Presentation from Northcott's Cultural Competency in Disability Conference 2015

1. CALD Carer
Partnering Tools
Pino Migliorino

2. Background
CALD Carer Profile

3. Background
The Numbers
•Carers NSW 2014 Carer Survey identified 1 in 5 as being from CALD
background (20.3%)
•Most CALD carers were:
Female (88.6%)
Aged between 45 and 64 (51.5%)
Had been caring for 6-15 years (35.2%) or longer (34.9%)
•Most likely caring for a son or daughter (46.5%) much higher than those caring
for a parent (28.9%) or spouse/partner (24.3%)
© Cultural Perspectives Group. 2015

4. Background
The Circumstances
•In terms of reason for caring CALD carers more likely than non CALD to identify
the following reasons for caring
Provide better care
Family responsibility
No other available
No others willing
Emotional obligation
•CALD carers were more likely to experience psychological distress than non
CALD and not feel supported by family & friends
© Cultural Perspectives Group. 2015

5. Background
The Tool Development Process

6. Background
Developing the Tools
•Wide review of available literature and data on CALD carer issues and needs
•Consideration of the research undertaken by DiverseWerks on the experiences
and expectations of disability services in dealing with CALD people with disability
and their carers
•Seeking the views of carers as first person testimonials to validate both
approach and content of website information
© Cultural Perspectives Group. 2015

7. Background
Positioning the Tools
•Developed under the banner of Partnering with CALD Carers
•Aimed at people working in the disability sector frontline/leader/manager
•Ability to deal with the people with disability will rest on the ability to work with
and through their carer/family
•Tools are applicable to all stages of practice and developed as generic and
foundation level resources
•Relate to the following CDCF components: population, planning, programs,
products and personnel
© Cultural Perspectives Group. 2015

8. The Carer Tools

9. Navigating the Website
© Cultural Perspectives Group. 2015

10. Navigating the Website
© Cultural Perspectives Group. 2015

11. What are the Tools?
The Partnering with Carers Tools are focussed on three specific areas
of practice:
• Understanding CALD Carers and CALD Caring
• Reaching & Engaging with CALD Carers
• CALD Carer Issues in Person Centred Care
© Cultural Perspectives Group. 2015

12. What are the Tools?
Three videos with:
•An Arabic speaking parent of three children with disability
•Two disability workers of an Egyptian and Italian background
•A person with disability and her family of Italian heritage
© Cultural Perspectives Group. 2015

13. © Cultural Perspectives Group. 2015

14. The Carer Tools
CALD Carer Issues in Person Centered
Care

15. CALD Carer Issues in Person
Centered Care
Critical issues for service providers
will be to deliver CDC to CALD
Focus of this tool: decision making
and family interpreters
© Cultural Perspectives Group. 2015

16. CALD Carer Issues in Person
Centered Care Background
Negotiating carer roles in decision making
•Care planning and decision making may involve more than one person. In
some families there may be one or more family members with either English
skills of better systems knowledge to participate in care decisions
•The person with disability may fully delegate their decision making to one or
more family members
•There may be differences of opinion between individuals in shared care
arrangements
© Cultural Perspectives Group. 2015

17. CALD Carer Issues in Person
Centered Care Background
Negotiating Roles in Client Communication
•Identify the information broker in any shared care arrangement
•Consider their specific information needs and linguistic capacity
•Always seek to provide information in bilingual formats
•Use effective cross cultural communications skills to deliver information and to
be assured of their understanding
•Develop CDC specific information in bilingual formats
© Cultural Perspectives Group. 2015

18. CALD Carer Issues in Person
Centered Care Background
Note on Family Carers as Interpreters
•A family member may be a valuable resource in communicating with the person
with disability
•A family interpreter should not remove your responsibility to ensure that the
person with disability understands and is involved in the interaction
•Good cross cultural skills needed to involved the person with disability
•Family carers need to be informed about their responsibilities
•Where it appears the client is excluded, use a professional interpreter.
© Cultural Perspectives Group. 2015

19. Any Questions?
You can also provide feedback at:
diversityindisability.org
© Cultural Perspectives Group. 2015

20. The Carer Tools
Pino Migliorino
MD DiverseWerks
pino@culper.com.au