The Effectiveness of Cultural Adjustment and Trauma Services (CATS)

Generating Practice-Based Evidence on a Comprehensive, School-Based Mental Health Intervention for Immigrant Youth

Sarah Beehler, Dina Birman, Ruth Campbell

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

A collaborative study of Cultural Adjustment and Trauma Services (CATS), a comprehensive, school-based mental health program for traumatized immigrant children and adolescents, was conducted to generate practice-based evidence on the service delivery model across two school districts. Program effectiveness was assessed by testing whether client functioning and PTSD symptoms improved as a result of 7 separate service elements. An array of clinical services including CBT, supportive therapy, and coordinating services were provided to all students, and an evidence-based intervention for trauma, TF-CBT, was implemented with a subset of students. Greater quantities of CBT and supportive therapy increased functioning, while greater quantities of coordinating services decreased symptoms of PTSD. TF-CBT services were associated with both improved functioning and PTSD symptoms, although TF-CBT was implemented with fidelity to the overall comprehensive service model rather than the structured intervention model. Results suggest the comprehensive school-based model was effective, though different service components affected different student outcomes. Implications of these findings for immigrant mental health interventions and implementing structured evidence-based practices into community mental health programs are discussed. Suggestions are made for future research on existing mental health practices with immigrants.

Original languageEnglish (US)
Pages (from-to)155-168
Number of pages14
JournalAmerican Journal of Community Psychology
Volume50
Issue number1-2
DOIs
StatePublished - 2012
Externally publishedYes

Fingerprint

Social Adjustment
comprehensive school
Evidence-Based Practice
trauma
Mental Health
Post-Traumatic Stress Disorders
mental health
immigrant
Wounds and Injuries
Students
evidence
Program Evaluation
Therapeutics
student
district
adolescent

Keywords

  • HLM
  • Immigrant
  • Mental health
  • Practice-based evidence
  • Refugee
  • School intervention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Applied Psychology
  • Health(social science)

Cite this

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