Events News Articles

Webinar, 11/7: Using the Stage Model of Behavioral Treatment to Culturally Adapt Interventions that Address Discrimination

Friday, November 06, 2020

Saturday, November 7, 1:00 PM ET 
Via Zoom
Hosted by the Society of Clinical Psychology

Presented by Dr. Christina Lee, Associate Professor, Boston University School of Social Work and CISWH Research Core Director.


Stigma, discrimination, and stress are key drivers of racial and ethnic disparities in mental health and substance use. Motivational Interviewing is an addiction counseling approach that has promise for use with marginalized populations. COVID, the harsh anti-immigrant rhetoric, and the demonstrations for social justice, has pushed community resiliency to the breaking point. In light of this public health crisis, we ask: is MI fine as it is? Or can it be optimized in a user friendly way to increase engagement and impact to reduce the harms associated with poor mental health and substance use and encourage people to care for themselves? The current presentation describes an optimization of Motivational Interviewing for alcohol and drug use disorders that led to positive outcomes that were also broader in impact than planned. The presentation will describe how the Stage model of Behavioral Therapies (Rounsaville, Carroll, & Onken, 2001; Onken, Carroll, Shoham, Cuthbert, & Riddle, 2014) guided the programmatic research and will provide examples of how MI was adapted to address stressors including discrimination; such approaches are consistent with APA recommendations as described in the APA report on Stress in America: The Impact of Discrimination (2016).