Increasing Cultural Competence in Oregons CDRC

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Increasing Cultural Competence in Oregons CDRC

• Brian Rogers, MD
• Director
• Child Development and Rehabilitation Center
• Oregon Health Science University

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Oregon Splendor
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Oregon Demographics US Census

• Oregon estimated 2004 Population 3,594,586
• White 2,948,024 82.01
• Hispanic or Latino 343,278
  08.00
• Asian 121,880 03.00
• Black or African American 64,117 01.60
• American Indian Alaska Native
  49,138 01.30
• Ntv. Hawaiian Other Pac. Islander
  9,630 00.20
• Some Other Race
  150,972 04.20
• Two or More Races
  83,225 03.10

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Oregon Reservations
UMATILLA
GRAND ROUDE
CELILO VILLAGE
WARMS SPRINGS
SILETZ
COOS BAY
BURNS PAIUTE
COQUILLE
COW CREEK BAND OF UMPQUA
KLAMATH
FORT MCDERMT
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National Survey of Children with Special Health
Care Needs 2001 SLAIT Data
Oregon vs. Nation for Uninsured X Race/Ethnicity
of Child
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Oregon vs. Nationwide SLAITS Data 2001

• Estimate number of Self-Reported Children with
  Special Health Care
• Needs 113,418
• Prevalence By Race/Ethnicity Oregon National
  
• Hispanic 8.3 8.6
• White (Non-Hispanic) 14.1 14.2
• Black (Non-Hispanic) 13.0
• Asian (Non-Hispanic) 4.4
• Nt. American/Alaskan Nt. (Non-Hispanic) 16.6
• Nt. Hawaiian/Pac. Isld. (Non-Hispanic)
  9.6 
• Due to the small size of this group in the State
  population, data have been suppressed to protect
  respondents' confidentiality.
• Estimate has been suppressed because it does
  not meet the standard for reliability or
  precision.

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Oregon vs. Nationwide SLAITS Data 2001
OUTCOME Families of CYSHCN are partners in
decision-making and satisfied with services
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About CDRC

• Values
• Family Centered Care
• Self Determination
• CULTURAL EFFECTIVENESS
• recognizing, respecting and honoring
• the individuals and familys cultural
• values, language and traditions
• Life Span and Holistic
• Community Collaboration
• Accountability
• Collegiality

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What We Do

• CDRC Clinical Services
• Oregon Institute on Disability Development /
  UCEDD LEND
• Oregon Center for Children and Youth with
  Special Health Needs

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About the NCCC TA Visit

• Purpose
• For CDRC as an organization to commit to the
  work, process and change for increased cultural
  competence
• Identify what we are doing well, what we arent
  doing that we should be doing, and what we can do
  better

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Continuing Education Program at CDRC

• CDRC Grand Rounds
• CDRC Visiting Scholar Series

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Structure of the NCCC TA Visit

• Individual sessions specific to
• Clinical Services
• Oregon Center for CYSHN Community Outreach
• Research and Public Health
• Teaching Training
• Administration
• University-Wide Issues

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Photos from TA Visit
University Presentation
CDRC Presentation
CDRC Presentation
Administration
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Direct Impact of the NCCC TA Visit

• Knowledge of the diversity within our state
  broadened
• Internal barriers and challenges were identified
• Identification of small changes that have large
  impacts

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Outcomes in Oregon Center for CYSHN

• Families who live in rural areas report their
  needs are usually or always met
• Partner with parents who reflect the diverse
  cultures in those communities
• Partner with parents in community mapping of
  cultural resources
• Continue needs assessment to include perspectives
  of diverse groups in Oregon

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Outcomes in Teaching

• Revised the specific Modules on cultural
  competency in our LEND curriculum
• Revised the entire curriculum to ensure cultural
  issues in every module
• Prioritized diversity for recruitment and
  retention of staff and trainees

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Outcomes in Clinical Services

• Recruitment of bilingual staff in key positions
• Continued use of personal interpreters in clinic
  settings
• Improvement of ethnicity data collection

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Outcomes in Administration

• Develop a comprehensive plan to address
  recruitment (diversity and retention)
• Staff annual performance reviews
• CDRC Multicultural Council
• Importance of cultural competency in our
  decision-making

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Outcomes in Research

• Cultural Competency checklist
• Collaboration on research projects
• High School Minority Projects and Summer Youth
  Program

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CDRCs Next Steps

• Monitor and celebrate our progress
• Second TA from the NCCC
• Strategic plan for organization
• Plan of action
• Plan of accountability
• Continue to work with NCCC over the next 4 years

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Summary

• CDRC knows Cultural and Linguistic Competence is
  a continuum
• Create an organizational environment that values
  diversity
• Better serve all children and families
• Address cultural competence in our training
• Conduct research that addresses cultural
  competence

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Thank you!