Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
INTRODUCTION
TO CULTURE &
HEALTH
Cultural Health SeriesMay 26, 2016
Jean-Michel Brevelle
Sexual Minorities Program Manager...
Learning Objectives
As a result of this workshop, participants will be
able to:
 Describe the National Standards for Cult...
A Brief Overview of CLAS
 Culturally and Linguistically Appropriate
Services
 First published in 2000 by the Office of
M...
Who Uses Enhanced CLAS
Standards?
 Accreditation and Credentialing Agencies
 Community-Based Organizations
 Educators
...
Enhanced CLAS Standards
 15 Standards
 Provide individuals and organizations with a
blueprint for successfully implement...
Enhanced CLAS Standards
Principal Standard and Three
Themes
1. Provide effective, equitable, understandable,
respectful, a...
Enhanced CLAS Standards
 Health
Beliefs/Practices
 What causes sickness
 What it means to be
“healthy”
 Who can treat ...
Cultural Health Practices
 The Enhanced National CLAS Standards
frame cultural health as a set of standards-
based practi...
Health Equity
Health equity is the attainment of the highest level of
health for all people. Currently, individuals across...
What is Culture?
What comes to mind when you
think of the word culture?
10May 26, 2016
Infectious Disease Prevention and H...
Defining Culture
The integrated pattern of thoughts,
communications, actions, customs, beliefs,
values, and institutions a...
Elements of Culture
 Age
 Cognitive ability/limitations
 Country of origin
 Degree of acculturation
 Educational leve...
Elements of Culture, cont’d
 Political beliefs
 Racial and ethnic groups
 Religious and spiritual
characteristics
 Res...
Exploring Culture
Since culture refers to groups that share
characteristics or world views, people often
automatically thi...
Exploring Culture
 Lesbian Culture
 Rave Culture
 Gay Culture
 Christian
Culture
 Drug Culture
 Goth Culture
 Senio...
Exploring Culture
 Which cultures exist within your organization?
 Which cultures exist among the clients you
serve?
 W...
Exploring Culture
Members of a cultural group may share a
number of common norms and values.
Can anyone offer an example?
...
Exploring Culture
 Time, timeliness, and time consciousness
 Focus on relationships, family, and friends
 Valuing indiv...
Exploring Culture
 Work habits and practices
 Health beliefs and practices
 Beliefs and attitudes about authority, cont...
Cultural History
 The Elements of Culture exist within a
continuum of time and place. For example:
 environment, generat...
Cultural Mistrust of Medical &
Governmental Systems
Basis for
mistrust
is real
Tuskegee
Syphilis
Study
Birth
Control
Pills...
Activity Time!22
Exploring Cultural Mistrust
of Healthcare and
Government
22May 26, 2016
Infectious Disease Prevention and...
Legacies of Mistrust
 Read the information sheet that you have been
given.
 Discuss as a group the following:
 What did...
Legacies of Mistrust
 What did you learn?
 What did you feel?
 What other questions did this raise for you?
24May 26, 2...
Racism and Public Health
…more than 200 years’ worth of anecdotal
and documentary evidence on racism in
medicine and menta...
Cultural Safety
 Your cultural safety and that of your agency
have already been evaluated by your clients
 Peer-recommen...
Cultural Respect
For the provider of health information or health
care, [cultural] elements influence beliefs and
belief s...
It’s That Time…
May 26, 2016
28
Infectious Disease Prevention and Health Services
Bureau
Upcoming SlideShare
Loading in …5
×

Introduction to Culture and Health - May 26 2016

3,269 views

Published on

This presentation presents information about the national CLAS Standards, defines culture, and explores the intersections of culture and health. Medical mistrust and its impact on health seeking behaviors is also examined.

Published in: Health & Medicine
  • Be the first to comment

Introduction to Culture and Health - May 26 2016

  1. 1. INTRODUCTION TO CULTURE & HEALTH Cultural Health SeriesMay 26, 2016 Jean-Michel Brevelle Sexual Minorities Program Manager Infectious Disease Prevention and Health Services Bureau
  2. 2. Learning Objectives As a result of this workshop, participants will be able to:  Describe the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS Standards);  Identify factors that influence health-seeking behaviors of culturally distinct groups;  Apply principles of cultural respect in interactions with clients. 2May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  3. 3. A Brief Overview of CLAS  Culturally and Linguistically Appropriate Services  First published in 2000 by the Office of Minority Health (DHHS)  Framework for healthcare organizations to best serve increasingly diverse communities  Included in Healthy People planning  Updated and enhanced 2010 – 2013  Inclusive of LGBT communities as of 2013  Used by different accreditation boards (JCAHO, AAAHC, etc.) 3May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  4. 4. Who Uses Enhanced CLAS Standards?  Accreditation and Credentialing Agencies  Community-Based Organizations  Educators  Governance and Leadership  Health Care and Service Providers  Health and Health Care Staff and Administrators  Patients/Consumers  Public Health Workforce  Purchasers (of health plans) 4May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  5. 5. Enhanced CLAS Standards  15 Standards  Provide individuals and organizations with a blueprint for successfully implementing and maintaining culturally and linguistically appropriate services.  All 15 Standards are necessary to advance health equity, improve quality, and help eliminate health care disparities.  Directed toward a broader audience than the original Standards in order to address more fully every point of contact throughout the health care and health services continuum. 5May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  6. 6. Enhanced CLAS Standards Principal Standard and Three Themes 1. Provide effective, equitable, understandable, respectful, and quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. Principal Standard Governance, Leadership, and Workforce Communication and Language Assistance Engagement, Continuous Improvement, and Accountability 6May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  7. 7. Enhanced CLAS Standards  Health Beliefs/Practices  What causes sickness  What it means to be “healthy”  Who can treat someone who is sick  Languages  Language other than English  Hearing/Speech Impairments  Regional or Group dialects and/or vocabulary 7May 26, 2016 Infectious Disease Prevention and Health Services Bureau  Health Literacy  How the body works  Science vs culture  Using medical services  Taking medication  Other Communication  Low literacy  Disclosing/keeping secrets  Withholding unpleasant information  Communicating with family
  8. 8. Cultural Health Practices  The Enhanced National CLAS Standards frame cultural health as a set of standards- based practices intended to advance health equity, improve quality, and help eliminate health care disparities. 8May 26, 2016 Infectious Disease Prevention and Health Services Bureau NHAS Vision The United States will become a place where new HIV infections are rare, and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity, or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination.
  9. 9. Health Equity Health equity is the attainment of the highest level of health for all people. Currently, individuals across the United States from various cultural backgrounds are unable to attain their highest level of health for several reasons, including the social determinants of health, or those conditions in which individuals are born, grow, live, work, and age, such as socioeconomic status, education level, and the availability of health services. Though health inequities are directly related to the existence of historical and current discrimination and social injustice, one of the most changeable factors is the lack of culturally and linguistically appropriate services.National Standards for CLAS in Health and Health Care: A Blueprint for Advancing and Sustaining CLAS Policy and Practice, pg. 14. 9May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  10. 10. What is Culture? What comes to mind when you think of the word culture? 10May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  11. 11. Defining Culture The integrated pattern of thoughts, communications, actions, customs, beliefs, values, and institutions associated, wholly or partially, with racial, ethnic, or linguistic groups, as well as with religious, spiritual, biological, geographical, or sociological characteristics. Culture is dynamic in nature, and individuals may identify with multiple cultures over the course of their lifetime. Definition from the National Standards for CLAS in Health and Health Care: A Blueprint for Advancing and Sustaining CLAS Policy and Practice. U.S. Department of Health and Human Services, Office of Minority Health, 2013. 11May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  12. 12. Elements of Culture  Age  Cognitive ability/limitations  Country of origin  Degree of acculturation  Educational level attained  Environment and surroundings  Family and household composition  Gender identity  Generation  Health practices  Linguistic characteristics  Military affiliation  Occupational groups  Perceptions of family and community  Perceptions of health and wellbeing  Perceptions/beliefs about diet and nutrition  Physical ability/limitations 12May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  13. 13. Elements of Culture, cont’d  Political beliefs  Racial and ethnic groups  Religious and spiritual characteristics  Residence (urban, rural, suburban)  Sex  Sexual orientation  Socioeconomic status Individuals do not experience their lives or their health through a single lens of identity (e.g., solely race, gender, or religion); rather, many elements inform their perceptions, beliefs, customs, and reactions. 13May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  14. 14. Exploring Culture Since culture refers to groups that share characteristics or world views, people often automatically think of culture in terms of ethnic or racial groups. Cultures can be based on shared characteristics or experiences other than race and ethnicity. 14May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  15. 15. Exploring Culture  Lesbian Culture  Rave Culture  Gay Culture  Christian Culture  Drug Culture  Goth Culture  Senior Culture Cultures not Based on Race or Ethnicity  Bisexual Culture  Migrant Culture  Suburban Culture  Women’s Culture  Hip Hop Culture  Geek Culture  Gamer Culture  Muslim Culture  Rural Culture  Skater Culture  Transgender Culture  Academic Culture  Gang Culture  More? 15May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  16. 16. Exploring Culture  Which cultures exist within your organization?  Which cultures exist among the clients you serve?  Which cultures exist within the community where you work?  How would you describe the cross-cultural interactions that take place where you work? 16May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  17. 17. Exploring Culture Members of a cultural group may share a number of common norms and values. Can anyone offer an example? Cultural Norms and Values 17May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  18. 18. Exploring Culture  Time, timeliness, and time consciousness  Focus on relationships, family, and friends  Valuing individual vs. group  Valuing conflict vs. harmony  Sense of self, space, and physical contact with others  Communication and language Cultural Norms and Values 18May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  19. 19. Exploring Culture  Work habits and practices  Health beliefs and practices  Beliefs and attitudes about authority, control, and fate  Adherence to prescribed gender roles  Mental processes and learning styles  Anything else? Cultural Norms and Values 19May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  20. 20. Cultural History  The Elements of Culture exist within a continuum of time and place. For example:  environment, generation, and occupational groups (among others) are sensitive to time and place.  History is another factor that shapes cultures.  A culture’s history is the collective memories and experiences over time of its individual members. 20May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  21. 21. Cultural Mistrust of Medical & Governmental Systems Basis for mistrust is real Tuskegee Syphilis Study Birth Control Pills Study Forced Sterilization Forced Sexual Orientation Change Efforts Radiation Experiment s on Poor and Incarcerate d Experiment s on Poor Children & Children of Color 21May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  22. 22. Activity Time!22 Exploring Cultural Mistrust of Healthcare and Government 22May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  23. 23. Legacies of Mistrust  Read the information sheet that you have been given.  Discuss as a group the following:  What did you know about this topic before reading?  What are your initial responses to this information?  How do you relate to this information? Does it match your own experiences or expectations, or does it challenge them?  How might this history impact your clients’ expectations around healthcare? Small Group Work 23May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  24. 24. Legacies of Mistrust  What did you learn?  What did you feel?  What other questions did this raise for you? 24May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  25. 25. Racism and Public Health …more than 200 years’ worth of anecdotal and documentary evidence on racism in medicine and mental health cuts across age, gender and different racial/ethnic groups, leading to a high degree of vigilance, mistrust and disdain towards the medical establishment in general and mental health in particular. 25May 26, 2016 Infectious Disease Prevention and Health Services Bureau Excerpted from Beyond Misdiagnosis, Misunderstanding and Mistrust: Relevance of the Historical Perspective in the Medical and Mental Health Treatment of People of Color. Suite, D et al; Journal of the National Medical Association, Vol. 99, No. 8, August 2007.
  26. 26. Cultural Safety  Your cultural safety and that of your agency have already been evaluated by your clients  Peer-recommended  History-sensitive approach to service design and delivery  Waiting room cues — papers & magazines, LGBT “Safe Space” stickers, posters, videos  Inclusive language in intake assessments (e.g., partner, spouse) and in your own speech  Open-ended (e.g., “Tell me what brings you in today”) and direct (e.g., “How are you protecting yourself from HIV”?) questions  Non-reactivity in your responses 26May 26, 2016 Infectious Disease Prevention and Health Services Bureau
  27. 27. Cultural Respect For the provider of health information or health care, [cultural] elements influence beliefs and belief systems surrounding health, healing, wellness, illness, disease, and delivery of health services. The concept of cultural respect has a positive effect on patient care delivery by enabling providers to deliver services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients. 27May 26, 2016 Infectious Disease Prevention and Health Services Bureau National Institutes of Health Clear Communication. Office of Communications and Public Liaison
  28. 28. It’s That Time… May 26, 2016 28 Infectious Disease Prevention and Health Services Bureau

×