The Development of Multicultural Competencies
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Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals
A Partner for Healthier Communities Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals www.calendow.org Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals Prepared for The California Endowment Edited by M. Jean Gilbert, Ph.D. Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals is a publication of The California Endowment. No part of this publication may be reproduced without attribution to The California Endowment. To be added to The California Endowment database and alerted to upcoming publications, please e-mail us at [email protected]. You may also call us at 800-449-4149, ext. 3513, or write to us at: The California Endowment 21650 Oxnard Street, Suite 1200 Woodland Hills, CA 91367 800.449.4149 Established by Blue Cross of California CM/Principles 02/03 A Table of Contents Preface i Acknowledgments iii Introduction v I. Guiding Principles and Recommended Standards for Cultural Competence Education and Training of Health Care Professionals 1 II. Recommended Standards for the Content of Cultural Competence Education 3 III. Recommended Standards for Training Methods and Modalities 7 IV. Standards for Evaluating Cultural Competence Learning 8 V. Standards Relating to the Qualifications of Cultural Competence Teachers and Trainers 9 VI. Appendices A. Appendix 1: Glossary of Terms 11 B. Appendix 2: Policy Statements and Standards 13 C. Appendix 3: Models for Culturally Competent Health Care 19 D. Appendix 4: Videos and CD-ROMs 34 E. Appendix 5: Web Sites 61 Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals Preface Dear Colleague: The California Endowment is pleased to share our publication Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals. -
AACAP Practice Parameters for Cultural Competence
American Academy of Child and Adolescent Psychiatry AACAP is pleased to offer Practice Parameters as soon as they are approved by the AACAP Council, but prior to their publication in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP). This article may be revised during the JAACAP copyediting, author query, and proof reading processes. Any final changes in the document will be made at the time of print publication and will be reflected in the final electronic version of the Practice Parameter. AACAP and JAACAP, and its respective employees, are not responsible or liable for the use of any such inaccurate or misleading data, opinion, or information contained in this iteration of this Practice Parameter. PRACTICE PARAMETER FOR CULTURAL COMPETENCE IN CHILD AND ADOLESCENT PSYCHIATRIC PRACTICE ABSTRACT The United States (U.S.) faces a rapidly changing demographic and cultural landscape, with its population becoming increasingly multi-racial and multi-cultural. Consequently, cultural and racial factors relating to mental illness and emotional disturbances deserve closer attention and consideration. In this Practice Parameter, we outline clinical applications of the principle of cultural competence that will enable child and adolescent mental health clinicians to better serve diverse children, adolescents, and their families. Key words: culture, ethnicity, race, cultural diversity, cultural competence, acculturation, ethnopharmacology. ATTRIBUTION This parameter was developed by Andrés J. Pumariega, M.D., Eugenio Rothe, M.D., Ayesha Mian, M.D., Lee Carlisle, M.D., Claudio Toppelberg, M.D., Toi Harris, M.D., Rama Rao Gogineni, M.D., Sala Webb, M.D., Jacqueline Smith, M.D., and the American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI): Heather Walter, M.D., M.P.H. -
Understanding the Cultural Competence Continuum
IINFUSIING CULTURAL & LIINGUIISTIIC COMPETENCE IIN HEALTH PROMOTIION TRAIINIING GROUP ACTIIVIITY – UNDERSTANDIING THE CULTURAL COMPETENCE CONTIINUUM Using the attached handout Cultural Competence Continuum, have the audience: discuss and cite examples of - cultural destructiveness - cultural incapacity - cultural blindness describe ways in which cultural incapacity and cultural blindness can hamper health promotion activities. describe how they view the continuum - What does it mean to them and their work? Discussion Guidelines for Trainers The audience will clearly be able to discuss the problems with culturally destructive practices such as English only policies in states that prohibit providing health information in other languages. Cultural blindness — being “fair” by treating everyone the same is often hard to view as problematic. Discussion should highlight that differing needs and beliefs deserve different approaches. Encourage the audience to think about how training is often developed from the cultural perspective of the person, discipline, agency, or organization conducting the training. Challenge audience members to have a different view — use the cultural lenses of the individuals and families whom they are attempting to help — to shape training content and approaches. A Guide to Infusing Cultural & Linguistic Competence in Health Promotion Training National Center for Cultural Competence ØGeorgetown University Center for Child & Human Development Ø3300 Whitehaven Parkway, N.W., Suite 3300 Washington, DC 20007Ø page 1 CULTURAL & LIINGUIISTIIC COMPETENCE IIN HEALTH PROMOTIION TRAIINIING CULTURAL COMPETENCE CONTIINUUM The National Center for Cultural Competence (NCCC) embraces a conceptual framework and model for achieving cultural competence based on the seminal work of Cross et al. espoused in a monograph entitled Toward A Culturally Competent System of Care, Volume 1, originally published in 1989. -
CULTURAL SENSITIVITY “No Culture Can Live If It Attempts to Be Exclusive.” ~Mahatma Ghandi Culture Iceberg
CULTURAL SENSITIVITY “No culture can live if it attempts to be exclusive.” ~Mahatma Ghandi Culture Iceberg Like an iceberg, 10% the part of culture ______ that is visible - observable behavior 90% - is only a small part of a much bigger whole. Discussion: 1. Which aspects of culture are above and which are below the waterline? 2. How can we better understand those below the waterline? Adjustment Issues The uprooting trauma Rural-urban adjustment Loss of social support system Change in economic status Adjustment to education system Parenting dilemmas /role reversal Culture Shock Discussion : 1. How do parent–child roles become reversed for immigrants? 2. How does culture shock reveal itself? What is Culture Shock? Culture Shock is the physical and emotional discomfort one suffers when living in another country. Most likely everyone will go through some degree of culture shock. It is a natural process. Culture Shock, Oxford Seminars Symptoms of Culture Shock ¾ Homesickness ¾ Boredom ¾ Withdrawal (or mixing only with people from one’s own culture) ¾ Sleeping too much ¾ Feeling irritated with others ¾ Not being able to work well ¾ Lack of confidence ¾ Sadness and loneliness ¾ Crying for no particular reason Adapted from Culture Shock, Oxford Seminars Stages of Culture Shock 1. The Honeymoon Stage: Everything is new and exciting and one feels as though one is on vacation. 2. The Hostility Stage: One may start to have difficulties adjusting and therefore start to criticize the culture. This may happen when a person is trying to adapt to a new culture. Things are no longer new and exciting. 3. The Depression Stage: Negative feelings reach a climax and one feels lonely and negative. -
Is Cultural Competency a Backdoor to Racism?
This paper was selected for publication in the AAA’s Anthropology News as part of the "Rethinking Race and Human Variation" special editions of February and March 2006. The special editions were sponsored by the Understanding Race and Human Variation project and funded by the Ford Foundation. The Understanding Race and Human Variation project is a multi-year public education effort funded by the National Science Foundation and the Ford Foundation. This paper represents the views of the author and not that of the AAA or the Understanding Race and Human Variation project. IS CULTURAL COMPETENCY A BACKDOOR TO RACISM? S. Agnes Lee, Ph.D. Professor of Liberal Studies Rocky Mountain College of Art and Design Denver, CO 80214 Michelle Farrell Rates & Analysis Division Colorado Department of Health Care Policy and Financing Denver, CO 80214 Introduction In the US, medical and public health professionals recognize that there is a disparity in health care and that the disparity is correlated with ethnicity and "race." In an attempt to deal with this disparity, cultural competency models have been incorporated into the curricula of most health professions and into many healthcare institutions. These models, in general, call for sensitivity to cultural differences between the health care provider and the patient. What is of interest to us is that these models fail to capture the diverse and fluid nature of culture and self-identity. Instead, these models tend to focus on constructed categories of race that are reaffirmed and reified by the myriad of health studies that neither question nor explain the racial divisions. -
Six Steps Toward Cultural Competence How to Meet the Health Care Needs of Immigrants and Refugees
Six Steps Toward Cultural6 Competence How to Meet the Health Care Needs of Immigrants and Refugees Compliments of Six Steps Toward Cultural Competence How to Meet the Health Care Needs of Immigrants and Refugees Recommendations from the Minnesota Public Health Association’s Immigrant Health Task Force Task Force Chair: Carol Berg, R.N., M.P.H. Report Editor: Patricia Ohmans, M.P.H. Design: Patricia Ohmans, Michelle Sorenson Design services donated by Boynton Health Service, University of Minnesota Printing donated by 3M Community Affairs Foundation Copies of this report are available from Refugee Health Program Minnesota Department of Health 717 Delaware Street S.E. Minneapolis, MN 55440 Nonprofit uses of this report are encouraged. Feel free to reproduce its contents for educational purposes, but please credit the Minnesota Public Health Association’s Immigrant Health Task Force. For even more information, a packet of supplementary materials for this report is available. To order, see the last page of this report. Executive Summary This is a report for anyone interested in the relation- ship between health and culture in Minnesota. It tackles one important question: How can health care be more accessible to immigrants and refugees who come to our state? The report proceeds from three premises: that access to health care should be universal for Minnesotans, whether they are “new” or “old”; that such access is, in fact, more difficult for Minnesotans who are immi- grants or refugees, and that we can, and should, take steps to correct this inequity. By taking the steps outlined in this report, we will become more culturally competent as health care providers, consumers, administrators, schol- ars, policy-makers, and citizens. -
What Does It Mean to Be Culturally Competent?
What does it mean to be culturally competent? Cultural competence is about our will and actions to build understanding between people, to be respectful and open to different cultural perspectives, strengthen cultural security and work towards equality in opportunity. Relationship building is fundamental to cultural competence and is based on the foundations of understanding each other’s expectations and attitudes, and subsequently building on the strength of each other’s knowledge, using a wide range of community members and resources to build on their understandings.[3] In Canada, we have talked for a long time about the importance of respecting diversity and embracing a range of cultures as part of the social fabric of our society. However the term, cultural competence, is a relatively new concept to many. So what does cultural competence mean and why is it so important for people to have their culture and cultural backgrounds acknowledged, respected and valued? Cultural sensitivity is not limited to one group but applies to all cultures. All service providers must avoid using their own group as the standard by which to assess appropriate behavior in others. In addition, greater differences may exist within the same cultural group than between different cultural groups, and we need to be intraculturally sensitive as well as multiculturally sensitive[1]. Underlying cultural competence are the principles of trust, respect for diversity, equity, fairness, and social justice. Culture is the fundamental building block of identity and the development of a strong cultural identity is essential to an individual’s healthy sense of who they are and where they belong [4]. -
MODULE 1. SENSITIVITY and AWARENESS of CULTURAL and OTHER FORMS of DIVERSITY Unit 2.INTERCULTURAL COMPETENCE and SENSITIVITY TO
Training packages for health professionals to improve access and quality of health services for migrants and ethnic minorities, including the Roma MEM‐TP MODULE 1. SENSITIVITY AND AWARENESS OF CULTURAL AND OTHER FORMS OF DIVERSITY Unit 2. INTERCULTURAL COMPETENCE AND SENSITIVITY TO DIVERSITY GUIDELINES Prepared by: Ainhoa Rodriguez and Olga Leralta Andalusian School of Public Health MEM-TP © European Union, 2015 For any reproduction of textual and multimedia information which are not under the © of the European Union, permission must be sought directly from the copyright holders. © Cover Illustrations: Observatorio de la Infancia de Andalucía, Escuela Andaluza de Salud Pública. Junta de Andalucía. Migrants & Ethnic Minorities Training Packages Funded by the European Union in the framework of the EU Health Programme (2008‐2013) in the frame of a service contract with the Consumer, Health, Agriculture and Food Executive Agency (Chafea) acting under the mandate from the European Commission. The content of this report represents the views of the Andalusian School of Public Health (EASP) and is its sole responsibility; it can in no way be taken to reflect the views of the European Commission and/or Chafea or any other body in the European Union. The European Commission and/or Chafea do not guarantee the accuracy of the data included in this report, nor do they accept responsibility for any use made by third parties thereof. 2 September, 2015 MEM-TP Module 1: Sensitivity and Awareness of Cultural and Other Forms of Diversity Unit 2: Intercultural Competence and Diversity Sensitivity 1. Objectives and Methods 1.1. Objectives Objectives of the presentation: • Introduce the concepts “multiculturalism”, “interculturalism”, “cultural competence”, “intercultural competence” and “diversity sensitivity”, and the shifts in their use. -
Cultural Competence Planning Guide
Cultural Competence Planning Guide Cultural Competence Workgroup 2011-2014 TABLE OF CONTENTS EXECUTIVE SUMMARY: POLICY AND OVERVIEW . 1. Policy . 1. The DSHS vision of cultural competence . .1 Who should implement these guidelines? . .1 INDIVIDUAL SERVICES AND CULTURAL COMPETENCE . 1 Incremental approach . 1. What is cultural competence? . 2. Organization and administrative support . 2. MODEL FOR CULTURAL COMPETENCE PLANNING . 2 SMART Goals . 2. SMART Objectives . 2. GOALS APPLICABLE FOR CULTURAL COMPETENCE . .3 . Cultural competence planning worksheet . .3 Outline of goals and sample objectives . .3 ACTION AND PLANNING GUIDE . .4 . Cultural competence is programmatic competence . 4. How to become more culturally competent? . 4. Cultural competence is both personal and organizational . .4 Who can receive culturally competent services? . 4. Individualized services . 4. Is cultural competence aimed at the provider or the administration? . .4 COMPONENTS OF CULTURALLY COMPETENT PLANS . .5 . Human Resources Development . 5. CITATIONS . 6 FREQUENTLY ASKED QUESTIONS . 6 What is Diversity? . 6. Why is inclusion important? . .6 What is “culture?” . 7. RESOURCES . 8. ACKNOWLEDGMENTS . 9. EXECUTIVE SUMMARY: POLICY AND OVERVIEW Policy The Washington State Department of Social and Health Services is committed to creat- ing and maintaining an environment that supports “Cultural Competence” by promot- ing respect and understanding of diverse cultures, social groups, and individuals. To achieve this commitment, we develop and maintain a high-performing workforce that Transforming Lives improves outcomes for clients, delivers culturally responsive services, and reflects the diversity of the communities we serve. We deliver culturally responsive services and our TOGETHER WE WILL workforce reflects the diversity of the communities we serve. Each DSHS administration decrease poverty improve ensures Cultural Competence is integrated into the overall organizational culture and the safety and health ongoing business. -
In Pursuit of Cultural Immersion: an Anthropological Look Into American Students' Study Abroad Experience Jessica Sarrantonio Union College - Schenectady, NY
Union College Union | Digital Works Honors Theses Student Work 6-2012 In Pursuit of Cultural Immersion: An Anthropological Look into American Students' Study Abroad Experience Jessica Sarrantonio Union College - Schenectady, NY Follow this and additional works at: https://digitalworks.union.edu/theses Part of the Anthropology Commons, and the Education Commons Recommended Citation Sarrantonio, Jessica, "In Pursuit of Cultural Immersion: An Anthropological Look into American Students' Study Abroad Experience" (2012). Honors Theses. 894. https://digitalworks.union.edu/theses/894 This Open Access is brought to you for free and open access by the Student Work at Union | Digital Works. It has been accepted for inclusion in Honors Theses by an authorized administrator of Union | Digital Works. For more information, please contact [email protected]. In Pursuit of Cultural Immersion: An Anthropological Look into American Students’ Study Abroad Experience By Jessica C. Sarrantonio ******** Submitted in partial fulfillment of the requirements for Honors in the Department of Anthropology UNION COLLEGE March 2012 Table of Contents Abstract……………………………………………………3 Introduction………………………………………………..5 Methods of Research……………………………………..24 Student Preparedness…………………………………….38 The Faculty and Administration of the Programs..............48 Expectations for India……………………………………56 Expectations for Australia………………………………..64 Previous Travel…………………………………………..71 Culture Shock and Cultural Sensitivity…………………..80 Free Time: Insight into what Students do while Abroad...88 -
Needs Assessment of Culturally Relevant and Sensitive Domestic Violence Services for Native American Women in a Rural Northern California County
NEEDS ASSESSMENT OF CULTURALLY RELEVANT AND SENSITIVE DOMESTIC VIOLENCE SERVICES FOR NATIVE AMERICAN WOMEN IN A RURAL NORTHERN CALIFORNIA COUNTY By Noelle Danis A Project Presented to The Faculty of Humboldt State University In Partial Fulfillment of the Requirements for the Degree Master of Social Work Committee Membership Dr. Jennifer Maguire, MSW, Ph.D., Committee Chair Joyce Gonzales, Community Partner Geneva Shaw, MSW, Second Reader Geneva Shaw, MSW, Program Graduate Coordinator December 2016 Abstract NEEDS ASSESSMENT OF CULTURALLY RELEVANT AND SENSITIVE DOMESTIC VIOLENCE SERVICES FOR NATIVE AMERICAN WOMEN IN A RURAL NORTHERN CALIFORNIA COUNTY Noelle Danis In this rural Northern Californian County, there are four federally recognized tribes, as well as additional non-federally recognized tribes. This county is home to a single encompassing agency that assists those in need of domestic violence services. Indigenous people seeking services have little choice, therefore it is paramount that providers incorporate concepts such as historical trauma and assist those in need with culturally relevant and sensitive services. A needs assessment was conducted, which was comprised of two distinct parts. The first, was a case study to collect and analyze data from a focus group assembled of Native American women, who have had experiences with domestic violence services within this county. The intent of the focus group was to discern the users’ perspective of services, or why they may not have had sought out services in relation with the users’ cultural identity. Secondly, a survey of local professionals experienced with the Native American community, was conducted seeking individuals’ perspectives. This pertained to culturally sensitive treatments for Native American women. -
Technologies of Menstrual Management in Nineteenth-Century America
AMERICA’S BLOODY HISTORY: MENSTRUATION MANAGEMENT IN THE MID-NINETEENTH CENTURY by Tess Frydman A thesis submitted to the Faculty of the University of Delaware in partial fulfillment of the requirements for the degree of Master of the Arts in American Material Culture Spring 2018 © 2018 Tess Frydman All Rights Reserved AMERICA’S BLOODY HISTORY: MENSTRUATION MANAGEMENT IN THE MID-NINETEENTH CENTURY by Tess Frydman Approved: __________________________________________________________ Rebecca Davis, Ph.D. Professor in charge of thesis on behalf of the Advisory Committee Approved: __________________________________________________________ Wendy Bellion, Ph.D. Acting Director of the Winterthur Program in American Material Culture Approved: __________________________________________________________ George H. Watson, Ph.D. Dean of the College of Arts and Sciences Approved: __________________________________________________________ Ann L. Ardis, Ph.D. Senior Vice Provost for Graduate and Professional Education ACKNOWLEDGMENTS Foremost, I wish to express my sincere thanks to my advisor, Rebecca Davis, who has given so freely of her time to guide me through this process. Her advice, painstaking edits, encouragement, and support are deeply appreciated. I also gratefully acknowledge the support and generosity of The Coco Kim Scholarship and the Winterthur Program Professional Development Funds, without which this research could not have been completed. I am also incredibly thankful to those who have opened their archives, libraries, and collections to me. Harry Finley, founder of the Museum of Menstruation, initially sparked my interest in this subject and allowed me to explore his incredible collection of menstrual ephemera. Patricia Edmonson of the Western Reserve Historical Society provided advice and let me explore numerous undergarments in the historical society’s collection.