Culturally-based Family Intervention for Mexican Americans (CFIMA)

Principal Investigator

Funding

  • NIMH
    • 03/01/2006 - 11/30/2008; $606,150

Project Description

The purpose of this grant is to develop a new culturally-based intervention model for Spanish-speaking Mexican American families with a relative diagnosed with schizophrenia. Intervention development has been informed by our extensive clinical experience with Latinos, the literature on protective factors, and our recent in-depth ethnographic research with Spanish-speaking Mexican origin Latinos.

The CFIMA employs a family group format guided by the heuristic model of family-provider cultural exchange we have developed. It cultivates cultural resources that can play an influential role in improving family and patient outcomes within three sequential treatment stages: cultural assessment, cultural accommodation, and cultural integration.

Based on a stage model for intervention development and intervention literature on the development of culturally congruent services, we propose to:

  1. Further develop, standardize, and manualize the CFIMA for families with a relative with schizophrenia.
  2. Evaluate its preliminary effectiveness in a controlled trial (CFIMA vs. usual care) with Spanish-speaking families in real-world settings.

The results will provide preliminary evidence on whether the manualized CFIMA is effective for Mexican Americans. This work will provide a model for how to integrate cultural factors into other intervention services and enhance these in real-world settings for culturally diverse groups.