Family Service of El Paso ANIMO

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Family Service of El PasoANIMO

• Richard Salcido
• Executive Director

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Mission
To make counseling accessible to anyone
regardless of ability to pay.
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ANIMO

• Spanish for encouragement, inspiration

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OUR AGENCY

• Annual Budget Of Around 1 Million Dollars
• Counseling To A Variety Of People Seeking Help
  For A Variety Of Problems Depression, Anxiety,
  Domestic Violence, Relationship Problems, Adhd,
  Hiv.
• We serve children and adults 65 of our clients
  are adults. 
• We serve mainly the poor, 75 of our clients are
  below poverty guidelines.
• The majority of our clients are Hispanic, 78
• 40 of them are monolingual Spanish. 
• We have around 23 therapist, only 3 of them are
  full time.

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In 2005, Family Service

• Served 1,404 individuals
• 8,525 counseling sessions
• Average income of families served
• less than 15,000 annually.

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CULTURAL ADAPTATION
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ANIMO Team Characteristics

• Competent therapists
• culturally competent therapists
• therapists amenable to changing their chosen
  modality of treatment

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First Step Examine What We Do

• Population

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First Step Examine What We Do

• Population
• Language

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First Step Examine What We Do

• Population
• Language
• Transportation

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First Step Examine What We Do

• Population
• Language
• Transportation
• Financial Barriers

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First Step Examine What We Do

• Population
• Language
• Transportation
• Financial Barriers
• Appointment Accessibility

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First Step Examine What We Do

• Population
• Language
• Transportation
• Financial Barriers
• Appointment Accessibility
• Short Waiting Lists

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Next Step Examine Our Cultural Competence

• Team Make Up

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Next Step Examine Our Cultural Competence

• Team Make Up
• Cultural Concepts

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Next Step Examine Our Cultural Competence

• Team Make Up
• Cultural Concepts
• Competency In Cognitive Behavioral Therapy

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Next Step Examine Our Cultural Competence

• Team Make Up
• Cultural Concepts
• Competency In Cognitive Behavioral Therapy
• Research on Cultural Adaptation

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans
• Practical Barriers

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans
• Practical Barriers
• Cultural and Attitudinal Barriers

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans
• Practical Barriers
• Cultural and Attitude Barriers
• Attitudes and expectations about treatment

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans
• Practical Barriers
• Cultural and Attitudinal Barriers
• Acculturation
• Attitudes and Expectations about Treatment

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans
• Practical Barriers
• Cultural and Attitudinal Barriers
• Acculturation
• Attitudes and Expectations about Treatment
• Attitudes and expectations about Treatment

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Cultural Competency Materials

• The GANA Program A Tailoring Approach to
  Adapting parent Child Interaction Therapy for
  Mexican Americans
• Practical Barriers
• Cultural and Attitudinal Barriers
• Acculturation
• Attitudes and Expectations about Treatment
• Attitudes and expectations about Treatment
• Beliefs About Problem Causes

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INITIAL ASSESSMENT QUESTIONS

• Do parents perceive childs problem to be a
  mental health issue?
• What do parents believe to be the cause of their
  childrens behavior problems?
• Do parents feel they should be able to solve
  their problems without help from outside the
  family?
• Do parents perceive mental health services as
  stigmatizing?
• Asses continuously through unstructured interview
• Are parents skeptical/dissatisfied with aspects
  of the program?
• Are family members supportive of treatment?
• What are the barriers to mother coming to
  treatment?

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OUR ADJUNCT TO THERAPY

• Achieve Their Treatment Goals Outside Of The
  Therapy
• Maneuvering Of The Immigration Systems
• Help Clients Obtain Social Services, Food, Money,
  Clothing And Similar Things Critical To Their
  Survival

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OTHER THINGS YET TO ACCOMPLISH

• Translation Of The Material Into Spanish
• Different Levels Of Spanish Proficiency
• Caution Not To Dilute The Evidence Based
  Treatment

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OTHER THINGS YET TO ACCOMPLISH

• Translation Of The Material Into Spanish
• Different Levels Of Spanish Proficiency
• Caution Not To Dilute The Evidence Based
  Treatment

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COMMON CHARACTERISTICS OF MEXICAN/MEXICAN
AMERICANS.

• Personalismo
• Presentismo
• Jerarquismo
• Espiritismo
• Fatilsmo
• Formalidad
• Respeto
• Simpatia

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Questions andAnswers