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Chapter 12

Chapter 12 Profiles of Culturally Competent Care with African American, Asian American and Native American Populations Multicultural Social Work Practice – Chapter (12) African Americans 12.3% of U.S. population is African American Poverty rate for AA’s 33.1%-Whites 12.2%

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Chapter 12

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  1. Chapter 12 Profiles of Culturally Competent Care with African American, Asian American and Native American Populations Multicultural Social Work Practice – Chapter (12)

  2. African Americans • 12.3% of U.S. population is African American • Poverty rate for AA’s 33.1%-Whites 12.2% • AA’s live 5-7 years shorter than Whites • 40% of new AIDS cases are AA’s Multicultural Social Work Practice – Chapter (12)

  3. African Americans • 70% of households headed by women • Extended family networks provide emotional support • Adaptability of family roles • Strong kinship bonds • Strong work and achievement ethic • Strong religious orientation Multicultural Social Work Practice – Chapter (12)

  4. African Americans • Parents encourage children to develop career and educational goals early in life • Academic performance suffers due to racism • Homicide rates 10x’s—higher than White youth • “Healthy cultural paranoia” • Perceived racial discrimination leads to psychological distress Multicultural Social Work Practice – Chapter (12)

  5. Social Work Implications—working with African Americans • Find out roles in the family—they can be flexible • Intervention strategies may involves systems, family, and communities • Churches should be considered as sources of support • Conflict with the individuals may relate to racial identity development • Address issues of mistrust Multicultural Social Work Practice – Chapter (12)

  6. Asian Americans • Fastest growing group among all racial/ethnic groups • 4% of U.S. population—9% by 2050 • Underutilize social services because of: • Cultural factors • Language difficulties • Expressions of psychological distress • Limited access to culturally competent services Multicultural Social Work Practice – Chapter (12)

  7. Asian Americans • Collectivistic orientation • Societies are generally patriarchal • Emotional restraint is valued • Shame and guilt are invoked to control children due to self-discipline focus • Holistic view on mind and body Multicultural Social Work Practice – Chapter (12)

  8. Asian Americans • Fear of academic failure in students • Racism and discrimination lead to high rates of depression • Refugee or immigrant issues (e.g. culture shock, language difficulties) • Shame/”saving face” Multicultural Social Work Practice – Chapter (12)

  9. Social Work Implications—working with Asian Americans • Family work may be preferred • Assess extended social support networks • Do not impose egalitarian values • Address head of family first • Recognize emotional behavior in an indirect manner • Treat both somatic and psych issues • Protect the dignity of the family Multicultural Social Work Practice – Chapter (12)

  10. Native Americans • Status was eroded by genocide, colonialism, and imperialism • Heterogeneous group—512 tribes • Young population-39% under age 29 • Alcoholism is rampant • Native American identity based on blood quantum levels Multicultural Social Work Practice – Chapter (12)

  11. Native Americans • Many see themselves as extensions of their respective tribes • Varied family structures • High fertility rates, out-of-wedlock births, strong roles for women • Extended family is the basic unit Multicultural Social Work Practice – Chapter (12)

  12. Native Americans • Honor and respect are gained by sharing • Tribe and family take precedence over the individual • Rights of others are respected and noninterference is valued • Present time orientation Multicultural Social Work Practice – Chapter (12)

  13. Native Americans • Spirit, mind, and body are one • Direct eye contact with an elder is disrespectful • Children do well academically early on but drop out after 4th grade • Bicultural conflicts • High rates of domestic violence Multicultural Social Work Practice – Chapter (12)

  14. Social Work Implications—working with Native Americans • May need to assess relation to tribe • Determine roles of other family members to ensure appropriate interventions • Children may appear unmotivated because they are cooperative • Parents are more permissive—not necessarily neglectful Multicultural Social Work Practice – Chapter (12)

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