Cultural Competency- Basis for Quality
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Transcript of Cultural Competency- Basis for Quality
CULTURAL COMPETENCY-
BASIS FOR QUALITY
Veronica Kelley, LCSW
Cultural Competency Officer
SBC DBH/OCCES
ROP Training July 13, 2010
WHAT IS CULTURAL COMPETENCY? Providing services in
a way that makes sense to the person/s you are providing it to.
Culture: Any group that shares beliefs, values, norms
Competent: Ability to do…
Congruent set of practice skills, knowledge, behaviors, attitudes & policies that come together in a system, agency or among providers and pros that enables that system to work effectively cross culturally- Cross et al, 1989
CULTURAL COMPETENCY It is the right
thing to do
Services aren't quality if they aren't culturally appropriate
It is also the law
CULTURAL COMPETENCY REGULATIONS Title VI of the Civil
Rights Act of 1964 “no person in the
United States shall on the ground of race, color or national origin be excluded from participation in, denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance” (42 U.S.C. 200d)
Also prohibits recipients of federal funds from providing services to LEP persons that limited in scope or lower in quality than those provided to others.
CULTURAL COMPETENCY REGULATIONS Executive Order
13160- Non discrimination
on the basis of race, sex, color, national origin, disability, religion, age, sexual orientation and the status as a parent in Federally conducted Education and Training programs
California Educational Code221.5-231.5- Sex
Equity in Education8230-8233- Migrant
Children Education 8850.5-Family
relationships and Parenting Education*
1300-CA. Public Civil Liberties Act*
CAUCASIAN Family values can be varied Majority culture American education system easier to
comprehend Focus generally on
independence/autonomy/success of self
LATINO Family system may be more traditional
to native country traditions/beliefs Parental unit may be working multiple
jobs May be paternal authority with maternal
responsibility If newer arrival, may be monolingual
parents Extended family Value education
AFRICAN AMERICAN Can be of African
Heritage/Caribbean/Black Family system extended Long history of bias negatively
impacting black children, especially boys
Maternal responsibility/authority
ASIAN PACIFIC ISLANDER Value education Stigma extends to everyone in
family/community Obedience to parents Intergenerational stress
NATIVE AMERICAN INDIAN Long history of trauma with school
system Distrust with majority system Family systems are very extended Many may include indigenous
practices/stories, etc.
CULTURAL COMPETENCY In closing; you must understand the
make up and culture of your students in order to provide them a more effective educational experience.
Formal education will make you a living; self education will make you a fortune~ John Rohn
Alcohol and Drug Disorders
101
Presented by Gary R. Atkins, M.S.W.
Deputy Director, Program Operations,
Alcohol and Drug Services
268 W. Hospitality Lane, Suite 400
San Bernardino, CA 92415
San Bernardino County
Department of Behavioral Health
Elements of Addiction
Pre-AddictionFamily Issues Peer PressureChild Abuse/Neglect TraumaBio-chemistry Environment
San Bernardino CountyDepartment of Behavioral Health
Elements of Addiction
San Bernardino County Department of Behavioral Health
Pre-AddictionFamily Issues Peer PressureChild Abuse/Neglect TraumaBio-chemistry Environment
Elements of Addiction
San Bernardino County Department of Behavioral Health
Pre-AddictionFamily Issues Peer PressureChild Abuse/Neglect TraumaBio-chemistry Environment
County of San BernardinoDepartment of Behavioral Health
Alcohol and Drug Services Administration
The Chronic Care and Recovery Support Framework
Gary Atkins, MSW
Deputy Director of Program Operations
County of San Bernardino Department of Behavioral Health
OBJECTIVES
To transform to a chronic care model for Behavioral Health Services.
To build unity across the alcohol and drug field.
To promote and understand the Institute of Medicine’s Chronic Care Framework.
To develop and implement ideas for systems integration and transformation.
County of San BernardinoDepartment of Behavioral Health
Creating the Roadmap for the Chronic Care and Recovery Support Framework
County of San Bernardino Department of Behavioral
Health
Current Prevention Services
Seven Contracted Environmental Prevention
Providers
Applied Researchand Data
Applied Researchand Data
Community Organization
Media Advocacy
Policy Development
EnforcementEnforcement
County of San Bernardino Department of Behavioral Health
Current Alcohol and Drug Treatment Services
29 OUTPATIENT CLINICS
29 OUTPATIENT CLINICS
7 RESIDENTIAL CLINICS
7 RESIDENTIAL CLINICS
2DETOX CLINICS
2DETOX CLINICS
6RECOVERY CENTERS
6RECOVERY CENTERS
13 PC 1000 PROGRAMS
13 PC 1000 PROGRAMS
14DUI PROGRAMS
14DUI PROGRAMS
9DRUG COURTS
9DRUG COURTS
24 County of San Bernardino Department of Behavioral
Health
A substance abuse treatment service system should be designed …
With the understanding that addiction is a chronic disease.
Relapse is likely to happen, especially in early stages of recovery.
Clients have individual and multiple needs, therefore a continuum of care is necessary.
25County of San Bernardino
Department of Behavioral Health
CREATING AN INTEGRATED QUALITY BASED TREATMENT SYSTEM
Provide regular feedback to providers regarding outcomes and advancement of the field.
Evidenced based practices• Data Collection• System Evaluation• Accountability for Measurable Outcomes
UnifiedLeadership
Regulate Facilities • Program Quality • Health and Safety
CollaborationAmong Systems
County of San Bernardino Department of Behavioral Health
In Summary…
OUTCOME DATA WILL SHOW PROGRESS.
CHANGE IS GOOD, AND NEEDED…
FUNDING, ALWAYS AN ISSUE TO OVERCOME…
CAN BE AN OPPORUNITY TO REFRAME THE
FUTURE…
THE BIG
PICTURE
County of San Bernardino Department of Behavioral Health
THANK YOU…
Gary Atkins, MSW
Deputy Director of Program Operations
Department of Behavioral Health
County of San Bernardino
(909) 382-3079