Group cognitive-behavioral therapy for depression in Spanish: culture-sensitive manualized treatment in practice


  • We thank Susan Scheidt, Director of Healthy San Francisco-Psychosocial Medicine Team, Alicia Boccellari, Chief of the Division of Psychosocial Medicine, and James Dilley, Chief of the Department of Psychiatry at San Francisco General Hospital for their consistent support for the development and implementation of evidence-based services for underserved, public sector patients.


The authors applied cognitive-behavioral therapy (CBT) for depression using the Healthy Management of Reality treatment manual. This 16-week group treatment comprised four 4-week modules: thoughts (cognitive restructuring), activities (behavioral activation), people (interpersonal skills training), and health (addresses physical health and depression). They illustrated the use of the culture-sensitive treatment manuals by way of the member characteristics and clinical process of a Spanish-language CBT group for depression. They highlighted the challenges and satisfactions of working with a Spanish-speaking population in the public sector, and focused on how culture and socioeconomic status influence patients, and how to adapt treatment to these factors. Last, they demonstrated how technological advances integrate with culture-sensitive, evidence-based treatments to better serve this population and reduce disparities. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1–11, 2010.