This application is submitted in response to PA-02-043 (""""""""Social and Cultural Dimensions of Health"""""""") to pursue research that moves beyond the simple description of health care disparities toward a scientific agenda that investigates the mechanisms and processes that help to explain these inequities. The research takes the innovative approach of examining tenets of """"""""cognitive consensus"""""""" theory from the industrial/organizational literature on team functioning as they relate to clinical teamwork in mental health treatment for youth. The project will select a sample of 260 African American, Asian American/Pacific Islander, Latino, and non-Hispanic White adolescent clients entering services in a real-world setting of school-based mental health services. Cognitive consensus on key cognitive model components in adolescent-parent-therapist sets will be assessed at treatment entry, and the relationship between cognitive consensus and longitudinal service use, adolescent client satisfaction, and treatment outcomes will be examined.
The specific aims of the study are to: (1) Describe how social, psychological, and contextual factors are associated with cognitive consensus;(2) Examine racial/ethnic differences in cognitive consensus;(3) Examine cognitive consensus as a predictor of service use, adolescent client satisfaction, and treatment outcomes. The proposed research is designed to identify factors evident in the initial clinical encounter that are associated with better treatment outcomes for an ethnically-diverse sample of youth. The ultimate goal of the proposed project is to increase the effectiveness of care by identifying specific culture-linked cognitive processes that can be targeted in future intervention development.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH071483-05
Application #
7625892
Study Section
Services Research Review Committee (SRV)
Program Officer
Juliano-Bult, Denise M
Project Start
2004-09-10
Project End
2011-05-31
Budget Start
2009-06-01
Budget End
2011-05-31
Support Year
5
Fiscal Year
2009
Total Cost
$607,784
Indirect Cost
Name
San Diego State University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
073371346
City
San Diego
State
CA
Country
United States
Zip Code
92182
Yeh, May; McCabe, Kristen; Ahmed, Sawssan et al. (2016) Sociocultural Factors and Parent-Therapist Agreement on Explanatory Etiologies for Youth Mental Health Problems. Adm Policy Ment Health 43:693-702
Yeh, May; Aarons, Gregory A; Ho, Judy et al. (2014) Parental etiological explanations and longitudinal medication use for youths with attention deficit hyperactivity disorder. Adm Policy Ment Health 41:401-9