HRSA Performance Measure 10 Cultural Competence Implications for Healthy Tomorrows Projects

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HRSA Performance Measure 10 Cultural
CompetenceImplications for Healthy Tomorrows
Projects

• Tawara D. Goode
• National Center for Cultural Competence
• Georgetown University Center for Child Human
  Development
• Georgetown University Medical Center
• September 14, 2005

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GOAL To increase the number of MCHB supported
programs that have integrated cultural competence
into their policies, guidelines, contracts and
training. Goal 2 Eliminate Health Barriers
Disparities Develop and promote health services
and systems of care designed to eliminate
disparities and barriers across MCH populations

Slide Source The National Center for Cultural
Competence, 2005
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PERFORMANCE MEASURE The degree to which MCHB
supported programs have incorporated cultural
competence elements into their policies,
guidelines, contracts and training.
Slide Source The National Center for Cultural
Competence, 2005
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Cultural Competence
requires that organizations have a congruent
defined set of values and principles, and
demonstrate behaviors, attitudes, policies,
structures, and practices that enable them to
work effectively cross-culturally
(adapted from from Cross, Bazron, Dennis and
Isaacs, 1989)
Slide Source The National Center for Cultural
Competence, 2005
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Five Elements of Cultural Competence
Organizational Level

• value diversity
• conduct cultural self-assessment
• manage the dynamics of difference
• acquire institutionalize cultural knowledge
• adapt to diversity cultural contexts of
  communities served
• - policies - structures
• - value - services

(adapted from Cross, Bazron, Dennis and Isaacs,
1989)
Slide Source The National Center for Cultural
Competence, 2005
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Five Elements of Cultural Competence
Individual Level

• acknowledge cultural differences
• understand your own culture
• engage in self-assessment
• acquire cultural knowledge skills
• view behavior within a cultural context

(modified Cross, Bazron, Dennis and Isaacs, 1989)
Slide Source The National Center for Cultural
Competence, 2005
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ESSENTIAL ELEMENTS IN ACULTURALLY COMPETENT
SYSTEM

• These five elements must be manifested at every
  level of an organization including
• policy making
• administrative
• practice/service delivery
• consumer/family
• community
• and reflected in its attitudes, structures,
  policies and services.

Adapted from Cross, Bazron, Dennis, Isaacs, 1989
Slide Source The National Center for Cultural
Competence, 2005
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CULTURAL COMPETENCE CONTINUUM
Cultural Proficiency
Cultural Competence
Cultural Pre-Competence
Cultural Blindness
Cultural Incapacity
Cultural Destructiveness
(Cross, Bazron, Dennis and Isaacs, 1989)
Slide Source National Center for Cultural
Competence, 2005
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Linguistic Competence

• Is the capacity of an organization and its
  personnel to communicate effectively, and convey
  information in a manner that is easily understood
  by diverse audiences including persons of limited
  English proficiency, those who are not literate
  or have low literacy skills, and individuals with
  disabilities
• Requires organizational and provider capacity to
  respond effectively to the health literacy
  needs of populations served
• Insures policy, structures, practices, procedures
  and dedicated resources to support this capacity

Goode Jones, Revised 2004, National Center
for Cultural Competence
Slide Source National Center for Cultural
Competence, 2005
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INTEGRALLY LINKED Pieces of the Same Puzzle
T.D. Goode
Slide Source National Center for Cultural
Competence, 2005
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Cultural Linguistic CompetenceImplications for
Healthy Tomorrows Projects

• Leadership
• On the same page
• (conceptual frameworks definitions)
• Shared ownership
• Weave it into the fabric of the organization
• Community of Learners

Slide Source The National Center for Cultural
Competence, 2005
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Cultural Linguistic CompetenceImplications for
Healthy Tomorrows Projects

• Elements
• Core Functions
• Training Human Resources
• Collaboration
• Resource Allocation
• Contracts

Slide Source The National Center for Cultural
Competence, 2005
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Web site http//gucchd.georgetown.edu/nccc E-ma
il cultural_at_georgetown.edu


NATIONAL CENTER FOR CULTURAL COMPETENCE Georgetown
University Center for Child and Human
Development