Cultural Competence Primer: Incorporating Cultural Competence ...
Cultural competence april 16
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Transcript of Cultural competence april 16
Cultural CompetenceCultural Competence
Rich RosingRich Rosing
April 16, 2010April 16, 2010
[email protected]@hccs.edu
Culture WorkshopCulture Workshop
IntroductionsIntroductions
Why are you attending?Why are you attending?
What do you want to get out of the What do you want to get out of the workshop?workshop?
Culture WalkCulture Walk
InstructionsInstructions
Culture?Culture?
How do you define Culture?How do you define Culture?
What is Culture?What is Culture?
Culture has been defined as "the shared values, traditions, norms, customs, arts, history, folklore, and institutions of a group of people."
Aspects of Culture beyond Aspects of Culture beyond EthnicityEthnicity
••National originNational origin ••GenderGender ••Sexual orientationSexual orientation ••ReligionReligion ••Location (rural, urban, suburban)Location (rural, urban, suburban) ••Socioeconomic statusSocioeconomic status ••AgeAge
Cultural CompetencyCultural Competency
For the purposes of Health For the purposes of Health Professions Diversity grants, Professions Diversity grants, cultural competence is defined simply as the level of knowledge-simply as the level of knowledge-based skills required to provide based skills required to provide effective clinical care to patients effective clinical care to patients from a particular ethnic or racial from a particular ethnic or racial group. (SAMHSA)group. (SAMHSA)
Cultural CompetenceCultural Competence
The U.S Department of Health and The U.S Department of Health and Human Services defines cultural Human Services defines cultural competence as a set of behaviors, competence as a set of behaviors, attitudes and policies that come attitudes and policies that come together in a system, agency or program together in a system, agency or program or among individuals, enabling them to or among individuals, enabling them to function effectively in diverse cultural function effectively in diverse cultural interactions and similarities within, interactions and similarities within, among, and between groups.among, and between groups.
Cultural CompetenceCultural Competence
Cultural Competence includes: Cultural Competence includes: Attaining the knowledge, skills, and Attaining the knowledge, skills, and attitudes to enable administrators attitudes to enable administrators and practitioners within system of and practitioners within system of care to provide effective care for care to provide effective care for diverse populations, i.e., to work diverse populations, i.e., to work within the person’s values and reality within the person’s values and reality conditions. conditions.
Cultural CompetenceCultural Competence
Recovery and rehabilitation are more Recovery and rehabilitation are more likely to occur where managed care likely to occur where managed care systems, services, and providers have systems, services, and providers have and utilize knowledge and skills that and utilize knowledge and skills that are culturally competent and are culturally competent and compatible with the backgrounds of compatible with the backgrounds of consumers from the four consumers from the four underserved/underrepresented underserved/underrepresented racial/ethnic groups, their families, and racial/ethnic groups, their families, and communities. communities.
Cultural CompetenceCultural Competence
Cultural competence acknowledges Cultural competence acknowledges and incorporates variance in and incorporates variance in normative acceptable behaviors, normative acceptable behaviors, beliefs and values in determining an beliefs and values in determining an individual’s mental wellness/illness, individual’s mental wellness/illness, and incorporating those variables and incorporating those variables into assessment and treatment. into assessment and treatment.
Cultural CompetencyCultural Competency
No single definition of cultural competence is yet No single definition of cultural competence is yet universally accepted, either in practice or in health universally accepted, either in practice or in health professions education. professions education.
Most have a common element, which requires the Most have a common element, which requires the adjustment or recognition of one’s own culture in adjustment or recognition of one’s own culture in order to understand the culture of a patient. order to understand the culture of a patient. Neither is there consensus about how best to Neither is there consensus about how best to provide the necessary knowledge, skills, provide the necessary knowledge, skills, experience, and attitudes to effectively serve experience, and attitudes to effectively serve diverse populations. Some individuals even doubt diverse populations. Some individuals even doubt the legitimacy of teaching cultural competence at the legitimacy of teaching cultural competence at all. (Dept. of Health and Human Services)all. (Dept. of Health and Human Services)
CultureCulture
What was that like for you in terms of What was that like for you in terms of the way culture was defined for you the way culture was defined for you during the culture walk.?during the culture walk.?
I want you to think about what are I want you to think about what are the various parts of your life that the various parts of your life that contribute to your culture?contribute to your culture?
Your CultureYour Culture
How does your culture influence the How does your culture influence the way you view other cultures?way you view other cultures?
Understanding CultureUnderstanding Culture
Cultural knowledge – history, values, Cultural knowledge – history, values, beliefs and behaviorsbeliefs and behaviors
GroupGroup
Talk about a childhood experience that Talk about a childhood experience that you had that was a profound experience you had that was a profound experience for you and why. (tell us a story that for you and why. (tell us a story that would allow us to enter into your history, would allow us to enter into your history, values, beliefs or behaviors.values, beliefs or behaviors.
Tell a story of how you celebrate a Tell a story of how you celebrate a special event. It may be a holiday, special event. It may be a holiday, birthday, rite of passage.birthday, rite of passage.
Understanding CultureUnderstanding Culture
Cultural knowledge – history, values, Cultural knowledge – history, values, beliefs and behaviorsbeliefs and behaviors
Cultural awareness – openness to Cultural awareness – openness to idea of changing cultural attitudesidea of changing cultural attitudes
StoryStory
Tell us a story of an event or time in Tell us a story of an event or time in your life that changed the way you your life that changed the way you looked at another person by being looked at another person by being more aware of their culture that more aware of their culture that directs their life.directs their life.
Understanding CultureUnderstanding Culture
Cultural knowledge – history, values, Cultural knowledge – history, values, beliefs and behaviorsbeliefs and behaviors
Cultural awareness – openness to Cultural awareness – openness to idea of changing cultural attitudesidea of changing cultural attitudes
Cultural sensitivity – knowledge Cultural sensitivity – knowledge without assigning valueswithout assigning values
The ChallengeThe Challenge
How do we view another culture How do we view another culture without assigning values?without assigning values?
Driving down the road?Driving down the road? What are our stereotypes, What are our stereotypes,
prejudices?prejudices?
StoryStory
Do you have a story where you were Do you have a story where you were able to just see a culture for what it able to just see a culture for what it is an not assign value.is an not assign value.
Share what you have Share what you have learnedlearned
I want you to reflect to a person in I want you to reflect to a person in your group how you now see them your group how you now see them through their culture?through their culture?
Cultural Competence Cultural Competence ContinuumContinuum
Destructiveness
Incapacity Blindness
Pre-competence
Competence Proficiency
Understanding CultureUnderstanding Culture
Cultural knowledge – history, values, Cultural knowledge – history, values, beliefs and behaviorsbeliefs and behaviors
Cultural awareness – openness to idea Cultural awareness – openness to idea of changing cultural attitudesof changing cultural attitudes
Cultural sensitivity – knowledge Cultural sensitivity – knowledge without assigning valueswithout assigning values
Cultural Competence – working Cultural Competence – working togethertogether
Cultural CompetenceCultural Competence
A journey not a destination. A journey not a destination.
Agree/Disagree?Agree/Disagree?
Game PlanGame Plan
What is your game plan to be more What is your game plan to be more culturally competent?culturally competent?
Cultural CompetenceCultural Competence
Rich RosingRich Rosing
April 16, 2010April 16, 2010
[email protected]@hccs.edu