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Transcript of Family Ties of Nevada Monthly Webinar Series Thursday, April 12, 2012.
Family Ties of NevadaMonthly Webinar Series
Thursday, April 12, 2012
Wendy Jones April 12, 2012
CULTURAL COMPETENCE: WHAT DOES IT MEAN FOR FAMILY RESOURCE CENTERS AND
THEIR PARTNERS?
National Center
for Cultural Competence
OBJECTIVES
Slide Source: © 2012 - National Center for Cultural Competence
Participants will:
1. define culture and cultural diversity.
2. describe the multiple dimensions of culture including cultural influences on individuals, groups, and organizations.
3. cite cultural influences on beliefs and practices related to health, mental health, well-being and systems and providers of health and human services.
4. examine and apply these cultural constructs to their respective roles and affiliations.
Culture is……
• Culture is a complex set of shared values, beliefs, understandings, behaviors, language, customs, activities, rites and rituals that guide specific groups of people.
• Culture includes a range of ideas about family, aspects of family life, wellness, disability, child rearing practices, interpersonal relationships and expectations for learning and child development.
• Culture changes over time, and is passed down from one generation to the next.
Slide Source:© 2012 - National Center for Cultural Competence
CultureCulture is an integrated pattern of human behavior which includes but is not limited to:
thought
languages
values
beliefs
customs
practices
courtesies
ritualscommunication
roles
relationships
expectedbehaviors
… of a racial, ethnic, religious, social, or political group; the ability to transmit the above to succeeding generations; dynamic in nature.
manners ofinteracting
Slide Source:© 2012 - National Center for Cultural Competence
Culture
Culture is akin to being the personobserved through a one-way mirror; everything we see is from our ownperspective.
It is only when we join the observed on the other side that it is possible to see ourselves and others clearly – but getting to the other side of the glass presents many challenges.
(Lynch & Hanson 1992 Developing Cross Cultural Competence)
Slide Source: 2012 - National Center for Cultural Competence
Culture … is applicable to all peoples
is active & dynamic
is multi-layered
is viewed as thick, thin, or compartmentalized
exists at conscious and unconscious levels
structures perceptions & shapes behaviors
is a total way of life – tells group members how to behave & provides their identity
Adapted from Vivian Jackson, NCCC, 2003Slide Source:© 2012 - National Center for Cultural Competence
An Iceberg Concept of Culture
dress agegender language race or ethnicity
eye behavior facial expressions
body language sense of self
concept of justice value individual vs. group
notions of modesty concept of cleanliness emotional response patterns rules for social interaction
child rearing practices decision-making processes
approaches to problem solving
perceptions of & beliefs about of mental health, health, illness, disability
patterns of superior and subordinate roles in relation to status by age, gender, class sexual orientation gender identity & expression
and much more…
Adapted by the NCCC
physical characteristics
Slide Source:© 2012 - National Center for Cultural Competence
Are we on the same page?
culturally aware
cultural sensitivity
culturally appropriate
culturally effective
culturally relevantculturally
competent
cultural humility
culturally & linguistically competent
linguistically competent
cultural proficiency
multicultural competence
T.D. GoodeSlide Source:© 2012 - National Center for Cultural Competence
culturally relevant cultural responsiveness
linguistically appropriate
policies
practices
behaviorsstructures
attitudes
…requires that organizations have a clearly defined, congruent set of values and principles, and demonstrate behaviors, attitudes, policies, structures, and practices that enable them to work effectively cross-culturally.
(adapted from Cross, Bazron, Dennis & Isaacs, 1989.
CULTURAL COMPETENCE
Slide Source:© 2012 - National Center for Cultural Competence
Five Elements of Cultural CompetenceINDIVIDUAL LEVEL
acknowledge cultural differences
understand your own culture
engage in self-assessment
acquire cultural knowledge & skills
view behavior within a cultural context
1
2
3
4
5
(Cross, Bazron, Dennis and Isaacs, 1989)Slide Source:© 2012 - National Center for Cultural Competence
1• value diversity
2• conduct self-assessment
3• manage the dynamics of difference
4• institutionalize cultural knowledge
5• adapt to diversity (values, polices, structures & services)
Five Elements of Cultural CompetenceORGANIZATIONAL LEVEL
(Cross, Bazron, Dennis and Isaacs, 1989)Slide Source:© 2012 - National Center for Cultural Competence
Organization culture is …a pattern of shared basic assumptions that the group learned as it solved its problems of external adaptation and internal integration, that has worked well enough to be considered valid and therefore, to be taught to new members as the correct way to perceive, think, and feel in relation to those problems. (Schein, E., 1985)
Slide Source: © 2012 - National Center for Cultural Competence
ESSENTIAL ELEMENTS IN ACULTURALLY COMPETENT SYSTEM
These five elements must be manifested at every level of an organization including:
policy makers administration practice & service delivery patient/family/consumer community
and reflected in its attitudes, structures, policies, practices, and services.
Adapted from Cross, Bazron, Dennis, & Isaacs, 1989
Slide Source:© 2012 - National Center for Cultural Competence
Cultural Destructiveness
CulturalIncapacity
Cultural Blindness
CulturalPre-Competence
CulturalCompetence
CulturalProficiency
Cultural Competence Continuum(Cross, Bazron, Dennis and Isaacs, 1989)
Slide Source:© 2012 - National Center for Cultural 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 groups including persons of limited English proficiency, those who are not literate or have low literacy skills, individuals with disabilities, or those who are deaf or hard of hearing
requires organizational and provider capacity to respond effectively to the health literacy needs of populations served
ensures policy, structures, practices, procedures and dedicated resources to support this capacity
Linguistic Competence
Goode & Jones, Revised 2009, National Center for Cultural Competence
Slide Source:© 2012 - National Center for Cultural Competence
Slide Source: National Center for Cultural Competence,2007
Linguistic Competence
Goode & Jones, Revised 2009, National Center for Cultural Competence
bilingual/bicultural or multilingual/multicultural staffcross-cultural communication approachescultural brokersforeign language interpretation services (including distance technologies)sign language interpretation servicemultilingual telecommunication systems Videoconferencing & telehealth technologiesTTY, CART, VRT and other assistive technology devices
Slide Source: National Center for Cultural Competence,2007
Linguistic Competence
Goode & Jones, Revised 2009, National Center for Cultural Competence
materials in alternative formats (e.g. audiotape, Braille, enlarged print)
materials developed and tested for specific cultural groups, ethnic and linguistic groupsethnic media in languages other than English
(e.g. television, radio, Internet, newspapers, periodicals) print materials in easy to read and low literacy formats (e.g. picture and symbol formats)
LINGUISTICCOMPETENCE
POLICY
PRACTICES
STRUCTURES
PROCEDURES
DEDICATED PERSONNELRESOURCES
DEDICATED FISCAL
RESOURCES
LINGUISTIC COMPETENCE FRAMEWORK
Goode & Jones, Revised 2009, National Center for Cultural Competence
Slide Source:© 2011 - National Center for Cultural Competence
Key Values for Cultural Competence
Values and Guiding Principles for Cultural Competence
Cultural competence: embraces the principles of equal access and non- discriminatory practices in service
delivery.
is achieved by identifying and understanding the needs and help-seeking behaviors of individuals and families.
involves working in conjunction with natural, informal support and helping networks within culturally diverse communities.
Source: National Center for Cultural Competence, Foundations/Guiding Values and Principles http://nccc.georgetown.edu/foundations/frameworks.html
Slide Source: National Center for Cultural Competence, 2012
Key Values for Linguistic Competence
Values and Guiding Principles for Linguistic Competence
Services and supports are delivered in the preferred language and/or mode of delivery of the population served.
Written materials are translated, adapted, and/or provided in alternative formats based on the needs and preferences of the populations served.
Interpretation and translation services comply with all relevant Federal, state, and local mandates governing language access.
Consumers are engaged in evaluation of language access and other communication services to ensure for quality and satisfaction.
Source: National Center for Cultural Competence, Foundations/Guiding Values and Principles http://nccc.georgetown.edu/foundations/frameworks.html
Slide Source: National Center for Cultural Competence, 2012
Cultural Diversity and Differing World Views
Cultural Diversity
Goode & Jackson, 2009
The term cultural diversity is used to describe differences in ethnic or racial classification & self-identification, tribal or clan affiliation, nationality, language, age, gender, sexual orientation, gender identity or expression, socioeconomic status, education, religion, spirituality, physical and intellectual abilities, personal appearance, and other factors that distinguish one group or individual from another.
Slide Source: © 2012 - National Center for Cultural Competence
What are the demographic trends in
Slide Source:© 2012 - National Center for Cultural Competence
Religious Affiliations* Nevada
Religious Affiliation Number of Adherents
Evangelical Protestant 107,681
Mainline Protestant 44,187
Orthodox 3,048
Catholic 331,844
Other Includes Jewish Estimate. - 77,100
Includes Muslim Estimate. – 2,291
197,729
Unclaimed by the denominations in this
archive
1,313,768
Source: The Association of Religion Data Archives, 2000 http://www.thearda.com
*Archives188 denominations. Does not include historically African American denominations.
Top 10 Countries of Birth and State of Residence of Permanent Residents in Nevada
MexicoPhilippinesCuba ChinaEthiopia El SalvadorIndiaVietnamGuatemala Canada
2,5862,109 620 571 455 326 279 181 170 167
Data Source: Department of Homeland Security:Profiles of Legal Permanent Residents: Fiscal Year 2010
Total 56,920
Slide Source:© 2012 - National Center for Cultural Competence
Population by Race & Ethnicity in Nevada
Total Population 2,700,551
White
Hispanic or Latino
Black or African American
Asian
American Indian and Alaska Native
Native Hawaiian and Other Pacific Islander
Some other race
Two or more races
Data Source: U.S. Census Bureau, 2010 American FactFinder
Table QT-P4
1,786,688
716,501
218,626
195,436
32,062
16,871
324,793
126,075
Slide Source:© 2012 - National Center for Cultural Competence
Languages Spoken at Home in Nevada
English only 1,797,807
Total other languages 720,129
Speak Spanish or Spanish Creole 503,220
Speak Indo European languages 61,352[French (Patois, Cajun), French Creole, Italian, Portuguese, Portuguese Creole, German, Yiddish, Other West Germanic languages, Scandinavian languages, Greek, Russian, Polish, Serbo-Croatian, Other Slavic languages, Armenian, Persian, Gujarathi, Hindi, Urdu, Other Indic languages]
Speak Asian and Pacific Island languages 137,128[Chinese, Japanese, Korean, Mon-Kymer, Cambodian, Miao, Hmong, Thai, Laotian, Vietnamese, Tagalog, other Pacific Island language]
Other Languages 17,291[Navajo, Other Native American languages, Hungarian, Arabic, Hebrew, African languages, other unspecified languages]
Data Source: U.S. Census Bureau, 2010 American FactFinder
Total Population 5 years and over 2,517,937
Slide Source:© 2012 - National Center for Cultural Competence
What is Linguistic Isolation ?Linguistic Isolation refers to households in which no person over the age of 14 speaks English at least very well
Data Source: U.S. Census Bureau, 2010 American FactFinder Table S1
Linguistically Isolated Households in Nevada
All Households 6.4%
Households speaking --
Spanish 26.5%Other Indo-European languages 14.5%Asian and Pacific Island languages 18.9%Other Languages 27.6%
Slide Source:© 2012 - National Center for Cultural Competence
Cultural Factors That Influence Diversity Among Individuals and Groups
Adapted with permission from James Mason, Ph.D., NCCC Senior Consultant
Cultural/Racial/Ethnic IdentityTribal Affiliation/ClanNationalityAcculturation/AssimilationSocioeconomic Status/ClassEducationLanguageLiteracyFamily ConstellationSocial HistoryPerception of TimeHealth Beliefs & PracticesLiteracy
Internal FactorsHealth & Mental Health LiteracyBeliefs about Disability or Mental Health Lived Experience of Disability or Mental Illness Age & Life Cycle IssuesGender, Gender Identity & Expression Sexual OrientationReligion & Spiritual ViewsSpatial & Regional Patterns Political Orientation/Affiliation
Slide Source:© 2012 - National Center for Cultural Competence
Cultural Factors That Influence Diversity Among Individuals and Groups
Institutional BiasesRacism & DiscriminationCommunity EconomicsIntergroup RelationsGroup & Community Resiliency
External Factors
Natural Networks of SupportCommunity HistoryPolitical ClimateWorkforce DiversityCommunity Demographics
Slide Source:© 2012 - National Center for Cultural CompetenceAdapted with permission from James Mason, Ph.D., NCCC Senior Consultant
Superstition Fate or Destiny Karma Malevolent Forces Religiosity & Spirituality Cultural & Familial Folklore
Slide Source:© 2012 - National Center for Cultural Competence
Cultural Beliefs about Health, Mental Health, & Disability
Reliance on traditional remedies and healers
Culture bound syndromes
Delaying access to care Historical mistrust of health care, mental health, education, and social service professionals
Experiences of racism, discrimination, and bias
Cultural and linguistic barriers
Stigma
Cultural Influences on Beliefs and Practices Related to Systems and Providers of Human Services
T.D. Goode
Slide Source:© 2012 - National Center for Cultural Competence
Slide Source:© 2012 - National Center for Cultural Competence
What does cultural competence look like
philosophy
mission statement
policy, structures, procedures, practices
diverse, knowledgeable & skilled workforce
dedicated resources & incentives
community engagement & partnerships
conduct research for and with diverse communities
publish & disseminate
advocacy (disparities, health equity, social justice)
Characteristics of Culturally and Linguistically Competent Organizations and Systems
Slide Source:© 2012 - National Center for Cultural Competence
Cultural Competence:Staff Characteristics, Attributes, Knowledge, & Skills
demonstrate genuine interest
admit & identify areas of growth
willingness & skills to address the dynamics of difference
seek knowledge
Slide Source:© 2012 - National Center for Cultural Competence
T. D. Goode
Cultural Competence:Staff Characteristics, Attributes, Knowledge, & Skills
The capacity to incorporate cultural diversity and cultural competence into your work, such as:
Providing family-centered care
Connecting with families
Providing educational opportunities
Linking families for peer to peer support
Sharing information and making referrals
Supporting self-advocacy efforts
Advising and partnering
Slide Source:© 2012 - National Center for Cultural Competence
T. D. Goode
As a culturally competent _________ I am capable of interacting positively with
people who do NOT
look like,talk like,
think like,believe like,
act like,live like...
ME!!!Source Multnomah County Department of Health.
move like,
Modification from Mike Magy, Massachusetts Department of Mental Health, November 2005 . Slide Source:© 2012 - National Center for Cultural Competence
Cultural competence and linguistic competence
are a life’s journey … not a destination
Safe travels!
T.D. GoodeSlide Source: National Center for Cultural Competence, 2012
CONTACT US
National Center for Cultural Competencehttp://[email protected]
The content of and this PowerPoint presentation are copyrighted and are protected by Georgetown University's copyright policies.
Permission is granted to use this PowerPoint presentation in its entirety and/or individual slides for non-commercial purposes if:
the material is not to be altered and • proper credit is given to the author(s) and to the National Center for Cultural Competence.
Permission is required if the material is to be:• modified in any way • used in broad distribution.
To request permission and for more information, contact [email protected].