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Cultural Competence Checklist:              Policies & Procedures
!
Ratings:     This tool was developed to heighten your awareness of your agencies’/programs’ policies and
Y Yes        procedures and the impact/influence of cultural and linguistic factors.
N No         *There is no answer key, but you should review those responses which you rated N.




___ My agency/program has a mission statement                                 ___ My agency/program has persons representing
    which states that all persons shall receive                                   various culturally and linguistically diverse
    appropriate services.                                                         backgrounds in leadership roles.

___ My agency/program has a list of interpreters for                          ___ My agency/program promotes persons who
    both manually coded and spoken                                                speak with accents or dialects based on job
    communication available.                                                      performance, not based on use of Mainstream
                                                                                  American English.
___ My agency/program has a policy for handling
    staff members’ inappropriate language or                                  ___ My agency/program provides feedback to all
    behavior, related to race, ethnicity, gender,                                 staff based on job performance, not based on
    ability, or sexual orientation.                                               use of Mainstream American English.

___ My agency/program actively recruits bilingual                             ___ My agency/program provides materials that are
    employees.                                                                   health literate.

___ My agency/program actively recruits employees                             ___ My agency/program provides health coverage
    from culturally diverse populations.                                         for an employee’s domestic/lifetime partner.

___ My agency/program actively recruits employees                             ___ My agency/program accommodates space or
    who have experience working with populations                                 time off for religious observances that are not
    reflecting diverse cultural and linguistic                                   part of the work calendar.!
    backgrounds.

___ My agency/program has an equal opportunity
    employment (EOE) policy.




_____________________
*While several sources were consulted in the development of this checklist, the following document inspired its design:
Goode, T. D. (1989, revised 2002). Promoting cultural and linguistic competence self-assessment checklist for personnel
Providing services and supports in early intervention and childhood settings.
Reference this material as: American Speech-Language-Hearing Association. (2010). Cultural Competence Checklist: Personal reflection. Available
from www.asha.org/uploadedFiles/practice/multicultural/personalreflections.pdf.
© Copyright 2010 American Speech-Language-Hearing Association. All rights reserved.

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August QIA Resource: Cultural Competence Checklist Policies Procedures

  • 1. Cultural Competence Checklist: Policies & Procedures ! Ratings: This tool was developed to heighten your awareness of your agencies’/programs’ policies and Y Yes procedures and the impact/influence of cultural and linguistic factors. N No *There is no answer key, but you should review those responses which you rated N. ___ My agency/program has a mission statement ___ My agency/program has persons representing which states that all persons shall receive various culturally and linguistically diverse appropriate services. backgrounds in leadership roles. ___ My agency/program has a list of interpreters for ___ My agency/program promotes persons who both manually coded and spoken speak with accents or dialects based on job communication available. performance, not based on use of Mainstream American English. ___ My agency/program has a policy for handling staff members’ inappropriate language or ___ My agency/program provides feedback to all behavior, related to race, ethnicity, gender, staff based on job performance, not based on ability, or sexual orientation. use of Mainstream American English. ___ My agency/program actively recruits bilingual ___ My agency/program provides materials that are employees. health literate. ___ My agency/program actively recruits employees ___ My agency/program provides health coverage from culturally diverse populations. for an employee’s domestic/lifetime partner. ___ My agency/program actively recruits employees ___ My agency/program accommodates space or who have experience working with populations time off for religious observances that are not reflecting diverse cultural and linguistic part of the work calendar.! backgrounds. ___ My agency/program has an equal opportunity employment (EOE) policy. _____________________ *While several sources were consulted in the development of this checklist, the following document inspired its design: Goode, T. D. (1989, revised 2002). Promoting cultural and linguistic competence self-assessment checklist for personnel Providing services and supports in early intervention and childhood settings. Reference this material as: American Speech-Language-Hearing Association. (2010). Cultural Competence Checklist: Personal reflection. Available from www.asha.org/uploadedFiles/practice/multicultural/personalreflections.pdf. © Copyright 2010 American Speech-Language-Hearing Association. All rights reserved.