Cultural Competency Overview

1. Cultural Competency Overview WSU Project CARE Web-Based Instruction Wayne State University in collaboration with the Detroit-Wayne County Community Mental Health Agency

2. Training Goal • The overall goal of this training is to review terms and concepts related to cultural competency and to explain the framework the Agency is adopting related to cultural competency in service delivery.

3. Behavioral Objectives At the end of this training, participants will be able to: • Define and explain terms and concepts related to cultural competency • Identify the Agency needs related to cultural competency based in analysis of the state contract and the response to the state contract • Explain a framework for a series of training initiatives addressing training needs related to cultural competency

4. Terms & Definitions • Culture The integrated pattern of human behavior that includes thought, communication, actions, customs, beliefs, values and institutions of a racial, ethnic, religious or social group. Culture defines the preferred ways for meeting needs. • Race The concept of race as used by the Census Bureau reflects self-identification by people according to the race or races with which they most closely identify. These categories are sociopolitical constructs and should not be interpreted as being scientific or anthropological in nature. • Ethnicity A large group of people classes according to common racial, national, tribal, religious, linguistic or cultural origin or background • Cultural Awareness Developing sensitivity and understanding of another ethnic group. This usually involves internal changes in terms of attitudes and values.

5. Terms & Definitions, cont’d. • Cultural Sensitivity Knowing that cultural differences as well as similarities exist, without assigning values, i.e. better or worse, right or wrong, to those cultural differences. • Cultural Diversity Refers to differences in race, ethnicity, language nationality or religion among various groups within a community. • Cultural Competency A set of congruent practice skills, behaviors, attitudes and policies that come together in a system, agency, or among professionals and enables that system, agency or those professionals to work effectively in cross-cultural situations. • Accommodations • To accommodate access and assure an individual’s full participation and receipt of maximum benefit from the services being offered, the services must be provided in a manner that recognizes and takes into consideration the individual’s ethnicity, cultural differences, language proficiency, communication, and physical limitations.

6. Organizational Cultural Competency Framework Agency Contractors Awareness Sensitivity Competency Provider Agency Practitioner Cultural Destructiveness Cultural Blindness Accommodation Competency Ethnic Issues Disability Culture Gay/Lesbian Children Aging

7. Cultural Competence of a System • Is a continual developmental process to provide relevant services • Promotes services that are community based, consumer driven and family oriented • Addresses access to mental health services, cultural adaptation of services and equity in service benefit • Is an active process to assure mental health services, supports and treatment are effective across cultures • Is integrated throughout the service delivery system-needs assessment, information exchange, service design and development, hiring practices, staff development and supervision, outcome measurement, policy and governance

8. Integration of Cultural Competency into an Organizational System • Utilize the Culturally and Linguistically Appropriate Services Standards. (Office of Minority Health, 2001) • Implement a written strategic plan to increase organizational cultural competence • Know and understand the various cultural groups present in the community served • Recruit and retain a diverse staff that are representative of the community • Assure workforce includes readily accessible bilingual/bicultural staff • Provide language assistance at all points of contact • Provide translated vital service documents, rights and grievance information

9. Applying Evidenced Practices Across Cultural Groups • Four A’s of Cultural Competency and Evidence-Based Care • Accommodation/organizational readiness • Implementing evidence-based care in organizations that have already made accommodations to the special needs of its cultural groups • Acceptability • Assessment of whether or not “model” can work for cultural groups of the organization (e.g. ACT suitable to a Mung population?)

10. Applying Evidenced Practices Across Cultural Groups, cont’d. • Four A’s of Cultural Competency and Evidence-Based Care, cont’d. • Adaptation • Adapting the practice, if appropriate, to cultural groups of the organization e.g., special medication guidelines • Appraisal • Appraising fidelity within the framework of cultural adaptation • Appraising culture-specific outcomes

11. References • Brach, Cindy (1996). Cultural competency and managed care. Policy in Perspective, June 1996. • Cultural Competence Strategic Framework Task Force (1996). New York State Cultural Competence Standards (Draft Final Report). Albany, NY: New York State Office of Mental Health. • Lu, Francis (1996). Getting to cultural competence: guidelines and resources. Behavioral Healthcare Tomorrow, April 1996. • Mason, J. L., et al. (1995). An Introduction to Cultural Competence Principles and Elements, An Annotated Bibliography. Portland, OR: Portland State University, Research and Training Center on Family Support and Children’s Mental Health. • Roizner, Monica (1996). A Practical Guide for the Assessment of Cultural Competence in Children’s Mental Health Organizations. Boston, MA: Judge Baker Children’s Center. • Shockley, Mareasa (1997). The State-of-the-States: Responses to Cultural Competence and Diversity in Child Mental Health (Final Draft). Washington, D.C.: Georgetown University Child Development Center. • Siegel, Carole, et al., (2002). Cultural Competency Methodological and Data Strategies to Assess the Quality of Services in Mental Health Systems of Care. NYSOMH, Nathan Kline Institute for Psychiatric Research, 2002. • Stanley, Sue (2003). Cultural Competency: Is it Politically Correct? Newsletter, APPIC, November 2003.

12. Thank You for Your Participation

13. Final Steps • To receive your certificate, please click here, which will take you to a Word Document. • After completing the evaluation, please email the word document to Tia Griffin: tgriffin@med.wayne.edu. or bring the completed evaluation to suite 750.