???The Challenge of DiversityKensington & Chelsea World Mental Health Day 2007
Rules1. The good news and the bad news2. This is not a one way presentation3. You must talk4. I tell stories5. You can too...
It’s not abouttelling you off
“All change starts whenpeople get together and talk about the things they care           about.”          Margaret Wheatley
Why a focus on diversity is important for everyone
Global DemographicsIf only 100 people lived in the world, there would be:           • 57 Asians.           • 21 Europeans....
• Changing  demographics and  the rise of the  visible minority (in  some places the  majority)
In the UK:• Only two-thirds of London school children  speak English as a home language• They speak a total of 307 languag...
The changing NHS
CultureWe all have it
Symbols are words, gestures, pictures, or  objects that carry a particular meaning  which is only recognized by those who ...
Why does culture matter ?• Strong evidence of health inequalities along race  and ethnicity.• Systematically worse health ...
stereotypes
Stereotyping  When someone claims that members of another culture allshare the same, often inferior or   offensive charact...
Types of stereotypes• racial e.g. Red Indians in cowboy films are  seen as bloodthirsty savages• gender e.g. women are bad...
Heavenand Hell…• Heaven is where the police are British, the  cooks are French, the mechanics are  German, the lovers are ...
•Hell is where the police are German, thecooks are English, the mechanics areFrench, the lovers are Swiss, and it is allor...
Where do stereotypes come from?•   Parents and family•   The media•   Friends•   Education (school, university)•   Travel•...
Culture and diversity no longera black and white issue.
Facts Which Make Awareness of   Cultural Diversity a Priority• By 2025, developing countries will  account for 85% of worl...
How can servicesdeal withdifference ?                     Practice                   Culture                              ...
People are probably more tied to their cultural and ethnic beliefs when ill thanwhen feeling well. Illness is stressful an...
In Mental Health care setting, culture         affects how people;• Label and communicate distress• Explain the causes of ...
Why is Equality and Diversity        important to all of usThere are many reasons e.g1. Modernisation of the NHS and publi...
Some good examples
Supporting Diversity• Embrace differences• Create opportunities for positive visions of  self• Utilize materials that repr...
Safe spaces
Intervene early
Education and advice
Implications of diversity1. There are now multiple views of what is   meant by ‘health’, ‘illness’, & ‘medical   treatment...
• Appropriate, cross-cultural health  care is impossible without  partnerships based on trusting,  respectful, and respons...
Speed Networking• Try to sit opposite someone you don’t  know very well• Describe a health improvement initiative  that yo...
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
Rbkc   the challenge of diversity
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  • Demographics of Society Approximately 5.7 billion people currently inhabit the earth, and it is estimated that the monthly population increase equals the population of New York City. If the current earth’s population could be shrunk to 100 people with all of the existing human ratios remaining the same, the world would look like this. There would be:
  • Rbkc the challenge of diversity

    1. 1. ???The Challenge of DiversityKensington & Chelsea World Mental Health Day 2007
    2. 2. Rules1. The good news and the bad news2. This is not a one way presentation3. You must talk4. I tell stories5. You can too (see #3 above)6. Have fun!
    3. 3. It’s not abouttelling you off
    4. 4. “All change starts whenpeople get together and talk about the things they care about.” Margaret Wheatley
    5. 5. Why a focus on diversity is important for everyone
    6. 6. Global DemographicsIf only 100 people lived in the world, there would be: • 57 Asians. • 21 Europeans. • 14 people living in North & South America. • 8 Africans. • 52 women. • 48 men. • 70 persons of color. • 30 Christians.
    7. 7. • Changing demographics and the rise of the visible minority (in some places the majority)
    8. 8. In the UK:• Only two-thirds of London school children speak English as a home language• They speak a total of 307 languages• 7.5 % of the total population (4.3 million people) were born outside the UK• In 2002 over 100 000 people entered the country to seek asylum
    9. 9. The changing NHS
    10. 10. CultureWe all have it
    11. 11. Symbols are words, gestures, pictures, or objects that carry a particular meaning which is only recognized by those who share a particular culture. New symbols easily develop, old ones disappear. Symbols from one particular group are regularly copied by others. This is whysymbols represent the outermost layer of a culture.
    12. 12. Why does culture matter ?• Strong evidence of health inequalities along race and ethnicity.• Systematically worse health outcomes for members of minority racial and ethnic groups.• A greater dissatisfaction with health services expressed by members of minority groups.• Because “culture” affects medical experiences, it is a vital component in effective care.
    13. 13. stereotypes
    14. 14. Stereotyping When someone claims that members of another culture allshare the same, often inferior or offensive characteristics.
    15. 15. Types of stereotypes• racial e.g. Red Indians in cowboy films are seen as bloodthirsty savages• gender e.g. women are bad drivers• age e.g. old people are said to be very forgetful• religion e.g. Catholics families have a lot of children• profession e.g. all lawyers are greedy
    16. 16. Heavenand Hell…• Heaven is where the police are British, the cooks are French, the mechanics are German, the lovers are Italian and it is all organised by the Swiss.
    17. 17. •Hell is where the police are German, thecooks are English, the mechanics areFrench, the lovers are Swiss, and it is allorganised by the Italians.
    18. 18. Where do stereotypes come from?• Parents and family• The media• Friends• Education (school, university)• Travel• Laziness• Fear• Envy• A sense of superiority• Lack of experience of people, etc.
    19. 19. Culture and diversity no longera black and white issue.
    20. 20. Facts Which Make Awareness of Cultural Diversity a Priority• By 2025, developing countries will account for 85% of world’s population compared with 77% in 1992
    21. 21. How can servicesdeal withdifference ? Practice Culture Cultural competence Policy
    22. 22. People are probably more tied to their cultural and ethnic beliefs when ill thanwhen feeling well. Illness is stressful andmay lead individuals to what is known and comfortable. Foundations of Nursing, “Transcultural Healthcare,” Foundations of Nursing.
    23. 23. In Mental Health care setting, culture affects how people;• Label and communicate distress• Explain the causes of their mental health problems• Perceive mental health• providers• Use and respond to• treatment
    24. 24. Why is Equality and Diversity important to all of usThere are many reasons e.g1. Modernisation of the NHS and public service (quality of service).2. Matching the increasing Diversity of the population to the servers it services.3. Needs a good knowledge of the community, there health and social care needs so provision can be made.4. Address any current inequalities and review policy5. To ensure the trust does not actively discriminate against anyone by failing to provide equal access to jobs or the service we supply.
    25. 25. Some good examples
    26. 26. Supporting Diversity• Embrace differences• Create opportunities for positive visions of self• Utilize materials that represent a variety of individuals• Exhibit genuine appreciation for the students and the child’s worldview
    27. 27. Safe spaces
    28. 28. Intervene early
    29. 29. Education and advice
    30. 30. Implications of diversity1. There are now multiple views of what is meant by ‘health’, ‘illness’, & ‘medical treatment’2. There are now multiple notions of ‘body’ and ‘self’3. Many minority & refugee communities feel in a vulnerable and disadvantaged position4. In medical treatment, health policy, and medical research the ‘one size fits all’ approach is no longer appropriate
    31. 31. • Appropriate, cross-cultural health care is impossible without partnerships based on trusting, respectful, and responsible relationships between health care providers, patients, their families, and communities.
    32. 32. Speed Networking• Try to sit opposite someone you don’t know very well• Describe a health improvement initiative that you have been involved in that went well• 5 minutes each

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