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Transcript of The Cultural Competence Model February 10 New Grantee Meeting Washington DC Andy Hunt, MSW Captain,...
The Cultural Competence Model
February 10 New Grantee MeetingWashington DC
Andy Hunt, MSWCaptain, US Public Health ServiceSAMHSA Project Officer
Workshop Objectives
1. Understand and define the term “cultural competence” and identify the five elements of the Cultural Competence Model.
2. Increase awareness of one’s own culture and your reactions to cultural differences.
3. Provide common understanding, language and framework for the new CLC Coordinators.
Session Outline
I. Definition of “cultural competence” and exploring concept of “culture”
II. Human needs and culture
III. Discussion on influences of culture in help seeking and service provision
IV. Distinction between “awareness” and “competence”
V. Five Elements of Cultural Competence
Cultural Competence
The state of being capable of functioning effectively in the context of cultural differences.(Cross, et. al)
The majority of the content of this presentation is adapted from Cross, Bazron, Dennis and Isaacs, Toward a Culturally Competent System of Care… 1989.
What is “culture”?
Let’s brainstorm…
Webster’s definition of “culture”
The integrated pattern of human knowledge, belief, and behavior that depends upon man's capacity for learning and transmitting knowledge to succeeding generations
The customary beliefs, social forms, and material traits of a racial, religious, or social group
The set of shared attitudes, values, goals, and practices that characterizes a company or corporation
Maslow’s Hierarchy of Needs
Food
Formal laws/rules
Family & parenting
Housing
Clothing
Social rules
Religious institutionsSocial activities
Spirituality
Stories Art, music, dance
Ceremonies
Human Needs and Culture
Practically speaking, “culture” can be viewed as one group of people’s preferred way of meeting their basic human needs Examples…
This has implications for providing services, especially in system of care where the community is culturally diverse
People tend to have a strong, if unconscious, desire to for their core cultural preferences to meet needs Trust in others from people “like me” Desire for familiarity of surroundings
Potential Areas for a “cultural bump” in Systems of Care
Concepts of mental health, healing, help seeking, and wellness belief systems
Perceptions and explanations of the causes of problems with emotions, mental states, and behavior in children and families
Behavior and coping strategies of family members and their attitudes toward, and expectations of professional helpers
Service delivery structure and process that may not be congruent with the community’s preferences
Other examples…
“Culture is to people as water is to fish”
Please discuss the following statement, and how it relates to working with children and families…
What is the best treatmentfor the common cold?
Do unto others??
Example for discussion: Chicken soup or Vicks VapoRub for your
sick friend? If “programs and services” are set up with
the idea that everyone likes/needs Vicks Vapor Rub when they have a cold… What happens to those who like/need the
chicken soup remedy?
Awareness or Competence?
Awareness having or showing
realization, perception, or knowledge
implies vigilance in observing or alertness in drawing inferences from what one experiences
Competence The state of being
competent having the capacity
to function or develop in a particular way; specifically: having the capacity to respond
Competence a Continuum of ability and skills…
Cultural Competence Continuum
Destructiveness
Incapacity
Blindness
Pre-Competence
Basic Competence
Advanced Competence
© 1989 Cross, et. al
Ongoing Cultural Competence
Cultural competence clearly implies the ability to take action, adapt and function in a different environment
It is a commitment to a developmental process - not a “check box” that you either have or do not have
Elements should be integrated into all aspects of program, policy and services and not viewed as a separate component
Five Elementsof Cultural Competence(at the Individual Level)
1. Awareness and acceptance of difference
2. Awareness of own cultural values
3. Understanding and managing for the “dynamics of difference”
4. Development of cultural knowledge
5. Ability to adapt practice to fit the cultural context of the client/family
Five Elementsof Cultural Competence(at the Organizational Level)
1. Values Diversity
2. Cultural Self Assessment
3. Manages the “dynamics of difference”
4. Institutionalizes cultural knowledge
5. Adaptation to diversity
The “Dynamics of Difference”
What happens when people from two cultures meet…each person interprets the responses of others within the context of his/her own cultural experience. This interaction is affected by differences in: Language and communication style Economic opportunity Family configuration and kinship structures How problems are defined or solved Non-verbal communication Political, historical influences
Examples…
Range of “Dynamics of Difference”
Valuing Diversity Understanding Awareness Idealism (Romanization) Ethnocentrism Prejudice Bigotry Racism Institutional Racism Genocide
Practical Suggestions Know what you don’t know… Be open to learning through the act of
unintentionally offending members of a cultural community different than your own
Find opportunities to get honest feedback by developing relationships with cultural brokers
Observe natural behavior of groups and adapt practices and programs accordingly
Don’t think that you are “done” or have “arrived” at cultural competence
Next Steps
Use this model as a framework Do a self assessment Make a commitment to the process of
enhancing your cultural competence Develop a plan for action Share what you learned Do something different
Thank YouThe majority of the content of this presentation is adapted from:Cross, Bazron, Dennis and Isaacs, Toward a Culturally Competent
System of Care… 1989.
For additional questions about this presentation contact:CAPT Andy Hunt, MSW, LICSWSAMHSA/CMHS1 Choke Cherry Road, Room 6-1054Rockville, MD 20857Phone: 240-276-1926Fax: [email protected]