- Patti Robinson, PhD, Trainer and Technical Assistant, Mountainview Consulting Group, Portland, OR
- Kirk Strosahl, PhD, President/Owner, HeartMatters Consulting, Portland, OR
- Martha Saucedo, LCSW, Project Manager for Technical Assistance and Strategic Development, CFHA and Behavioral Health Consultant-Latinx Community Liaison, Access Community Health Centers, Madison, WI
- Norma Balli-Borrero, LPC Associate, Research Assistant, UT Health San Antonio, San Antonio, TX
This extended learning activity provides an introduction to the foundations of FACT and suggests adaptations of FACT to enhance its effectiveness with Latino patients. Latinos now comprise about 17% of the US population, and their access to service from Latino providers is limited, as about 5% of physicians are Latinos, and the percent of psychologist and social worker roles are 4% and 3% respectively. This workshop will provide guidance, video demonstrations, and skill practice exercises for all clinicians seeking to better serve Latino patients by using brief intervention techniques that enhance psychological flexibility.
Increasingly, members of the primary care team are attempting to improve their skills in brief interventions that will help them engage the diverse group of patients served in primary care. Focused Acceptance and Commitment Therapy (Focused ACT) is a brief intervention approach that is evaluated positively by patients with medical and psychological problems. Dissemination studies of Focused ACT delivered by primary care teams working in the Primary Care Behavioral Health (PCBH) model have found it to be associated with health equity, equalizing both access to care and clinical outcomes of care for all members of a community. Many clinicians can learn the basics of Focused ACT in a day of training, and this workshop will provide didactic presentations, role play demonstrations, and opportunities to practice core skills. In addition to providing an introduction to FACT foundations, this workshop will suggest adaptations of FACT to enhance its effectiveness with Latino patients, who now comprise about 17% of the US population. Ideally, they would have access to Latino providers; however, about 5% of physicians are Latinos, and the percent of Latino psychologists and social workers are 4% and 3% respectively. This is a practical training program designed for all primary care clinicians. Its intention is not only to address the need to use the language clinicians speak optimally, but also to meet the needs of the growing group of Spanish-speaking patients suffering in the context of collapsing social structures, natural disasters, hostile immigration policies, and the pandemic. By focusing on values, families and quality of life, Focused ACT is readily accepted by a diverse group of patients with many differing problems. An introduction to
Focused ACT will empower clinicians to meet the needs of the large group of patients who are failing to thrive in this difficult moment on our planet.
- ● Describe Focused ACT.● List reasons why Focused ACT is engaging for most primary care patients.
- ● State general adaptations of Focused ACT that enhance its use with Spanish-speaking patients.● Use a Focused ACT metaphor with an English-speaking patient.
- ● Recognize and use sayings or dichos that communicate the spirit of Focused ACT concepts to Spanish-speaking patients.● Describe a Focused ACT metaphor with a Spanish-speaking patient in an initial and follow-up visit.