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Community Mental Health Journal

, Volume 53, Issue 1, pp 53–61 | Cite as

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study

  • Denise A. Chavira
  • Cristina E. Bustos
  • Maritza S. Garcia
  • Bernardo Ng
  • Alvaro Camacho
Original Paper

Abstract

Qualitative methods were used to understand community perspectives about ways to deliver cognitive behavior therapy (CBT) to rural Latino youth with anxiety. First, four focus groups were conducted with 28 bilingual Latino mental health providers to examine perceptions of CBT using telephone based, therapist supported bibliotherapy, and bibliotherapy without therapist support. Second, qualitative interviews were conducted with 15 Latino parents from a rural community to better understand attitudes toward CBT, and modes of service delivery. Qualitative findings revealed that parents were mostly positive about psychotherapy, and the core elements of CBT for anxiety. However, both parents and providers emphasized the need for adaptations to address practical and perceived barriers to treatment, such as time, convenience, homework, and literacy. Many parents spoke favorably of a telephone-based approach that could address many of their perceived barriers, while providers were expressed more negative views. Such findings are important for data-driven treatment development efforts.

Keywords

Latino Rural Child anxiety Cognitive behavior therapy Telemedicine 

Notes

Acknowledgments

This study was supported by a Grant to DAC from the National Institute of Mental Health (R34MH090149). The authors wish to acknowledge our collaborators at the affiliated healthcare clinics as well as our research assistants, and participating providers/families.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Denise A. Chavira
    • 1
    • 2
  • Cristina E. Bustos
    • 2
  • Maritza S. Garcia
    • 2
  • Bernardo Ng
    • 2
    • 3
  • Alvaro Camacho
    • 2
    • 3
  1. 1.Department of PsychologyUniversity of California Los AngelesLos AngelesUSA
  2. 2.Department of PsychiatryUniversity of California San DiegoLa JollaUSA
  3. 3.Sun Valley Research CenterImperialUSA

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