DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

KEY CONCEPTS FOR CULTURALLY AND
LINGUISTICALLY...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Discussion

• Important definitions
• Strategi...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

What Is Culture?

Culture can be defined
cultu...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Culture as an Iceberg
Visible Part:
Age
Race
G...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Dimensions of Culture

Page 5
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Culture Gives Context,
Meaning, and Direction
...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Why is Cultural Competence
Important ?

Legal ...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Cultural Competency

Cultural
Competence
Value...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Linguistic Competency
Linguistic competence - ...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

What makes an organizations
culturally compete...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

What makes an organization
linguistically comp...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Community Engagement Model

Minnesota Departme...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Organizational Self
Assessment

• Is “partners...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Building Relationships
Partnerships combine
th...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Communication

Communication should be interac...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Barriers leading to nonparticipation
1. Organi...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Ask & Listen!

• Ask how is the community voic...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Community Engagement
Goals
• Learn about the s...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

OCLC Goal

Support a system that delivers serv...
DBHDS

OCLC- What we do

Virginia Department of

Behavioral Health and
Developmental Services

Language
Services
Planning ...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Office of CLC - What We Do…

Training and Cons...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Office of CLC - What We Do…

• Partner with st...
DBHDS
Virginia Department of

Behavioral Health and
Developmental Services

Contact Us

1220 Bank Street Rm .433
Richmond,...
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Strengthening Families Webinar Key Concepts in CLC April 2013

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Defining important concepts in cultural and linguistically responsive services for families and youth. April 2013

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  • It takes a village to raise a child….it also takes a village to develop a community.Some are formal with written agreements and others will be informal But no matter how formal or informal, the most effective partnerships bring beneficial outcomes to all the parties involved.  This occurs when you have discussed and agreed upon a common shared goal, the methods you will employ to achieve the goal and how you will measure your success.
  • Strengthening Families Webinar Key Concepts in CLC April 2013

    1. 1. DBHDS Virginia Department of Behavioral Health and Developmental Services KEY CONCEPTS FOR CULTURALLY AND LINGUISTICALLY APPROPRIATE FAMILY STRENGTHENING PROGRAMS Page 1
    2. 2. DBHDS Virginia Department of Behavioral Health and Developmental Services Discussion • Important definitions • Strategies for engagement and outreach • Office of Cultural & Linguistic Competence Page 2
    3. 3. DBHDS Virginia Department of Behavioral Health and Developmental Services What Is Culture? Culture can be defined culture in the broad sense, as there are other things in addition to race, language, and ethnicity that contribute to a person’s sense of self in relation to others. Multiple memberships in these subgroups contribute to an individual’s personal identity and sense of own “culture”. Page 3
    4. 4. DBHDS Virginia Department of Behavioral Health and Developmental Services Culture as an Iceberg Visible Part: Age Race Gender Language Physical abilities Cultural artifacts Hidden Part: notions of modesty conception of beauty ideals body language Attitudes toward elders governing child-raising definition of sin relationships to animals tempo of work patterns of superior / subordinate relationships concepts of humor eye contact behavior social interaction Page 4
    5. 5. DBHDS Virginia Department of Behavioral Health and Developmental Services Dimensions of Culture Page 5
    6. 6. DBHDS Virginia Department of Behavioral Health and Developmental Services Culture Gives Context, Meaning, and Direction • It is a filter through which people process their experiences and events of their lives. • It influences people’s values, actions, and expectations of themselves. • It impacts people’s perceptions and expectations of others. • It informs our understanding of when support is needed. • It influences how and from whom we seek support. • It influences how we attempt to provide support. Page 6
    7. 7. DBHDS Virginia Department of Behavioral Health and Developmental Services Why is Cultural Competence Important ? Legal Requirements • Title IV of the US Civil Rights Act • Executive Order 13166 • CLAS Standards Research on Health Disparities • US Surgeon General Report on Disparities in Mental Health • Institute of Medicine’s “Unequal Treatment Report” • President’s New Freedom Commission Report Page 7
    8. 8. DBHDS Virginia Department of Behavioral Health and Developmental Services Cultural Competency Cultural Competence Value Diversity Conduct Self Assessment Manage the Dynamics of difference Acquire and institutionalize cultural knowledge Adapt to the cultural Contexts of your community And incorporate the above in all aspects of policy making, administration, practice, service delivery and involve systematically consumers, key stakeholders and communities. Page 8
    9. 9. DBHDS Virginia Department of Behavioral Health and Developmental Services Linguistic Competency Linguistic competence - The capacity of an organization and its personnel to communicate effectively, and convey information in a manner that is easily understood by diverse audiences including persons of limited English proficiency, those who have low literacy skills or are not literate, and individuals with disabilities. Linguistic competency requires organizational and provider capacity to respond effectively to the health literacy needs of populations served. Page 9 9
    10. 10. DBHDS Virginia Department of Behavioral Health and Developmental Services What makes an organizations culturally competent? Cultural Competence Do our practices inhibit or prohibit engagement? Do we seek meaningful inclusion of cultural considerations throughout the planning process? Do we promote meaningful Family involvement? Do we get regular feedback from service users? Do we have ONGOING training that develops a workforce able to work cross culturally? Page 10
    11. 11. DBHDS Virginia Department of Behavioral Health and Developmental Services What makes an organization linguistically competent? Linguistic Competence Offer TTY and other assistive technology devices Offer materials in Alternative formats (e.g., audiotape, Braille, enlarged print ) Use qualified translation Services especially for legally binding documents Print materials in Easy to read, low literacy, picture and symbol formats Utilize ethnic media in languages for outreach to diverse communities Page 11
    12. 12. DBHDS Virginia Department of Behavioral Health and Developmental Services Community Engagement Model Minnesota Department of Human Services Page 12
    13. 13. DBHDS Virginia Department of Behavioral Health and Developmental Services Organizational Self Assessment • Is “partnership” in the mission? • Is it mentioned in the values? • Operating procedures: – Who represents the organization in partnerships? – Who decides in which partnerships the organization may engage? Adapted from Cornelia Ramsey, PhD, MSPH, Center for Clinical and Translational Research, Virginia Commonwealth University Page 13
    14. 14. DBHDS Virginia Department of Behavioral Health and Developmental Services Building Relationships Partnerships combine the knowledge, wisdom and experience of complementary community agencies to solve shared health, social and economic challenges. Minnesota Department of Human Services Page 14
    15. 15. DBHDS Virginia Department of Behavioral Health and Developmental Services Communication Communication should be interactive not about “selling” The outcome may include attracting new staff and board members, increasing referrals, attracting new participants, increasing your volunteer capacity or getting into new geographic markets. Writing, speaking, connecting with people one-on-one – are all effective communication methods that are relatively inexpensive. Minnesota Department of Human Services Page 15
    16. 16. DBHDS Virginia Department of Behavioral Health and Developmental Services Barriers leading to nonparticipation 1. Organizational approach to inclusion, diversity, openness 2. History & how it influences the present 3. Individual experiences and perceptions Adapted from Cornelia Ramsey, PhD, MSPH, Center for Clinical and Translational Research, Virginia Commonwealth University Page 16
    17. 17. DBHDS Virginia Department of Behavioral Health and Developmental Services Ask & Listen! • Ask how is the community voice integrated into strategies? – Logistics - who, what, where, when, how – Philosophy - both sides compromise, communities want to be heard, communities are forgiving, willing to compromise • Ask what do non-participants tell you? – Issues of recruitment vs. retention – understand the differences Adapted from Cornelia Ramsey, PhD, MSPH, Center for Clinical and Translational Research, Virginia Commonwealth University Page 17
    18. 18. DBHDS Virginia Department of Behavioral Health and Developmental Services Community Engagement Goals • Learn about the specific cultures present in the community as well as the needs and issues that impact them • Engage cultural brokers as a way to introduce you to key community informants • Be flexible with your agenda and expectations • Ensure that partnerships are reciprocal. • Be present in the community • Understand that relationships take time to be built and that just one negative event can destroy them Page 18
    19. 19. DBHDS Virginia Department of Behavioral Health and Developmental Services OCLC Goal Support a system that delivers services in a culturally and linguistically sensitive manner to consumers that are receiving service in Virginia’s mental health, intellectual disabilities, and substance use disorder and prevention system which will aid and enhance the opportunities for recovery and person-centered practices. Page 19
    20. 20. DBHDS OCLC- What we do Virginia Department of Behavioral Health and Developmental Services Language Services Planning at Secretariat, Agency, and Local level CLC Resource Development OCLC Workforce Diversity, and Inclusion (Recruitment, Retention, and Succession) Organization al CLC Training and Consultation Page 20
    21. 21. DBHDS Virginia Department of Behavioral Health and Developmental Services Office of CLC - What We Do… Training and Consultation • • • • • • • • • Cultural and linguistic competence planning Cross cultural communication and conflict resolution Working with interpreters Attracting and retaining a diverse workforce Working with diverse populations Cultural competence in new employee orientation Interpreter training for bilingual staff Adaptations to evidence-based practices CLC policy development and evaluation Page 21
    22. 22. DBHDS Virginia Department of Behavioral Health and Developmental Services Office of CLC - What We Do… • Partner with stakeholders to provide regional training and technical assistance on implementation of cultural and linguistic competent activities and services. • Provide nominations to expand the diversity of boards and advisory committees • Support organizations when developing new programs and initiatives to ensure best practices around working with communities of color are considered. • Provide educational materials to stakeholders on the CLAS Standards. • Develop mechanisms to collect and analyze data related to CLC. • Support stakeholders with special projects related to limited English proficient consumers and communities. Page 22
    23. 23. DBHDS Virginia Department of Behavioral Health and Developmental Services Contact Us 1220 Bank Street Rm .433 Richmond, VA 23219 804.786.5872 cecily.rodriguez@dbhds.virginia.gov Google Groups- “VA DBHDS Cultural and Linguistic Competence” Facebook – Virginia Dept. of Behavioral Health and Developmental Services Page 23 23

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