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Cultural Competency: Ethical considerations on reaching Idaho’s Latino population

Cultural Competency: Ethical considerations on reaching Idaho’s Latino population. Alex Zamora, LMSW November 9, 2011. Goal for this morning. Reflect on the importance of cultural competency as outlined in various codes of ethics

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Cultural Competency: Ethical considerations on reaching Idaho’s Latino population

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  1. Cultural Competency: Ethical considerations on reaching Idaho’s Latino population Alex Zamora, LMSW November 9, 2011

  2. Goal for this morning • Reflect on the importance of cultural competency as outlined in various codes of ethics • General understanding of key components of Idaho’s Latino community • Specifically how this issue can influence treatment

  3. Two types of ethical reasoning • Intuitive ethical judgment • Gut feeling • Critical-Evaluative ethical judgment • Deliberate • Problem solving followed by ethical principles

  4. Fundamental ethical principles • Autonomy • Freedom and dignity • Nonmaleficence • Do no harm • Beneficence • Responsibility to do good • Fidelity • Faithfulness to truth • Justice • Obligation to act fairly

  5. Promise of Justice • ACA preamble: • “…Association members recognize diversity in our society and embrace a cross-cultural approach in support of worth, dignity, potential, and uniqueness of each individual.” • APA Principle D: Respect of People’s Rights and Dignity • “Psychologists are aware of and respect cultural, individual, and role differences… based on age, gender, gender identity, race, ethnicity, culture, national origin…” • NASW 1.05 Cultural Competence and Social Diversity • “Social workers should understand culture and its function in human behavior…”

  6. Misinterpretation • Failure to take culture into account • Failure to acknowledge intra-culture differences

  7. Idaho

  8. Since 2000, Latino population… Grew by 73% (approx. 176,000 total)

  9. Population Breakdown • -23.9% in Canyon County, • 35.4 Caldwell • 22.9 Nampa • -7.1% in Ada County • 7.1% Boise • 6.8% Meridian • -14.9% in Payette County • -16.8% in Washington County

  10. What are we dealing with? • 34% • youth poverty rate • $18,000 • median annual income • 34% • without health insurance • 28.9% • academically ineligible to join the military

  11. Cultural Value Concepts • Machismo • Dictates that men show power via strength and decision-making • Marianismo • Concept purity and moral strength • Family system • Loyalty and protection of family

  12. Biculturalism • Juncture of two cultures • Median age of Idaho Latino? • 22 years old

  13. Treatment • Address the juncture • Deconstruct meta-narratives • Apply personal therapy modalities

  14. Remember our promise of Justice? • ACA preamble: • “…Association members recognize diversity in our society and embrace a cross-cultural approach in support of worth, dignity, potential, and uniqueness of each individual.” • APA Principle D: Respect of People’s Rights and Dignity • “Psychologists are aware of and respect cultural, individual, and role differences… based on age, gender, gender identity, race, ethnicity, culture, national origin…” • NASW 1.05 Cultural Competence and Social Diversity • “Social workers should understand culture and its function in human behavior…”

  15. Case Study • Juan is a 20 year old second-generation Mexican-American living outside of Boise. His parents were originally from Texas, and migrated to Idaho for work and made it a permanent home. His mother and father have been married for 25 years. Mom has never worked outside of the home and Dad works in agriculture. Dad has always been aggressive, occasionally engaging in domestic violence. Juan is scared of his dad. • Juan is seeking mental health treatment because he continuously having difficulties with significant others, always ending relationships when he feels they get “too serious.”

  16. References Falicov, C. J. (2010). Changing Constructions of Machismo for Latino Men in Therapy: “The Devil Never Sleeps.” Family Process, 49(3), 309-329. Organista, K. C. (2009). New Practice Model for Latinos in Need of Social Work Services. Social Work, 54(4), 297-305. Torres, L. & Rollock, D. (2009). Psychological Impact of Negotiating Two Cultures: Latino Coping and Self-Esteem. Journal of Multicultural Counseling and Development, 37, 219-228. Welfel, E.R. (2010). Ethics in counseling and psychotherapy: Standards, research, and emerging issues (4th ed.). Belmont, CA: Brooks/Cole.

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