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Principal Investigator: May Yeh
Funding: National Institute of Mental Health
The TWIST project is funded by the National Institute of Mental
Health (a.k.a., Cognitive Consensus in Cross-Cultural Competence)
to pursue research that moves beyond the simple description
of health care disparities toward a scientific agenda that
investigates the mechanisms and processes that help to explain
these inequities. The research takes the innovative approach
of examining tenets of "cognitive consensus" theory
from the industrial/organizational literature on team functioning
as they relate to clinical teamwork in mental health treatment
for youth. The project will select a sample of 260 African
American, Asian American/Pacific Islander, Latino, and non-Hispanic
White adolescent clients entering services in real-world settings
of school-based and clinic-based mental health services. Cognitive
consensus on key cognitive model components in adolescent-parent-therapist
sets will be assessed at treatment entry, and the relationship
between cognitive consensus and longitudinal service use,
adolescent client satisfaction, and treatment outcomes will
be examined. The specific aims of the study are to: (1) Describe
how social, psychological, and contextual factors are associated
with cognitive consensus; (2) Examine racial/ethnic differences
in cognitive consensus; (3) Examine cognitive consensus as
a predictor of service use, service engagement, adolescent
client satisfaction, and treatment outcomes. The proposed
research is designed to identify factors evident in the initial
clinical encounter that are associated with better treatment
outcomes for an ethnically-diverse sample of youth. The ultimate
goal of the proposed project is to increase the effectiveness
of care by identifying specific culture-linked cognitive processes
that can be targeted in future intervention development.
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2007
CASRC