Cultural Competency Overview

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Cultural Competency Overview
WSU Project CARE Web-Based Instruction

Wayne State University
in
collaboration with the
Detroit-Wayne County
Community Mental Health Agency
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Training Goal

• The overall goal of this training is to review
  terms and concepts related to cultural competency
  and to explain the framework the Agency is
  adopting related to cultural competency in
  service delivery.

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Behavioral Objectives

• At the end of this training, participants will be
  able to
• Define and explain terms and concepts related to
  cultural competency
• Identify the Agency needs related to cultural
  competency based in analysis of the state
  contract and the response to the state contract
• Explain a framework for a series of training
  initiatives addressing training needs related to
  cultural competency

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Terms Definitions

• Culture
• The integrated pattern of human behavior
  that includes thought, communication, actions,
  customs, beliefs, values and institutions of a
  racial, ethnic, religious or social group.
  Culture defines the preferred ways for meeting
  needs.
• Race
• The concept of race as used by the Census
  Bureau reflects self-identification by people
  according to the race or races with which they
  most closely identify. These categories are
  sociopolitical constructs and should not be
  interpreted as being scientific or
  anthropological in nature.
• Ethnicity
• A large group of people classes according
  to common racial, national, tribal, religious,
  linguistic or cultural origin or background
• Cultural Awareness
• Developing sensitivity and understanding of
  another ethnic group. This usually involves
  internal changes in terms of attitudes and
  values.

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Terms Definitions, contd.

• Cultural Sensitivity
• Knowing that cultural differences as well as
  similarities exist, without assigning values,
  i.e. better or worse, right or wrong, to those
  cultural differences.
• Cultural Diversity
• Refers to differences in race, ethnicity,
  language nationality or religion among various
  groups within a community.
• Cultural Competency
• A set of congruent practice skills,
  behaviors, attitudes and policies that come
  together in a system, agency, or among
  professionals and enables that system, agency or
  those professionals to work effectively in
  cross-cultural situations.
• Accommodations
• To accommodate access and assure an individuals
  full participation and receipt of maximum benefit
  from the services being offered, the services
  must be provided in a manner that recognizes and
  takes into consideration the individuals
  ethnicity, cultural differences, language
  proficiency, communication, and physical
  limitations.

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Organizational Cultural Competency Framework
Agency
Contractors
Awareness
Competency
Sensitivity
Provider Agency
Practitioner
Cultural Destructiveness
Competency
Accommodation
Cultural Blindness
Ethnic Issues
Disability Culture
Gay/Lesbian
Children
Aging
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Cultural Competence of a System

• Is a continual developmental process to provide
  relevant services
• Promotes services that are community based,
  consumer driven and family oriented
• Addresses access to mental health services,
  cultural adaptation of services and equity in
  service benefit
• Is an active process to assure mental health
  services, supports and treatment are effective
  across cultures
• Is integrated throughout the service delivery
  system-needs assessment, information exchange,
  service design and development, hiring practices,
  staff development and supervision, outcome
  measurement, policy and governance

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Integration of Cultural Competency into an
Organizational System

• Utilize the Culturally and Linguistically
  Appropriate Services Standards. (Office of
  Minority Health, 2001)
• Implement a written strategic plan to increase
  organizational cultural competence
• Know and understand the various cultural groups
  present in the community served
• Recruit and retain a diverse staff that are
  representative of the community
• Assure workforce includes readily accessible
  bilingual/bicultural staff
• Provide language assistance at all points of
  contact
• Provide translated vital service documents,
  rights and grievance information

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Applying Evidenced Practices Across Cultural
Groups

• Four As of Cultural Competency and
  Evidence-Based Care
• Accommodation/organizational readiness
• Implementing evidence-based care in organizations
  that have already made accommodations to the
  special needs of its cultural groups
• Acceptability
• Assessment of whether or not model can work for
  cultural groups of the organization (e.g. ACT
  suitable to a Mung population?)

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Applying Evidenced Practices Across Cultural
Groups, contd.

• Four As of Cultural Competency and
  Evidence-Based Care, contd.
• Adaptation
• Adapting the practice, if appropriate, to
  cultural groups of the organization e.g., special
  medication guidelines
• Appraisal
• Appraising fidelity within the framework of
  cultural adaptation
• Appraising culture-specific outcomes

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References

• Brach, Cindy (1996). Cultural competency and
  managed care. Policy in Perspective, June 1996.
• Cultural Competence Strategic Framework Task
  Force (1996). New York State Cultural Competence
  Standards (Draft Final Report). Albany, NY New
  York State Office of Mental Health.
• Lu, Francis (1996). Getting to cultural
  competence guidelines and resources. Behavioral
  Healthcare Tomorrow, April 1996.
• Mason, J. L., et al. (1995). An Introduction to
  Cultural Competence Principles and Elements, An
  Annotated Bibliography. Portland, OR Portland
  State University, Research and Training Center on
  Family Support and Childrens Mental Health.
• Roizner, Monica (1996). A Practical Guide for
  the Assessment of Cultural Competence in
  Childrens Mental Health Organizations. Boston,
  MA Judge Baker Childrens Center.
• Shockley, Mareasa (1997). The State-of-the-States
  Responses to Cultural Competence and Diversity
  in Child Mental Health (Final Draft). Washington,
  D.C. Georgetown University Child Development
  Center.
• Siegel, Carole, et al., (2002). Cultural
  Competency Methodological and Data Strategies to
  Assess the Quality of Services in Mental Health
  Systems of Care. NYSOMH, Nathan Kline Institute
  for Psychiatric Research, 2002.
• Stanley, Sue (2003). Cultural Competency Is it
  Politically Correct? Newsletter, APPIC, November
  2003.

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Thank You for Your Participation
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Final Steps

• To receive your certificate, please click here,
  which will take you to a Word Document.
• After completing the evaluation, please email the
  word document to Tia Griffin tgriffin_at_med.wayne.e
  du. or bring the completed evaluation to suite
  750.