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Multicultural Diversity and Competence in TR Chapter 5

Multicultural Diversity and Competence in TR Chapter 5. HPR 453. Cultural Competence. The U.S. is no longer a melting pot of homogenized Americans (Hubert Humphrey, 1967) Cultural competence is a strategy to reduce disparities in access to and provision of quality health and human services

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Multicultural Diversity and Competence in TR Chapter 5

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  1. Multicultural Diversity and Competence in TRChapter 5 HPR 453

  2. Cultural Competence The U.S. is no longer a melting pot of homogenized Americans (Hubert Humphrey, 1967) Cultural competence is a strategy to reduce disparities in access to and provision of quality health and human services CTRSs must provide culturally competent services

  3. Demographics continue to change rapidly Terms - Cultural awareness, cultural sensitivity, cultural diversity and others “continuous, developmental process of pursuing cultural awareness, knowledge, skills, encounters, sensitivity, and linkages among services and people”

  4. Cultural competence in health care • The ability of systems to provide equitable care to patients with diverse values, beliefs, and behaviors, including tailoring delivery to meet patients’ social, cultural, and linguistic needs • Multiculturalism includes racism, sexism, ableism, anti-Semitism, classism, heterosexism, and homophobia • Ignorance of cultural issues, lack of knowledge, language differences = Barriers

  5. Diversity Issues and Efforts Related to TR Education • University Program Accreditation (COAPRT and CARTE) • Individual Professional Certification (NCTRC) • Professional Associations (ATRA) • Diversity: Case Studies in Healthcare • Guidelines for Competency Assessment and Curriculum Planning for Recreational Therapy Practice • Standards for the Practice of Therapeutic Rec

  6. ATRA Board approved a Statement on Diversity (March 2006) – The Association promotes “diverse and inclusive participation by its leaders, members and affiliates” ATRA Diversity Team ATRA Linda Levine Madori Scholarship NRPA nondiscrimination statement NRPA Diversity Scholarship ATRA Code of Ethics Professional Journals

  7. Issues in TR Practice • Lack of cultural diversity among CTRSs • National sample (2007) – N=979 • 15% male • 10% ethnic minority • 60% between 23-39 y/o • Mainly young Caucasian females but we serve a large diverse population • Concerted efforts needed to recruit and increase the number of minority students into our TR curricula/profession

  8. Why the need for cultural competence?(National Center for Cultural Competence, 2007) Respond to current and projected demographic changes in US Eliminate longstanding disparities in healthcare provision Improve quality of services & health outcomes Meet legislative, regulatory, and accreditation mandates Gain competitive edge in the market place Decrease the likelihood of liability/malpractice claims

  9. Essence of TR is to improve functional abilities, health, and overall quality of life CTRSs must understand the beliefs that shape their clients’ approach to health and illness Can face liability claims that their failure to understand and adhere to their clients’ beliefs, practices, and behaviors breaches professional standards of care

  10. What can you do? Work in multicultural settings Examine your own biases Learn about the community Examine your language Consider the interaction of families Learn about individuals and individual differences

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