title: New directions in capacity building: incorporating cultural competence into the interactive systems framework.
abstract: The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Framework (ISF) and incorporates a collaborative process involving trainer cultural competence, along with a comprehensive assessment of organizational needs, culture, and climate that culminates in tailored training and ongoing collaboration. This article provides: (1) an overview of the CCC's expanded ISF for the effective dissemination of two EBPs-motivational interviewing and the stages of change perspective; (2) an examination of the role of trainer cultural competence within the ISF framework, particularly attending to organizational culture and climate; and (3) case examples to demonstrate this approach for both general and innovation-specific capacity building in two community based organizations.
authors.affiliation: Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA. hankgreg49@gmail.com
authors.forename: Henry
authors.initials: H
authors.lastname: Gregory
authors.forename: Onna
authors.initials: O
authors.lastname: Van Orden
authors.forename: Lisa
authors.initials: L
authors.lastname: Jordan
authors.forename: Galina A
authors.initials: GA
authors.lastname: Portnoy
authors.forename: Elena
authors.initials: E
authors.lastname: Welsh
authors.forename: Jennifer
authors.initials: J
authors.lastname: Betkowski
authors.forename: Jade Wolfman
authors.initials: JW
authors.lastname: Charles
authors.forename: Carlo C
authors.initials: CC
authors.lastname: DiClemente
mesh_terms: D057191:Capacity Building / Q000379:methods / Q000458:organization & administration*; D003376:Counseling / Q000193:education / Q000458:organization & administration; D054521:Cultural Competency / Q000458:organization & administration*; D055317:Evidence-Based Practice / Q000379:methods / Q000458:organization & administration*; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008605:Mental Health Services / Q000458:organization & administration; D062405:Motivational Interviewing / Q000379:methods / Q000458:organization & administration; D015279:Organizational Culture; D010349:Patient Compliance; D019966:Substance-Related Disorders / Q000628:therapy