title: Family first: the development of an evidence-based family intervention for increasing participation in psychiatric clinical care and research in depressed African American adolescents.
abstract: Researchers have documented health disparities for African American and other youth of color in the area of mental health. In accordance with calls for the development of innovative methods for use in reducing these disparities, the purpose of this article is to describe the development of an evidence-based intervention targeting the use of psychiatric clinical care by African American families. The authors summarize current research in the areas of perceived and demonstrated bias in the provision of mental health services, the significance of the problem of low African American participation in psychiatric clinical research and care, and evidence-based approaches to conducting family-oriented research to address adolescent mental illness in this population. This discussion is followed by a description of the development of an intervention to improve familial treatment engagement and plans to test the intervention. The article is provided as a foundation for carefully defined plans to address the unmet mental health needs of depressed African American adolescents within a culturally relevant familial context.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA. abreland@psych.duhs.duke.edu
authors.forename: Alfiee M
authors.initials: AM
authors.lastname: Breland-Noble
authors.forename: Carl
authors.initials: C
authors.lastname: Bell
authors.forename: Guerda
authors.initials: G
authors.lastname: Nicolas
mesh_terms: D000293:Adolescent; D001741:Black or African American; D003863:Depression / Q000628:therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D008962:Models, Theoretical; D010342:Patient Acceptance of Health Care / Q000523:psychology; D018579:Patient Selection; D011613:Psychotherapy; D012106:Research