Name
D09 - Applying the Gaining Access and Treatment Equity (GATE) Framework to Enhance Culturally Responsive Integrated Primary Care
Date & Time
Thursday, October 16, 2025, 12:15 PM - 1:15 PM
Location Name
305A
Description

This presentation will outline the Gaining Access and Treatment Equity (GATE; Bridges, 2023) Framework for culturally responsive clinical care and discuss how it can be applied in integrated primary care settings. The speakers will give an overview of how the GATE Framework conceptualizes barriers to care that diverse populations face (i.e., perceived need, attitudinal, structural, and clinical barriers) and give examples of practice implications and strategies individuals and health care organizations can employ to better serve diverse populations.

Speakers
Aubrey Dueweke PhD, Assistant Professor, East Tennessee State University,
Ana Bridges PhD, Professor & Director of Clinical Training, University of Arkansas, Fayetteville, Arkansas
Aubrey Dueweke Ana Bridges
Content Level
All Audience
Tags
Cultural Safety and Humility, Social justice or DEI, Underserved populations such as LGBTQ+
Session Type
Concurrent
Objective 1
Describe the four types of barriers outlined by the GATE Framework for Culturally Responsive Care
Objective 2
List examples of perceived need, attitudinal, structural, and clinical barriers
Objective 3
Discuss examples of clinical and organizational strategies that could be employed to make care more accessible for marginalized communities
Content Reference 1

Bridges, A. J. (2023). Gaining Access and Treatment Equity (GATE): A Framework for Culturally Responsive Clinical Care. In Latinx Mental Health: From Surviving to Thriving (pp. 268-280). IGI Global.

Content Reference 2

Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C., Takeuchi, D., Jackson, J., & Meng, X. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services (Washington, D.C.), 59(11), 1264–1272. doi:10.1176/ps.2008.59.11.1264 PMID:18971402

Content Reference 3

Substance Abuse and Mental Health Services Administration. (2020). Results from the 2019 National Survey on Drug Use and Health: Mental Health Detailed Tables. Retrieved from https://www.samhsa.gov/data/report/2019-nsduh-detailed-tables

Content Reference 4

World Health Organization. (2018). Health inequities and their causes. Retrieved from https://who.int/news-room/facts-in-pictures/detail/health-inequities-and-their-causes

Content Reference 5

Bridges, A. J., & Anastasia, E. (2016). Enhancing and improving treatment engagement with Hispanic patients. In W. O’Donohue & L. Benuto (Eds.), Enhancing Behavioral Health in Hispanic Populations: Eliminating Disparities Through Integrated Behavioral and Primary Care (pp. 125–143). Springer International Publishing. doi:10.1007/978-3-319-42533-7_8