For the Good of the Community: Considering the Impact of Evidence-Based Treatment Adaptation on Tribal Communities.

Ongoing discussions among tribal communities, professionals, and mental health organizations have centered on the question of whether evidence-based interventions require adaptations to improve mental health outcomes among American Indian communities. Continued efforts to address these questions have resulted in the development of novel, culturally-grounded interventions, adapted interventions, use of original standard protocols, and/or limited use of evidence-based treatments. Consequently, mental health services in tribal communities may be highly variable from one community to another and the effectiveness of services relatively unknown. The current paper explored the state of the literature on adaptations and their utility among American Indian communities and the broader ethnic minority community. Considerations for the various impacts on tribal communities are presented and recommendations for researchers and practitioners are also discussed.