Ton, H., Eidson-Ton, W. S., Weckstein, J., & Latimore, D. (2015). Introducing sexual orientation and gender identity into the electronic health record: One academic health center’s experience. Academic Medicine, 90(2), 154–160. https://doi.org/10.1097/ACM.0000000000000467.
Article Google Scholar
Calvo, R., & Hawkins, S. (2015). Disparities in quality of healthcare of children from immigrant families in the US. Maternal and Child Health Journal, 19, 2223–2232. https://doi.org/10.1007/s10995-015-1740-z.
Article Google Scholar
Castro, F. G., Barrera, M., Jr., & Steiker, L. K. H. (2010). Issues and challenges in the design of culturally adapted evidence-based interventions. Annual Review of Clinical Psychology, 6, 213–239. https://doi.org/10.1146/annurev-clinpsy-033109-132032.
Article Google Scholar
Chando, S., Tiro, J. A., Harris, T. R., Kobrin, S., & Breen, N. (2013). Effects of socioeconomic status and health care access on low levels of human papillomavirus vaccination among Spanish-speaking Hispanics in California. American Journal of Public Health, 103(2), 270–272. https://doi.org/10.2105/AJPH.2012.300920.
Article Google Scholar
Child Trends Data Bank. (2014, October). Immigrant children: Indicators of child and youth well-being. Retrieved from https://www.childtrends.org/wp-content/uploads/2013/07/110_Immigrant_Children.pdf
Cleary, S. D., Snead, R., Dietz-Chavez, D., Rivera, I., & Edberg, M. (2017). Immigrant trauma and mental health outcomes among Latino youth. Journal of Immigrant and Minority Health., 20, 1053. https://doi.org/10.1007/s10903-017-0673-6.
Article Google Scholar
Coker, T. R., Austin, S. B., & Schuster, M. A. (2010). The health and health care of lesbian, gay, and bisexual adolescents. Annual Review of Public Health, 31, 457–477. https://doi.org/10.1146/annurev.publhealth.012809.103636.
Article Google Scholar
Conn, V. S., Enriquez, M., Ruppar, T. M., & Chan, K. C. (2014). Cultural relevance in medication adherence interventions with underrepresented adults: Systematic review and meta-analysis of outcomes. Preventive Medicine: An International Journal Devoted to Practice and Theory, 69, 239–247. https://doi.org/10.1016/j.ypmed.2014.10.021.
Article Google Scholar
Cox, E. D., Nackers, K. A., Young, H. N., Moreno, M. A., Levy, J. F., & Mangione-Smith, R. M. (2012). Influence of race and socioeconomic status on engagement in pediatric primary care. Patient Education and Counseling, 87(3), 319–326. https://doi.org/10.1016/j.pec.2011.09.012.
Article Google Scholar
Delavari, M., Sønderlund, A. L., Swinburn, B., Mellor, D., & Renzaho, A. (2013). Acculturation and obesity among migrant populations in high income countries–a systematic review. BMC Public Health, 13(1), 458. https://doi.org/10.1186/1471-2458-13-458.
Article Google Scholar
DeWalt, D. A., Callahan, L. F., Hawk, V. H., Broucksou, K. A., Hink, A., Rudd, R., & Brach, C. (2010). Health literacy universal precautions toolkit (pp. 1–227). Rockville, MD: Agency for Healthcare Research and Quality. https://doi.org/10.1016/j.outlook.2010.12.002.
Book Google Scholar
Domenech Rodríguez, M. M., & Bernal, G. (2012). Bridging the gap between research and practice in a multicultural world. In G. Bernal & M. M. D. Rodríguez (Eds.), Cultural adaptations: Tools for evidence-based practice with diverse populations (pp. 265–287). Washington, DC: American Psychological Association. https://doi.org/10.1037/13752-013.
Chapter Google Scholar
Domenech Rodríguez, M. M. D., Baumann, A. A., & Schwartz, A. L. (2011). Cultural adaptation of an evidence-based intervention: From theory to practice in a Latino/a community context. American Journal of Community Psychology, 47(1–2), 170–186. https://doi.org/10.1007/s10464-010-9371-4.
Article Google Scholar
Drescher, J., Schwartz, A., Casoy, F., McIntosh, C. A., Hurley, B., Ashley, K., et al. (2016). The growing regulation of conversion therapy. Journal of Medical Regulation, 102(2), 7–12. https://doi.org/10.30770/2572-1852-102.2.7.
Article Google Scholar
Dreyer, B. P. (2013). To create a better world for children and families: the case for ending childhood poverty. Academic Pediatrics, 13(2), 83–90. https://doi.org/10.1016/j.acap.2013.01.005.
Article Google Scholar
Earnshaw, V. A., Bogart, L. M., Poteat, V. P., Reisner, S. L., & Schuster, M. A. (2016). Bullying among lesbian, gay, bisexual, and transgender youth. Pediatric Clinics, 63(6), 999–1010. https://doi.org/10.1016/j.pcl.2016.07.004.
Article Google Scholar
Feagin, J., & Bennefield, Z. (2014). Systemic racism and US health care. Social Science & Medicine, 103, 7–14. https://doi.org/10.1016/j.socscimed.2013.09.006.
Article Google Scholar
Federal Interagency Forum on Child and Family Statistics. (2017). America’s children: Key national indicators of well-being, 2017. Washington, DC: U.S. Government Printing Office. Retrieved from https://www.childstats.gov/americaschildren/members.asp
Google Scholar
Flores, G., Portillo, A., Lin, H., Walker, C., Fierro, M., Henry, M., & Massey, K. (2017). A successful approach to minimizing attrition in racial/ethnic minority, low-income populations. Contemporary Clinical Trials Communications, 5, 168–174. https://doi.org/10.1016/j.conctc.2017.01.009.
Article Google Scholar
Friedberg, R. D., Hoyman, L. C., Behar, S., Tabbarah, S., Pacholec, N. M., Keller, M., & Thordarson, M. A. (2014). We’ve come a long way, baby!: Evolution and revolution in CBT with youth. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 32(1), 4–14. https://doi.org/10.1007/s10942-014-0178-3.
Article Google Scholar
Fuzzell, L., Fedesco, H. N., Alexander, S. C., Fortenberry, J. D., & Shields, C. G. (2016). “I just think that doctors need to ask more questions”: Sexual minority and majority adolescents’ experiences talking about sexuality with healthcare providers. Patient Education and Counseling, 99(9), 1467–1472. https://doi.org/10.1016/j.pec.2016.06.004.
Article Google Scholar
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: A cluster RCT. Pediatrics, 135(2), e296–e304. https://doi.org/10.1542/peds.2014-2888.
Article Google Scholar
Gayes, L. A., & Steele, R. G. (2014). A meta-analysis of motivational interviewing interventions for pediatric health behavior change. Journal of Consulting and Clinical Psychology, 82(3), 521–535. https://doi.org/10.1037/a0035917.
Article Google Scholar
Hamilton, J. D., Kendall, P. C., Gosch, E., Furr, J. M., & Sood, E. (2008). Flexibility within fidelity. Journal of the American Academy of Child & Adolescent Psychiatry, 47(9), 987–993. https://doi.org/10.1097/CHI.ObO13e31817eed2f.
Article Google Scholar
Harper, F. W. K., Eggly, S., Crider, B., Kobayashi, H., Meert, K. L., Ball, A., et al. (2015). Patient- and family-centered care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature. Journal of the National Medical Association, 107(2), 4–17. https://doi.org/10.1016/S0027-9684(15)30019-5.
Article Google Scholar
Harrington, K. F., Zhang, B., Magruder, T., Bailey, W. C., & Gerald, L. B. (2015). The impact of parent’s health literacy on pediatric asthma outcomes. Pediatric Allergy, Immunology, and Pulmonology, 28(1), 20–26. https://doi.org/10.1089/ped.2014.0379.
Article Google Scholar
Haselkorn, T., Lee, J. H., Mink, D. R., Weiss, S. T., & TENOR Study Group. (2008). Racial disparities in asthma-related health outcomes in severe or difficult-to-treat asthma. Annals of Allergy, Asthma & Immunology, 101(3), 256–263. https://doi.org/10.1016/S1081-1206(10)60490-5.
Article Google Scholar
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707. https://doi.org/10.1037/a0016441.
Article Google Scholar
Hays, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy. Washington, DC: American Psychological Association. https://doi.org/10.1037/11650-000.
Book Google Scholar
Hays, P. A. (2009). Integrating evidence-based practice, cognitive–behavior therapy, and multicultural therapy: Ten steps for culturally competent practice. Professional Psychology: Research and Practice, 40(4), 354–360.
Article Google Scholar
Hays, K., & Aranda, M. P. (2016). Faith-based mental health interventions with African-Americans: A review. Research on Social Work Practice, 26(7), 777–789. https://doi.org/10.1177/1049731515569356.
Article Google Scholar
Healey, P., Stager, M. L., Woodmass, K., Dettlaff, A. J., Vergara, A., Janke, R., & Wells, S. J. (2017). Cultural adaptations to augment health and mental health services: A systematic review. BMC Health Services Research, 17(1), 8. https://doi.org/10.1186/s12913-016-1953-x.
Article Google Scholar
Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology: Research and Practice, 43(5), 460–467. https://doi.org/10.1037/a0029597.
Article Google Scholar
Herek, G. M. (2010). Sexual orientation differences as deficits: Science and stigma in the history of American psychology. Perspectives on Psychological Science, 5(6), 693–699. https://doi.org/10.1177/1745691610388770.
Article Google Scholar
Hettema, J., Steele, J., & Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1(1), 91–111. https://doi.org/10.1146/annurev.clinpsy.1.102803.143833.
Article Google Scholar
Higa, D., Hoppe, M. J., Lindhorst, T., Mincer, S., Beadnell, B., Morrison, D. M., et al. (2014). Negative and positive factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth. Youth & Society, 46(5), 663–687. https://doi.org/10.1177/0044118X12449630.
Article Google Scholar
Hilliard, M. E., Ernst, M. M., Gray, W. N., Saeed, S. A., & Cortina, S. (2012). Adapting pediatric psychology interventions: Lessons learned in treating families from the middle east. Journal of Pediatric Psychology, 37(8), 882–892. https://doi.org/10.1093/jpepsy/jsr084.
Article Google Scholar
Hilliard, M. E., Wu, Y. P., Rausch, J., Dolan, L. M., & Hood, K. K. (2013). Predictors of deteriorations in diabetes management and control in adolescents with type 1 diabetes. Journal of Adolescent Health, 52(1), 28–34. https://doi.org/10.1016/j.jadohealth.2012.05.009.
Article Google Scholar
Hoffman, K. M., Trawalter, S., Axt, J. R., & Oliver, M. N. (2016). Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. PNAS Proceedings of the National Academy of Sciences of the United States of America, 113(16), 4296–4301. https://doi.org/10.1073/pnas.1516047113.
Article Google Scholar
Huey, S. J., Jr., & Polo, A. J. (2017). Evidence-based psychotherapies with ethnic minority children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (3rd ed., pp. 361–378). New York, NY: Guilford Press.
Google Scholar
Huey, S. J., Jr., Tilley, J. L., Jones, E. O., & Smith, C. A. (2014). The contribution of cultural competence to evidence-based care for ethnically diverse populations. Annual Review of Clinical Psychology, 10, 305–338. https://doi.org/10.1146/annurev-clinpsy-032813-153729.
Article Google Scholar
Institute of Medicine. (2011). Innovations in health literacy research: Workshop summary. Washington, DC: The National Academies Press. https://doi.org/10.17226/13016.
Book Google Scholar
Ireland, K. A., Manders, A. J., Corkey, B. E., & Lenders, C. M. (2015). Recruitment in a pediatric clinical research trial targeting underserved populations: Efforts and challenges. Journal of Obesity & Weight Loss Therapy, 5(3), 262. https://doi.org/10.4172/2165-7904.1000262.
Article Google Scholar
John, D. A., de Castro, A. B., Martin, D. P., Duran, B., & Takeuchi, D. T. (2012). Does an immigrant health paradox exist among Asian Americans? Associations of nativity and occupational class with self-rated health and mental disorders. Social Science & Medicine, 75(12), 2085–2098. https://doi.org/10.1016/j.socscimed.2012.01.035.
Article Google Scholar
Jones, S. C. T., & Neblett, E. W. (2017). Future directions in research on racism-related stress and racial-ethnic protective factors for black youth. Journal of Clinical Child and Adolescent Psychology, 46(5), 754–766. https://doi.org/10.1080/15374416.2016.1146991.
Article Google Scholar
Kahana, S., Drotar, D., & Frazier, T. (2008). Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. Journal of Pediatric Psychology, 33(6), 590–611. https://doi.org/10.1093/jpepsy/jsm128.
Article Google Scholar
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., et al. (2018). Youth Risk Behavior Surveillance—United States, 2017. MMWR Surveillance Summaries, 67(8), 1–114. https://doi.org/10.15585/mmwr.ss6708a1.
Article Google Scholar
Kirkpatrick, S. I., Dodd, K. W., Reedy, J., & Krebs-Smith, S. M. (2012). Income and race/ethnicity are associated with adherence to food-based dietary guidance among US adults and children. Journal of the Academy of Nutrition and Dietetics, 112(5), 624–635. https://doi.org/10.1016/j.jand.2011.11.012.
Article Google Scholar
Kosciw, J. G., Greytak, E. A., Giga, N. M., Villenas, C., & Danischewski, D. J. (2016). The 2015 National School Climate Survey: The experiences of lesbian, gay, bisexual, transgender, and queer youth in our Nation’s schools. Gay, lesbian and straight education network. New York: GLSEN.
Google Scholar
LaVeist, T. A., Gaskin, D. J., & Richard, P. (2009). The economic burden of health inequalities in the United States. Washington, DC: Joint Center for Political and Economic Studies.
Google Scholar
Levine, D. A. (2013). Office-based care for lesbian, gay, bisexual, transgender, and questioning youth. Pediatrics, 132(1), e297–e313. https://doi.org/10.1542/peds.2013-1283.
Article Google Scholar
Lewis-Fernández, R., Aggarwal, N. K., Hinton, L., Hinton, D. E., & Kirmayer, L. J. (2016). DSM-5 handbook on the cultural formulation interview. Arlington, VA: American Psychiatric Publishing.
Google Scholar
Lofton, S., Julion, W. A., McNaughton, D. B., Bergren, M. D., & Keim, K. S. (2016). A systematic review of literature on culturally adapted obesity prevention interventions for African-American youth. The Journal of School Nursing, 32(1), 32–46. https://doi.org/10.1177/1059840515605508.
Article Google Scholar
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on Social Work Practice, 20(2), 137–160. https://doi.org/10.1177/1049731509347850.
Article Google Scholar
Maloney, R., Clay, D. L., & Robinson, J. (2005). Sociocultural issues in pediatric transplantation: A conceptual model. Journal of Pediatric Psychology, 30(3), 235–246. https://doi.org/10.1093/jpepsy/jsi034.
Article Google Scholar
Manias, E., & Williams, A. (2010). Medication adherence in people of culturally and linguistically diverse backgrounds: A meta-analysis. Annals of Pharmacotherapy, 44(6), 964–982. https://doi.org/10.1345/aph.1M572.
Article Google Scholar
Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., et al. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49(2), 115–123. https://doi.org/10.1016/j.jadohealth.2011.02.005.
Article Google Scholar
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674.
Article Google Scholar
Miller, W., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York, NY: Guildford Press.
Google Scholar
Naranjo, D., D Schwartz, D., & M Delamater, A. (2015). Diabetes in ethnically diverse youth: Disparate burden and intervention approaches. Current Diabetes Reviews, 11(4), 251–260. https://doi.org/10.2174/1573399811666150421115846.
Article Google Scholar
Ng, M. Y., & Weisz, J. R. (2016). Annual research review: Building a science of personalized intervention for youth mental health. Journal of Child Psychology and Psychiatry, 57(3), 216–236. https://doi.org/10.1111/jcpp.12470.
Article Google Scholar
Nicholl, M. C., Valenzuela, J. M., Lit, K., DeLucia, C., Shoulberg, A. M., Rohan, J. M.,... & Delamater, A. M. (2019). Featured article: comparison of diabetes management trajectories in Hispanic versus white Non-Hispanic youth with Type 1 Diabetes across early adolescence. Journal of pediatric psychology, 44(6), 631–641. https://doi.org/10.1093/jpepsy/jsz011.
Article Google Scholar
Nicolas, G., Arntz, D. L., Hirsch, B., & Schmiedigen, A. (2009). Cultural adaptation of a group treatment for Haitian American adolescents. Professional Psychology: Research and Practice, 40(4), 378–384. https://doi.org/10.1037/a0016307.
Article Google Scholar
Norcross, J. C., & Wampold, B. E. (2011). What works for whom: Tailoring psychotherapy to the person. Journal of Clinical Psychology, 67(2), 127–132. https://doi.org/10.1002/jclp.20764.
Article Google Scholar
Okeke-Adeyanju, N., Taylor, L. C., Craig, A. B., Smith, R. E., Thomas, A., Boyle, A. E., & DeRosier, M. E. (2014). Celebrating the strengths of black youth: Increasing self-esteem and implications for prevention. The Journal of Primary Prevention, 35(5), 357–369. https://doi.org/10.1007/s10935-014-0356-1.
Article Google Scholar
Oransky, M., Burke, E. Z., & Steever, J. (2018). An interdisciplinary model for meeting the mental health needs of transgender adolescents and young adults: the Mount Sinai Adolescent Health Center approach. Cognitive and Behavioral Practice. https://doi.org/10.1016/j.cbpra.2018.03.002.
Parra-Cardona, J. R., Domenech-Rodriguez, M., Forgatch, M., Sullivan, C., Bybee, D., Holtrop, K., et al. (2012). Culturally adapting an evidence-based parenting intervention for Latino immigrants: The need to integrate fidelity and cultural relevance. Family Process, 51(1), 56–72. https://doi.org/10.1111/j.1545-5300.2012.01386.x.
Article Google Scholar
Peek, M. E., Quinn, M. T., Gorawara-Bhat, R., Odoms-Young, A., Wilson, S. C., & Chin, M. H. (2008). How is shared decision-making defined among African-Americans with diabetes? Patient Education and Counseling, 72(3), 450–458. https://doi.org/10.1016/j.pec.2008.05.018.
Article Google Scholar
Perry, N. S., Chaplo, S. D., & Baucom, K. J. W. (2017). The impact of cumulative minority stress on cognitive behavioral treatment with gender minority individuals: Case study and clinical recommendations. Cognitive and Behavioral Practice, 24(4), 472–483. https://doi.org/10.1016/j.cbpra.2016.12.004.
Article Google Scholar
Pinquart, M., & Shen, Y. (2011). Behavior problems in children and adolescents with chronic physical illness: A meta-analysis. Journal of Pediatric Psychology, 36(9), 1003–1016. https://doi.org/10.1093/jpepsy/jsr042.
Article Google Scholar
Pope, C. A., Escobar-Gomez, M., Davis, B. H., Roberts, J. R., O’Brien, E. S., Hinton, E., & Darden, P. M. (2016). The challenge of tetradic relationships in medically interpreted pediatric primary care visits: A descriptive study of communication practices. Patient Education and Counseling, 99, 542–548. https://doi.org/10.1016/j.pec.2015.10.032.
Article Google Scholar
Preciado, A., & D’Anna-Hernandez, K. (2017). Acculturative stress is associated with trajectory of anxiety symptoms during pregnancy in Mexican-American women. Journal of Anxiety Disorders, 48, 28–35. https://doi.org/10.1016/j.janxdis.2016.10.005.
Article Google Scholar
Pulgarón, E. R., Sanders, L. M., Patiño-Fernandez, A. M., Wile, D., Sanchez, J., Rothman, R. L., & Delamater, A. M. (2014). Glycemic control in young children with diabetes: The role of parental health literacy. Patient Education and Counseling, 94(1), 67–70. https://doi.org/10.1016/j.pec.2013.09.002.
Article Google Scholar
Raphael, J. L., Lion, K. C., & Bearer, C. F. (2017). Policy solutions to recruiting and retaining minority children in research. Pediatric Research, 82(2), 180. https://doi.org/10.1038/pr.2017.119.
Article Google Scholar
Reisner, S. L., Greytak, E. A., Parsons, J. T., & Ybarra, M. L. (2015). Gender minority social stress in adolescence: Disparities in adolescent bullying and substance use by gender identity. Journal of Sex Research, 52(3), 243–256. https://doi.org/10.1080/00224499.2014.886321.
Article Google Scholar
Resnicow, K., Jackson, A., Braithwaite, R., DiIorio, C., Blisset, D., Rahotep, S., & Periasamy, S. (2002). Healthy body/healthy Spirit: A church-based nutrition and physical activity intervention. Health Education Research, 17(5), 562–563. https://doi.org/10.1093/her/17.5.562.
Article Google Scholar
Reynolds, J. E., & Gonzales-Backen, M. A. (2017). Ethnic-racial socialization and the mental health of African-Americans: A critical review. Journal of Family Theory & Review, 9(2), 182–200. https://doi.org/10.1111/jftr.12192.
Article Google Scholar
Robinson, L., Adair, P., Coffey, M., Harris, R., & Burnside, G. (2016). Identifying the participant characteristics that predict recruitment and retention of participants to randomised controlled trials involving children: a systematic review. Trials, 17(1), 294. https://doi.org/10.1186/s13063-016-1415-0.
Article Google Scholar
Russell, S. T., & Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annual Review of Clinical Psychology, 12, 465–487. https://doi.org/10.1146/annurev-clinpsy-021815-093153.
Article Google Scholar
Ryan, C. (2013). Generating a revolution in prevention, wellness, and care for LGBT children and youth. Temple Political & Civil Rights Law Review, 23(2), 331–344.
Google Scholar
Safren, S. A., Hollander, G., Hart, T. A., & Heimberg, R. G. (2001). Cognitive-behavioral therapy with lesbian, gay, and bisexual youth. Cognitive and Behavioral Practice, 8(3), 215–223. https://doi.org/10.1016/S1077-7229(01)80056-0.
Article Google Scholar
Saydah, S., Imperatore, G., Cheng, Y., Geiss, L. S., & Albright, A. (2017). Disparities in diabetes deaths among children and adolescents—United States, 2000–2014. Morbidity and Mortality Weekly Report, 66, 502. https://doi.org/10.15585/mmwr.mm6619a4.
Article Google Scholar
Schwartz, R. C., & Blankenship, D. M. (2014). Racial disparities in psychotic disorder diagnosis: A review of empirical literature. World Journal of Psychiatry, 4(4), 133. https://doi.org/10.5498/wjp.v4.i4.133.
Article Google Scholar
Seaton, E. K., Yip, T., Morgan-Lopez, A., & Sellers, R. M. (2012). Racial discrimination and racial socialization as predictors of African-American adolescents’ racial identity development using latent transition analysis. Developmental Psychology, 48(2), 448–458. https://doi.org/10.1037/a0025328.
Article Google Scholar
Shilo, G., & Savaya, R. (2011). Effects of family and friend support on LGB youths’ mental health and sexual orientation milestones. Family relations: An interdisciplinary. Journal of Applied Family Studies, 60(3), 318–330. https://doi.org/10.1111/j.1741-3729.2011.00648.x.
Article Google Scholar
Silberholz, E. A., Brodie, N., Spector, N. D., & Pattishall, A. E. (2017). Disparities in access to care in marginalized populations. Current Opinion in Pediatrics, 29(6), 718–727. https://doi.org/10.1097/MOP.0000000000000549.
Article Google Scholar
Simoni, J. M., Huh, D., Wilson, I. B., Shen, J., Goggin, K., Reynolds, N. R., et al. (2012). Racial/ethnic disparities in ART adherence in the United States: Findings from the MACH14 study. Journal of Acquired Immune Deficiency Syndromes, 60, 466–472. https://doi.org/10.1097/QAI.0b013e31825db0bd.
Article Google Scholar
Smith, T., Rodriguez, M., & Bernal, G. (2011). Culture. Journal of Clinical Psychology, 67, 166–175. https://doi.org/10.1002/jclp.20757.
Article Google Scholar
Snapp, S. D., Watson, R. J., Russell, S. T., Diaz, R. M., & Ryan, C. (2015). Social support nnetworks for LGBT young adults: Low cost strategies for positive adjustment. Family Relations: An Interdisciplinary. Journal of Applied Family Studies, 64(3), 420–430. https://doi.org/10.1111/fare.12124.
Article Google Scholar
Strutz, K. L., Herring, A. H., & Halpern, C. T. (2015). Health disparities among young adult sexual minorities in the US. American Journal of Preventive Medicine, 48(1), 76–88. https://doi.org/10.1016/j.amepre.2014.07.038.
Article Google Scholar
Teruya, S. A., & Bazargan-Hejazi, S. (2013). The immigrant and Hispanic paradoxes: A systematic review of their predictions and effects. Hispanic Journal of Behavioral Sciences, 35(4), 486–509. https://doi.org/10.1177/0739986313499004.
Article Google Scholar
Thakur, N., Barcelo, N. E., Borrell, L. N., Singh, S., Eng, C., Davis, A., et al. (2017). Perceived discrimination associated with asthma and related outcomes in minority youth: The GALA II and SAGE II studies. Chest, 151(4), 804–812. https://doi.org/10.1016/j.chest.2016.11.027.
Article Google Scholar
Thammana, R. V., Knechtle, S. J., Romero, R., Heffron, T. G., Daniels, C. T., & Patzer, R. E. (2014). Racial and socioeconomic disparities in pediatric and young adult liver transplant outcomes. Liver Transplantation, 20(1), 100–115. https://doi.org/10.1002/lt.23769.
Article Google Scholar
Valdivieso-Mora, E., Peet, C. L., Garnier-Villarreal, M., Salazar-Villanea, M., & Johnson, D. K. (2016). A systematic review of the relationship between familism and mental health outcomes in Latino population. Frontiers in Psychology, 7, 13. https://doi.org/10.3389/fpsyg.
Article Google Scholar
Valenzuela, J. M., & Smith, L. (2015). Topical review: Provider–patient interactions: An important consideration for racial/ethnic health disparities in youth. Journal of Pediatric Psychology, 41(4), 473–480. https://doi.org/10.1093/jpepsy/jsv086.
Article Google Scholar
Valenzuela, J. M., Pulgaron, E. R., Salamon, K. S., & Patiño-Fernandez, A. M. (2017). Evidence-based assessment strategies for working with ethnic minority youth. Clinical Practice in Pediatric Psychology, 5(1), 108–120. https://doi.org/10.1037/cpp0000183.
Article Google Scholar
Vespa, J., Armstrong, D. M., & Medina, L. (2018). Demographic turning points for the US: Population projections for 2020 to 2060 (Report No. P25-1144). Retrieved from https://www.census.gov/library/publications/2018/demo/p25-1144.html
Ward, E. C., & Brown, R. L. (2015). A culturally adapted depression intervention for African American adults experiencing depression: Oh happy day. American Journal of Orthopsychiatry, 85(1), 11–22. https://doi.org/10.1037/ort0000027.
Article Google Scholar
Weiss, B. J., Singh, J. S., & Hope, D. A. (2011). Cognitive-behavioral therapy for immigrants presenting with social anxiety disorder: Two case studies. Clinical Case Studies, 10(4), 324. https://doi.org/10.1177/1534650111420706.
Article Google Scholar
Wingood, G. M., & DiClemente, R. J. (2008). The ADAPT-ITT model: A novel method of adapting evidence-based HIV interventions. Journal of Acquired Immune Deficiency Syndromes, 47, S40–S46. https://doi.org/10.1097/QAI.0b013e3181605df1.
Article Google Scholar
Yin, H. S., Dreyer, B. P., Vivar, K. L., MacFarland, S., van Schaick, L., & Mendelsohn, A. L. (2012). Perceived barriers to care and attitudes towards shared decision-making among low socioeconomic status parents: Role of health literacy. Academic Pediatrics, 12(2), 117–124. https://doi.org/10.1016/j.acap.2012.01.001.
Article Google Scholar
Zeiders, K. H., Umaña-Taylor, A. J., Jahromi, L. B., Updegraff, K. A., & White, R. M. B. (2016). Discrimination and acculturation stress: A longitudinal study of children’s well-being from prenatal development to 5 years of age. Journal of Developmental and Behavioral Pediatrics, 37(7), 557–564. https://doi.org/10.1097/DBP.0000000000000321.
Article Google Scholar

Download references

Author information

Authors and Affiliations

College of Psychology, Nova Southeastern University, Fort Lauderdale, FL, USA
Jessica M. Valenzuela & Kristina Tatum
University of California at Los Angeles, Los Angeles, CA, USA
Joyce H. L. Lui

Authors

Jessica M. Valenzuela
View author publications
You can also search for this author in PubMed Google Scholar
Kristina Tatum
View author publications
You can also search for this author in PubMed Google Scholar
Joyce H. L. Lui
View author publications
You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jessica M. Valenzuela .

Editor information

Editors and Affiliations

Child Emphasis Area, Palo Alto University, Palo Alto, CA, USA
Robert D. Friedberg
Division of Developmental and Behavioral Pediatrics, Stead Family Department of Pediatrics, University of Iowa Stead Family Children’s Hospital, Iowa City, IA, USA
Jennifer K. Paternostro

Rights and permissions

Reprints and permissions

Copyright information

About this chapter

Cite this chapter

Valenzuela, J.M., Tatum, K., Lui, J.H.L. (2019). Diversity Issues in Pediatric Behavioral Health Care. In: Friedberg, R.D., Paternostro, J.K. (eds) Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-030-21683-2_3

Download citation

DOI: https://doi.org/10.1007/978-3-030-21683-2_3
Published: 02 October 2019
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-21682-5
Online ISBN: 978-3-030-21683-2
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)

Publish with us

Policies and ethics