Category:

Cultural Competence

Learning Objectives

  1. Identify various goals of cultural competence.
  2. Define culture and explain how it affects care.
  3. Identify steps that should be taken to put cultural competence into practice.
  4. Distinguish between minority and diversity, and between race and ethnicity.
  5. Make a comparison of common values of Anglo-Americans and other ethnocultural groups.
  6. Describe the six points along the cultural competence continuum and their characteristics.
  7. Describe the five essential elements that contribute to an agency’s ability to become more culturally competent.
  8. List a set of underlying values that define cultural competence.
  9. Discuss some concrete actions that agencies can take to improve their services to minority clients.
  10. List 24 attributes, knowledge areas, and skills that are essential to the development of cultural or ethnic competence.
  11. Describe the demographic and health profiles of Hispanics, African Americans, Asians, and American Indians.
  12. Compare a fee-for-service mental health service model with a managed care service model for Latinos.
  13. Outline the mental health needs of Hispanics in the United States.
  14. Describe the demographics background of Hispanics.
  15. Describe the mental health and substance use problems of Hispanics.
  16. Outline steps that should be taken to close the service gap in reaching Latinos in need of mental care.
  17. List 9 principles that govern the development of culturally competent programs.
  18. Identify characteristics of programs that are culturally competent at the policy-making level, at the administrative level, and at the service level.
  19. Make a cultural competence checklist for success.
  20. Differentiate between surface structure and deep structure in the concept of cultural competency.
  21. Describe structural and cultural barriers elderly minorities face in accessing health care.
  22. List 6 essential principles of interpreter services.
  23. Describe and differentiate between the three M’s of culturally competent interventions – the macro, mezzo, and micro.
  24. Describe characteristics of culturally competent service delivery.

Course Contents

1. Statement on Cultural Competence

  • What Is Culture, and How Does It Affect Care?
  • Why Cultural Competence?
  • What Is Cultural Competence?
  • How Is Cultural Competence Related To Evidence-Based Practices?
  • How Can Cultural Competence Be Put Into Practice?
  • Case Studies of Cultural Competence
    • Vignette 1—Dual Diagnosis
    • Vignette 2—Assertive Community Treatment
    • Vignette 3—Supported Employment
    • Vignette 4— Medication Management
    • Vignette 5— Illness Management and Recovery Skills
    • Vignette 6— Family Psychoeducation
  • Some Thoughts on Four Cultural Concepts
    • Minority versus Diverse Groups
    • Race versus Ethnicity
  • References
  • Shift in Goal From Assimilation to Biculturalism
  • Critical Aspects of Cultural Competence
  • Selected Resources on Cultural Competence

2. The Cultural Competence Continuum

  • Cultural Destructiveness
  • Cultural Incapacity
  • Cultural Blindness
  • Cultural Pre-Competence
  • Cultural Competence
  • Cultural Proficiency

3. The Culturally Competent System of Care

  • Valuing Diversity
  • Cultural Self-Assessment
  • Dynamics of Difference
  • Institution of Cultural Knowledge
  • Adaptation to Diversity
  • A Value Base for Cultural Competence

4. Developing Cultural Competence

  • Policymaking Level
  • Administrative Level
  • Practitioner Level
  • Consumer Level
  • Service Adaptations
  • Intake and Client Identification
  • Assessment and Treatment
  • Communication and Interviewing
  • Case Management
  • Out-Of-Home Care
  • Guiding Principles

5. Cultural Competence Standards in Managed Care Mental Health Services:

  • Four Underserved/Underrepresented Racial/Ethnic Groups
    • Demographic and Health Profile
  • People of African Descent
    • Demographic and Health Profile
    • Historic Patterns of Mental Health Service Use
    • Managed Behavioral Health Care and Race: Implications
  • Asian and Pacific Islander People
    • Asian Pacific Islander American Mental Health Issues
    • Asian Pacific Islander Mental Health Service Delivery Issues
  • American Indian, Native Alaskan, and Native Hawaiian Populations
    • Demographic and Health Profile
  • Managed Care in the Delivery of Mental Health Services
  • References

6. Mental Health Needs of Hispanics

  • The Mental Health Needs of Hispanics in the United States
    • Demographic Background
    • Mental Health and Substance Use Problems
    • Use of Mental Health Services
    • Addressing the Service Gaps
    • Conclusion
  • References

7. Cultural Competence in Serving Children and Adolescents with Mental Health Problems

  • Goals and Principles of Cultural Competence
  • Developing Cultural Competence

8. Achieving Cultural Competence:

  • A Guidebook for Providers of Services to Older Americans and Their Families
  • Purpose
  • Introduction
  • What is Culture?
  • Factors that Influence Culture
  • What is Cultural Competence?
  • Barriers to Service Access
    • Structural Barriers
    • Cultural Barriers
  • Research on Cultural Competence
  • Why is Cultural Competence Important?
    • Introduction
    • Demographics
    • Racial and Ethnic Disparities Education Level
    • Living Arrangements
  • Poverty
    • Life Expectancy
    • Death Rates by Condition
    • Self-Rated Health Status
    • Access to and Satisfaction with Health Care
  • Principles of Cultural Competence
    • Values and Attitudes
    • Communication Styles
    • Community/Consumer Participation
    • Physical Environment
    • Policies and Procedures
    • Population-Based Service Delivery
    • Training and Professional Development
  • Creating Programs That Work
    • The Three M’s
    • Characteristics of Culturally Competent Service Delivery
  • People Profiles
  • Program Profiles
    • Illustrative Examples
  • Post Test