This document discusses cultural considerations for crisis intervention teams when responding to individuals from various cultural backgrounds. It provides an overview of the demographics and histories of immigrants and refugees in the US from places like Zimbabwe, Somalia, Laos and Hmong communities. It also discusses the cultural perspectives and practices around mental illness within these groups. The document outlines tips for crisis response with individuals from Hmong, Somali and Native American communities, emphasizing the importance of cultural awareness, respecting traditions, and working with community leaders.
Estimated to have the potential to cost Australian business $609 million a year by 2021,
domestic and family violence is a national pandemic that every person, family and company
needs to acknowledge, and take steps to address.
Estimated to have the potential to cost Australian business $609 million a year by 2021,
domestic and family violence is a national pandemic that every person, family and company
needs to acknowledge, and take steps to address.
Mental health stigma can be divided into two distinct types: social stigma is characterized by prejudicial attitudes and discriminating behaviour directed towards individuals with mental health problems as a result of the psychiatric label they have been given. In contrast, perceived stigma or self-stigma is the internalizing by the mental health sufferer of their perceptions of discrimination (Link, Cullen, Struening & Shrout, 1989), and perceived stigma can significantly affect feelings of shame and lead to poorer treatment outcomes (Perlick, Rosenheck, Clarkin, Sirey et al., 2001).
Escalating rates of teen dating violence nationwide is reason for concern and intervention. When Love Hurts is a campaign created by four NC State Graduate students with the intent of empowering teens to become educated so they can end the epidemic.
The research report Presentation addresses the stigma related to the mental health in our society. This study was intended to increase understanding of peoples’ views of mental illness by developing and administering measures of knowledge and attitudes of people toward mental illnesses.
The research conducted through questionnaires regarding the mental health stigma is reviewed and analyzed that indicates that the majority of the general public holds negative stereotypes towards people with psychological problems.
Hence, a model has been proposed to illustrate what are the peoples’ attitudes towards and knowledge about the mental health, why is it a taboo to talk about this topic, how can this stigma prevent the people from getting help for the psychological difficulties and solutions for reducing and dealing with the mental health stigma are discussed.
FAST-NU
COMPUTER SCIENCE DEPARTMENT
PSYCHOLOGY
COURSE INSTRUCTOR: Miss sumarah rashid
Section: GR-4
Group members:
Taban Shaukat 16K3937
Huzaifah Punjani 16K3924
Anas Bin Faisal 16K4064
Abeer Zehra 16K4068
Maria Ahmed 16K4058
Group work with Gay,Lesbian and BisexualZaeem Jifri
Counseling gays, lesbian and bisexuals is like counseling other culturally different populations in that practitioners require culture-specific preparation.
As a social worker and as a human being we must make an effort to accurately understand the values, lifestyles, and cultural norms of gays, lesbians and bisexuals.
Issues in Multicultural Correctional Assessment and Treatment By.docxchristiandean12115
Issues in Multicultural Correctional Assessment and Treatment
By Corinne N. Ortega
Introduction Increasing diversity in the United States has widened the base populations to whom psychologists provide services. Various divisions of the American Psychological Association (APA) have recognized the importance of multicultural competencies for more than 25 years (notably, Division 17—Counseling Psychology and Division 45—The Society for the Psychological Study of Ethnic Minority Issues). In 2002, APA formally recognized the evolution of the science and practice of psychology in a diverse society by adopting as policy the Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists (APA, 2002b). Nowhere is the changing face of the United States reflected more clearly than in its correctional systems. Blacks and Hispanics make up 62% of the incarcerated population, although they comprise only 25% of the national population (Human Rights Watch, 2002). Hispanics represent 40% of all sentenced federal offenders, although they account for only 13% of the total U.S. population (López, 2000). According to the Bureau of Justice Statistics (2007), the lifetime chance of a person going to prison is higher for Blacks (18.6%) and Hispanics (10%) than for Whites (3.4%). Furthermore, Blacks represent approximately 40% of the death row population in the United States (Amnesty International, 2003). The sociopolitical and socioeconomic explanations for this phenomenon are complex and far beyond the scope of this chapter. It is clear, however, that given the disproportionate confinement of minorities in the United States, any meaningful discussion of correctional mental health must necessarily include a discussion of multicultural issues. This chapter will first focus on a general overview of multicultural counseling and its applications in correctional settings. Second, the use of psychological tests and assessments with multicultural correctional populations will be explored with an emphasis on forensic evaluations. Finally, the issue of cultural competence with religious minorities and religious extremists will be addressed.
Multicultural Counseling Jackson (1995) succinctly defines multicultural counseling as counseling that takes place between or among individuals from different cultural backgrounds. Although a simple enough definition, the implications of this in the mental health field are far-reaching. The increased racial, ethnic, and cultural diversity in the United States creates a demand for professional services, including mental health, that meet the needs of people from a wide variety of backgrounds (Barrett & George, 2005). The issues involved in providing culturally competent services are as complex and varied as clients themselves (Sue & Sue, 2007). Cookbook approaches to multicultural counseling cannot be utilized without contradicting the very concept. López (2000) discusses this in terms .
Mental health stigma can be divided into two distinct types: social stigma is characterized by prejudicial attitudes and discriminating behaviour directed towards individuals with mental health problems as a result of the psychiatric label they have been given. In contrast, perceived stigma or self-stigma is the internalizing by the mental health sufferer of their perceptions of discrimination (Link, Cullen, Struening & Shrout, 1989), and perceived stigma can significantly affect feelings of shame and lead to poorer treatment outcomes (Perlick, Rosenheck, Clarkin, Sirey et al., 2001).
Escalating rates of teen dating violence nationwide is reason for concern and intervention. When Love Hurts is a campaign created by four NC State Graduate students with the intent of empowering teens to become educated so they can end the epidemic.
The research report Presentation addresses the stigma related to the mental health in our society. This study was intended to increase understanding of peoples’ views of mental illness by developing and administering measures of knowledge and attitudes of people toward mental illnesses.
The research conducted through questionnaires regarding the mental health stigma is reviewed and analyzed that indicates that the majority of the general public holds negative stereotypes towards people with psychological problems.
Hence, a model has been proposed to illustrate what are the peoples’ attitudes towards and knowledge about the mental health, why is it a taboo to talk about this topic, how can this stigma prevent the people from getting help for the psychological difficulties and solutions for reducing and dealing with the mental health stigma are discussed.
FAST-NU
COMPUTER SCIENCE DEPARTMENT
PSYCHOLOGY
COURSE INSTRUCTOR: Miss sumarah rashid
Section: GR-4
Group members:
Taban Shaukat 16K3937
Huzaifah Punjani 16K3924
Anas Bin Faisal 16K4064
Abeer Zehra 16K4068
Maria Ahmed 16K4058
Group work with Gay,Lesbian and BisexualZaeem Jifri
Counseling gays, lesbian and bisexuals is like counseling other culturally different populations in that practitioners require culture-specific preparation.
As a social worker and as a human being we must make an effort to accurately understand the values, lifestyles, and cultural norms of gays, lesbians and bisexuals.
Issues in Multicultural Correctional Assessment and Treatment By.docxchristiandean12115
Issues in Multicultural Correctional Assessment and Treatment
By Corinne N. Ortega
Introduction Increasing diversity in the United States has widened the base populations to whom psychologists provide services. Various divisions of the American Psychological Association (APA) have recognized the importance of multicultural competencies for more than 25 years (notably, Division 17—Counseling Psychology and Division 45—The Society for the Psychological Study of Ethnic Minority Issues). In 2002, APA formally recognized the evolution of the science and practice of psychology in a diverse society by adopting as policy the Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists (APA, 2002b). Nowhere is the changing face of the United States reflected more clearly than in its correctional systems. Blacks and Hispanics make up 62% of the incarcerated population, although they comprise only 25% of the national population (Human Rights Watch, 2002). Hispanics represent 40% of all sentenced federal offenders, although they account for only 13% of the total U.S. population (López, 2000). According to the Bureau of Justice Statistics (2007), the lifetime chance of a person going to prison is higher for Blacks (18.6%) and Hispanics (10%) than for Whites (3.4%). Furthermore, Blacks represent approximately 40% of the death row population in the United States (Amnesty International, 2003). The sociopolitical and socioeconomic explanations for this phenomenon are complex and far beyond the scope of this chapter. It is clear, however, that given the disproportionate confinement of minorities in the United States, any meaningful discussion of correctional mental health must necessarily include a discussion of multicultural issues. This chapter will first focus on a general overview of multicultural counseling and its applications in correctional settings. Second, the use of psychological tests and assessments with multicultural correctional populations will be explored with an emphasis on forensic evaluations. Finally, the issue of cultural competence with religious minorities and religious extremists will be addressed.
Multicultural Counseling Jackson (1995) succinctly defines multicultural counseling as counseling that takes place between or among individuals from different cultural backgrounds. Although a simple enough definition, the implications of this in the mental health field are far-reaching. The increased racial, ethnic, and cultural diversity in the United States creates a demand for professional services, including mental health, that meet the needs of people from a wide variety of backgrounds (Barrett & George, 2005). The issues involved in providing culturally competent services are as complex and varied as clients themselves (Sue & Sue, 2007). Cookbook approaches to multicultural counseling cannot be utilized without contradicting the very concept. López (2000) discusses this in terms .
1Health Disparity among LatinoIntroductionHealthcare.docxdrennanmicah
1
Health Disparity among Latino
Introduction
Healthcare is one of the basic needs that a normal human being must be granted. Not only should healthcare be granted but it should be of high quality that is beneficial to all who need it. In the recent past the Latinos have experienced disparities with health care being affected. However, there are different temperaments of these disparities. This is because of the many differences that they have being foreigners these include external and internal factors such as the language barrier, limited health insurance they also seem to lack trust from the rest. However, this is not the case as the quality of healthcare differs based on very many factors some of which include external factors that goes under xenophobia such as race, geography, disability, ethnicity, sex or gender, income, immigrant status, and sexual orientation. This difference in the quality of healthcare brings in the concept of healthcare disparity among a population. In the case of Latino, these disparities are greatly influence by internal factors such as language and cultural barriers, poor healthcare literacy, limited health workers, insufficient health insurance, and distrust health providers among others.
Definably, healthcare disparity can be described as the moral standing or disability as well as elevated burden of harm which are normally felt by the majority social group. This group usually has a common location, gender, ethnicity or status. Healthcare disparity is an important factor when it comes to the discussion on the health status of a nation; this is because the variations in healthcare provided waters down the overall quality of health and also has drastic effects on the given population. The disparities that are experienced in the health sector are majorly seen by the African American, Hispanic/Latino, Pacific Islanders, and Native Americans as compared to the white population of the country.
These subgroups of the populations face health disparity majorly because of social factors such as their lower literacy levels, their low economic status, poor housing that is unsafe for all human habitation, and their habitation areas are near environmental hazards. With all these contributing factors the effects of healthcare disparity are visible due to the low numbers of the population in this subgroup being able to acquire health insurance and also the high financial burden that this population experiences when disaster strikes them.
Healthcare disparity is an area where not only the government should get involved in, but also non-governmental organizations that have the will and the resources should take part in so that this situation can be rectified for it has a high impact on the finances of the individuals affected and consequently on the economy of the country. This paper, therefore, gives insight on healthcare disparity among the Latino community who have for years been on the receiving end of this situation. T.
Chapter 4Culture Competency and CEOD Process Immigrant Popula.docxrobertad6
Chapter 4
Culture Competency and CEOD Process: Immigrant Populations, Health Care, Public Health, and Community
Defining and Exploring Culture
A group or community with whom one shares common experiences that shape the way they understand the world
Can include groups:
Born into
Gender
Race
National origin
Class
Religion
Moved into
Moving into a new community
Change in economic status
Change in health status
Four Concepts Associate With Culture:
Cultural knowledge / the knowledge of cultural characteristics, history, values, beliefs and behaviors of another ethnic or cultural group
Cultural awareness / being open to the idea of changing cultural attitudes
Cultural sensitivity / knowing that differences exist between cultures, but not assigning values to the differences
Cultural competence / having the capacity to bring into its systems different behaviors, attitudes and policies and work effectively in cross-cultural settings to produce better outcomes
Learning Culture
Be more aware of your own culture
What is your culture?
Do you have more than one culture?
What is your cultural background?
Learn about other’s culture
Make s conscious decision to establish friendships with people from other cultures
Put yourself in situations where you will meet people of other cultures
Examine your biases about people from other cultures
Ask questions about the cultures, customs and views
Read about other people’s cultures and histories
Listen and show caring
Observe differences in communication styles and values; don’t assume that the majority’s way is the right way
Risk making mistakes
Learn to be an ally
Understanding Culture for Community Engagement, Organization and Development (CEOD)
U.S. communities are becoming more diverse
Racial profiling & stereotyping will be key discussion points when engaging and developing communities in public health practice and may be harmful because they can impede communication, engagement and development
Racial profiling / a law enforcement practice of scrutinizing certain individuals based on characteristics thought to indicate a likelihood of criminal behavior
Stereotyping / a fixed, over generalized belief about a particular group or class of people (Cardwell, 1996)
CEOD and Cultures of the Future
Questions to help engage, organize and develop a healthy community of the future:
If you could have your ideal community right now what would it look like?
If you can’t have your ideal community right now, what will be the next steps in building the kind of cultural community you desire?
Who lives in the community right now?
What kinds of diversity already exist?
How will diversity be approached in your community?
What kinds of relationships are established between cultural groups?
Are the different cultural groups well organized?
What kind of struggles between cultural groups exists?
What kind of struggles within cultural groups exists?
Are these struggles openly recognized and ta.
3 references not older than 2015If you are able to do at least o.docxdomenicacullison
3 references not older than 2015
If you are able to do at least one reference from this book will be great.
Eliopoulos, Charlotte; Gerontological Nursing (9th Ed. 2018). Lippincott Williams & Wilkins
Week 3:
Paper #1 Due
The older population in the United States is becoming more ethnically and racially diverse. In addition to racial and ethnic diversity, there will be growing numbers of lesbian, gay, bisexual, and transgender persons entering their senior years who will present a unique set of challenges. The growing diversity of the older population presents challenges for gerontological nursing in providing culturally competent care.
Essential to the provision of culturally competent care is an understanding of:
The experiences of individuals of similar ethnic or racial background
Beliefs, values, traditions, and practices of various ethnic and racial groups
Unique health-related needs, experiences, and risks of various ethnic and racial groups and persons of similar sexual orientation
One’s own attitudes and beliefs toward people of various ethnic and racial groups and persons of similar sexual orientation, as well as those attitudes of copractitioners
Language barriers that can affect the ability of patients to communicate health-related information, understand instructions, provide informed consent, and fully participate in their care
Your assignment is to write a 2 to 3 page paper choosing one of the following groups of older adults and address how you will provide
cultural care
for this group or the individual:
• Hispanic Americans
• Black Americans
• Asian Americans
• Jewish Americans
• Muslim Americans
• Native Americans
• Gay, lesbian, bisexual, transgender
.
Cultural Competency in the Clinical Setting
by Robert F. Jex, RN, MHA, FACHE
Wednesday, January 20, 2009
12:00 p.m. - 1:00 p.m. (Mountain)
Robert Jex, RN, MHA, FACHE is a Trauma System Clinical Consultant within the Emergency Medical Services and Preparedness at the Utah Department of Health. He has been a practicing RN for 33 years with experience in ER, OR, Med/Surg/ICU, Nursery, Labor and Delivery, and home health care. He has a BS in Zoology, an MS in Reproductive Physiology and a Master of Health Administration. Mr. Jex is a licensed long term care administrator, a Fellow in the American College of Health Care Executives, and a certified trainer in Cultural Competency.
Multiculturalism in the NewsBrian Taylor, Antoinette Dent, Tia.docxgilpinleeanna
Multiculturalism in the News
Brian Taylor, Antoinette Dent, Tia Gaillard, Kimberly Cowan
Psych 620/Multicultural and Social Issues in Psychology
Sharon McNeely
8/7/2017
Overview Of The News Report
The two groups have different cultures, which make them perceive certain behaviors differently. The response to the refugee crisis varies significantly among the people in Europe. There are key differences in cultures across Europe concerning Muslims migrants. The common thread chosen to connect the concept of culture differences concerning the refugee crisis often focuses on the idea of culture clashes. It is widely accepted in present political debate on migration and refugees, that the essential issue is culturally integrating into the host society with people who have different cultural values and morals than their European host. The troubled history in the treatment of cultures along with cultural clashes concerning Migrants and European hosts expresses that it should aim more towards tolerance than that of intolerant behaviors. In addition communities can try to understand unfamiliar practices rather than immediately condemning them.
Identification Of Multicultural Conflict (Antoinette)
For the refugees who are predominantly Muslims, they appreciate that women wear clothes that are not revealing.
There is no big deal for Germans to a woman wear revealing clothes.
This is a cultural conflict because there is interaction between two different cultures with different perceptions.
Thesis Statement
The vast cultural differences between the Muslim migrants and their European hosts are causing major clashes between the migrants, and the citizens. This is causing an increase in crime, multicultural conflict, and potential changes in policies. This can have a chilling effect on host country compassion for the migrants.
Plan: How To Bring Awareness To The Conflict
Analysis Of Social Psychology Aspect Of News Story (Brian)
Social Psychology Defined
Actual, Imagined, or Implied Personal Presence
Cognition= Thought
Affect= Feeling
Behavior=Action
Situationism
Social Psychology is the scientific attempt to explain how the thoughts, feelings, and behaviors of an individual are influenced by the actual, imagined, or implied presence of other human beings (Fiske, 2014). It is true that social influence directly affects behavior. This is also known as following the crowd. These large groups of young men did not all go to this event strictly to rob and sexually assault the local citizens. They allowed outside influences to dictate their behavior. Situationism is the scientific belief that context is a huge factor in interpreting behavior (Fiske, 2014). Behavior is more of a reaction to the situation at hand, rather than an accurate characterization of the character of those individuals.
6
Analysis Of The Multicultural Psychology Aspects Of The News Story (brian)
Cultural Influences
Individualism vs. Collectivism
Cultu ...
Presented by: David Cozadd, Director of Operations with the Burke Center
Thomas Kerss, Sheriff of Nacogdoches County; Current President of the Sheriff’s Association for Texas
Anne Bondesen, Project Director for the Rural East Texas Health Network (RETHN)
Presented by: Dr. Melissa Graham, SAPD Psychologist
Jeanie Paradise, Clinical Director Crisis Care Center
Lt. Teri Neal, Director SAPD Communications Unit
Emile Clede, SAPD Communications Training Coordinator
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivismcitinfo
Presented by: Sergeant Barry Armfield
St. Louis County Police Department,
Coordinator, St. Louis Area CIT Program
Richard Stevenson
Director of Special Projects,
Alliance on Mental Illness-NAMI St. Louis
Presented by: Michael R. Peterson MA LAMFT
Executive Director
Steve M. Wickelgren MA MFT
President
Minnesota CIT Officers Association
Jane Marie Sulzle, RN, CNS, MS
PrairieCare
Presented by: Melissa Reuland
Senior Research Consultant
Council of State Governments Justice Center
Mark Munetz, M.D.
Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Louise Pyers
Connecticut Alliance to Benefit Law Enforcement (CABLE)
Detective Ron Bruno
Salt Lake City Police Department
A Co-response Model Mental Health and Policingcitinfo
Presented by: Mary C. Pyche, MSW, RSW Health Service Manager
Mental Health Mobile Crisis Team (MHMCT)
Susan Hare, BScOT, Program Leader, Crisis Supports, Capital District Mental Health Program
Constable Angela Balcom, Halifax Regional
Police, MHMCT dedicated police officer
Promoting CIT in Ohio: The Ohio Criminal Justice Coordinating Center of Excel...citinfo
Presented by: Mark R. Munetz, M.D.
Professor and Margaret Clark Morgan Foundation Endowed Chair of Psychiatry
Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Presented by: Denise Curiel, Criminal Justice Liaison for Community Partnership of Southern Arizona
Diana Carino, Criminal Justice Assistant for Community Partnership of Southern Arizona
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
1. CIT: Responding to multicultural incidents Patti Kressly MA Pro-Crisis LLC Co-authored: Dr. Kathy Harowski Ph.D., Special Agent Leah Billings, Amy Berg and Katie Kornder
2. Goals Current CIT cultural responses. Demographics of Cultures in the United States What is mental illness – culturally speaking CIT response
3. Does you current CIT curriculum include cultural influences? What does it include?
4. Dominic Kavaventi Immigrated from Zimbabwe when his citizenship was taken away. Was jailed for writing and performing plays that depicted the social injustices of Zimbabwe at the time.
6. States of Residence for Refugee in United States 2009 (Department of State) California(15 percent) Texas (11 percent) New York (5.9 percent) Arizona (5.8 percent) Florida (5.6 percent) Michigan (4.7 percent) Nearly one-half of all refugees settled in one of these six states.
7. Arrivals by Asylum (Department of State) The total number of persons granted asylum in the United States decreased slightly from 22,838 in 2008 to 22,119 in 2009. The number of persons who were granted asylum affirmatively through USCIS(U.S. Citizenship and Immigration Services – through judicial process) decreased from 12,095 in 2008 to 11,933 in 2009.
8. Unauthorized Entries into the US(Department of Homeland Security) Between January 2008 and January 2009, the number of unauthorized immigrants living in the United States decreased seven percent from 11.6 million to 10.8 million. An estimated 8.5 million of the total 10.8 million unauthorized immigrants living in the United States in 2009 were from the North America region, including Canada, Mexico, the Caribbean, and Central America.
9. The next leading regions of origin were Asia (980,000) and South America (740,000). Mexico continued to be the leading source of unauthorized immigration to the United States. There were 6.7 million unauthorized immigrants from Mexico in 2009, representing 62 percent of the unauthorized population. El Salvador (530,000), Guatemala (480,000), Honduras (320,000), and the Philippines (270,000).
10. What is Mental Illness? The notions of health and illness are not clearly defined concepts. Perceptions vary. Some cultural anthropologists believe that mental disorders are culturally created evaluations. They are dysfunctional deviations from the normative patterns of social behavior.
11. Western societies believe that the concept of mental illness is based in the medical model. The training for psychiatry was and still is based on medicine. The diagnosis and treatment of mental disorders still remains predominately in the hands of psychiatrists.
12. Cultural Aspects of Mental Illness The belief is that mental illness is present cross culturally. Studies strongly suggest that culture can influence the expression of mental illness. Most immigrants come from cultures in which interpersonal reliance and dependence are considered healthy cultural norms. Families, clans, healers are the first step in dealing with mental illness.
13. Some immigrants are coming from their countries of origin with complex stressors. Death and loss of family members Victims of torture Witnessing years of war. Some coming from refugee camps.
14. CIT Cross culturally Multidisciplinary practitioners in a multicultural setting. Encourage awareness and sensitivity to verbal and nonverbal aspects of communication across cultures and across our teams. Our biases and typical reactions contribute to the reactions often heard from those in diverse communities about our efforts and tactics.
15. Mental illness across a multicultural community: racial or ethnic group, with worldview differences; additional factors might include generational, socioeconomic, and language differences. Assimilation – melting pot or tossed salad Awareness that a person who has limited use or understanding of English is not necessarily an immigrant or not assimilated History of the cultural group with authority figures/government
16. On the job Nonverbal issues related to being impatient, misjudgment about motives, understanding that certain gestures and even facial expressions have different meanings across cultures. Provide background or a reason for your need for information; consider this part of rapport building- those who are marginalized might need more time and information to place your request in context and to give them time to process if there are language barriers
17.
18. Respect the cultural story telling style- is it linear, more circular, how do details emerge, understand some will go in to more detail than necessary. Memory may be changing/change, be difficult, uncertain
28. Hmong cultural history- Midwest and Twin Cities Hmong immigration to the United States began in 1975 and consisted first of the soldiers and their extended families, followed by other Hmong who felt persecuted by the Vietnamese. In the US, now in the second and third generation of this process; even with ongoing immigration, the majority of individuals of this cultural group have now been born in the US.
29. Cultural shifts Tradition versus assimilation Hmong in Laos were/are farmers living in poverty. Hmong born in America (second generation) enjoy educational, professional, and political opportunities that their elders did not. These successes have made Hmong people susceptible to discrimination from other ethnic minority groups.
30.
31.
32.
33. Hmong live in a closed society where they initiate consultation for guidance.
34. They are not keen on unsolicited advice, intrusion, or having outside influences impressed upon them.
43. General health Common Diagnoses: Depression, anxiety (religious focus), PTSD (older immigrants) Social Problems: Gangs, domestic abuse Use herbs and herb cocktails in lieu of pharmaceuticals for treatment(baggie of herb may resemble baggie of marijuana). When western, more mainstream medical care or law enforcement becomes involved, it is due to escalated symptomatology.
78. Communication Somali language was only oral until 1972; Somalis are not universally fluent in writing as their culture relies on oral communication Decision making is primarily based on discussion/consultation with family, clan, tribe, religious elders, religious teachings
89. Definitions: Native American/American Indians/Alaska Natives: includes many racial, ethnic, and cultural groups. Indian Tribe: Body of people that: 1) Blood ties that are socially, politically, and religiously organized. 2) Live together in a specific territory. 3) Speak a common language. Reservation: Land reserved by the federal government for a tribe that relinquished other land areas through treaties.
90. Sovereign nation Result of Cherokee Nation v. Georgia in 1831. Govern own affairs, including authority to structure governments Regulate membership Maintain justice Provide for public safety and welfare Develop tribal economies and regulate businesses Tax
117. Do not stand too close, talk too loud, or talk too fast.
118.
119. Conclusion What is your cultural population? What information will best serve your CIT officers? Open the dialogue with cultural leaders to obtain recourses and education for your CIT officers.