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Developing Cultural Competence An Introductory Look at Cultural Competency in Health Care Presented by Tom Rue, M.A.,  CAS...
“ Cultural competence… a journey, not a destination”
Objectives <ul><li>Increase awareness of cultural competence </li></ul><ul><li>Understand the elements of cultural compete...
Cultural Norms “ Should’s and ought’s of the group. Examples are standards of behavior such as: - productivity norms - equ...
What is Culture? Culture is the acquired knowledge that people use to interpret experience and generate social behavior.
Cultural Value Orientations <ul><li>Innate Human Nature </li></ul><ul><li>Relationship to Nature </li></ul><ul><li>Relatio...
What is Cultural Diversity? <ul><li>Culture is shared  . . . </li></ul><ul><ul><li>Values, norms, traditions/customs </li>...
Cultural Components <ul><li>Race </li></ul><ul><li>Country of origin </li></ul><ul><li>Native language </li></ul><ul><li>S...
More Cultural Components <ul><li>Heritage </li></ul><ul><li>Acculturation </li></ul><ul><li>Age </li></ul><ul><li>Gender <...
Functional Definition <ul><li>Use of knowledge about individuals and groups of people to produce </li></ul><ul><ul><ul><li...
Components of Cultural Competence <ul><li>Awareness and acceptance of cultural differences  </li></ul><ul><li>Self Awarene...
Cultural Competence in Health Care <ul><li>Set of attitudes, skills, behaviors, policies </li></ul><ul><ul><li>Enables org...
Cultural Competence in Health Care <ul><li>A demonstrated awareness and integration of three population specific issues </...
Cultural Competence in Health Care <ul><li>Responds to demographic changes in US </li></ul><ul><li>Improves quality </li><...
National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS) <ul><li>Main Themes </li><...
Why?
Demographic Statistics <ul><li>67 million (1 in 4) classified as minority </li></ul><ul><li>Latinos </li></ul><ul><ul><li>...
 
Health Care Statistics <ul><li>Mortality rates higher until age 44 </li></ul><ul><ul><li>African Americans </li></ul></ul>...
 
 
Individual Cultural Competence Continuum Model Cultural Proficiency Cultural Pre-Competency Cultural Competence Cultural B...
Organizational Cultural Competence A journey, not a destination... Unaware, Competent Aware, Incompetent Aware, Competent ...
Journeying to a Culturally  Competent Organization <ul><li>Communication is encouraged </li></ul><ul><li>Staff represent t...
Our Journey <ul><li>Sharing experiences </li></ul><ul><li>Progressing along our personal continuum </li></ul><ul><li>Movin...
Acknowledgements <ul><li>Charlotte Newman & Jan Kelley (2001).   Cultural Quality: An Introductory Look into Cultural Comp...
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Cultural Competence in Healthcare (Rue, 2002)

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Cultural Competence In Healthcare, produced for a presentation given to all staff at RC Ward Addiction Treatment Center in 2002.

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Cultural Competence in Healthcare (Rue, 2002)

  1. 1. Developing Cultural Competence An Introductory Look at Cultural Competency in Health Care Presented by Tom Rue, M.A., CASAC, CCMHC – AC II Richard C. Ward Addiction Treatment Center At Core Training – March 2002
  2. 2. “ Cultural competence… a journey, not a destination”
  3. 3. Objectives <ul><li>Increase awareness of cultural competence </li></ul><ul><li>Understand the elements of cultural competence in health care </li></ul><ul><li>Apply cultural competence mindset to your job/responsibilities </li></ul>. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  4. 4. Cultural Norms “ Should’s and ought’s of the group. Examples are standards of behavior such as: - productivity norms - equity norms - styles of dress - power and control in relationships - acceptable behaviors, etc.
  5. 5. What is Culture? Culture is the acquired knowledge that people use to interpret experience and generate social behavior.
  6. 6. Cultural Value Orientations <ul><li>Innate Human Nature </li></ul><ul><li>Relationship to Nature </li></ul><ul><li>Relationship to Time </li></ul><ul><li>Purpose of Being </li></ul><ul><li>Relationship to Other Persons </li></ul>
  7. 7. What is Cultural Diversity? <ul><li>Culture is shared . . . </li></ul><ul><ul><li>Values, norms, traditions/customs </li></ul></ul><ul><ul><li>Arts </li></ul></ul><ul><ul><li>History, folklore </li></ul></ul><ul><ul><li>Institutions </li></ul></ul><ul><li>Cultural Diversity </li></ul><ul><ul><li>Differences in race, ethnicity, language, nationality, religion, other beliefs </li></ul></ul>
  8. 8. Cultural Components <ul><li>Race </li></ul><ul><li>Country of origin </li></ul><ul><li>Native language </li></ul><ul><li>Socio-economic status </li></ul><ul><li>Education level </li></ul><ul><li>Religion </li></ul><ul><li>Mental or physical abilities </li></ul>
  9. 9. More Cultural Components <ul><li>Heritage </li></ul><ul><li>Acculturation </li></ul><ul><li>Age </li></ul><ul><li>Gender </li></ul><ul><li>Sexual orientation </li></ul><ul><li>Definition of normality </li></ul><ul><ul><li>Such as “mental illness” </li></ul></ul><ul><li>Responses to abnormality </li></ul><ul><ul><li>Stigma vs. Acceptance </li></ul></ul>
  10. 10. Functional Definition <ul><li>Use of knowledge about individuals and groups of people to produce </li></ul><ul><ul><ul><li>policies </li></ul></ul></ul><ul><ul><ul><li>practices </li></ul></ul></ul><ul><ul><ul><li>attitudes </li></ul></ul></ul><ul><ul><ul><li>specific standards </li></ul></ul></ul>
  11. 11. Components of Cultural Competence <ul><li>Awareness and acceptance of cultural differences </li></ul><ul><li>Self Awareness </li></ul><ul><li>Understanding of dynamic differences among cultures </li></ul><ul><li>Basic knowledge about a client’s culture </li></ul><ul><li>Adaptation </li></ul>
  12. 12. Cultural Competence in Health Care <ul><li>Set of attitudes, skills, behaviors, policies </li></ul><ul><ul><li>Enables organizations and individuals to work effectively cross-culturally </li></ul></ul><ul><ul><li>Understands importance of health-related </li></ul></ul><ul><ul><ul><li>beliefs, attitudes, and practices </li></ul></ul></ul><ul><ul><ul><li>communication patterns of beneficiaries </li></ul></ul></ul><ul><ul><li>Eliminates disparities in health status </li></ul></ul>
  13. 13. Cultural Competence in Health Care <ul><li>A demonstrated awareness and integration of three population specific issues </li></ul><ul><ul><li>health-related beliefs and cultural values </li></ul></ul><ul><ul><li>disease incidence and prevalence </li></ul></ul><ul><ul><ul><li>examples: gender, Native Americans, Irish, etc. </li></ul></ul></ul><ul><ul><li>treatment efficacy </li></ul></ul>
  14. 14. Cultural Competence in Health Care <ul><li>Responds to demographic changes in US </li></ul><ul><li>Improves quality </li></ul><ul><ul><li>services </li></ul></ul><ul><ul><li>health outcomes </li></ul></ul><ul><li>Meets mandates of credentialing bodies: </li></ul><ul><ul><li>Commission on Accreditation of Rehabilitation Facilities (CARF) </li></ul></ul><ul><ul><li>Joint Commission on Accreditation of Hospital Organizations (JCAHO) </li></ul></ul><ul><ul><li>US Department of HHS, Office of Minority Health </li></ul></ul>
  15. 15. National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS) <ul><li>Main Themes </li></ul><ul><ul><li>Culturally competent standards (1-3) </li></ul></ul><ul><ul><li>Language access services (4-7) </li></ul></ul><ul><ul><li>Organizational support (8-14) </li></ul></ul><ul><li>Varying Stringency </li></ul><ul><ul><li>Mandates (4,5,6, & 7) </li></ul></ul><ul><ul><li>Guidelines 1,2,3,8,9,10,11,12,13) </li></ul></ul><ul><ul><li>Recommendations (14) </li></ul></ul><ul><ul><li>Full document is on the website of U.S. Department of Health & Human Services, Office of Minority Health at http://www. omhrc . gov / clas /finalcultural1a. htm . </li></ul></ul>
  16. 16. Why?
  17. 17. Demographic Statistics <ul><li>67 million (1 in 4) classified as minority </li></ul><ul><li>Latinos </li></ul><ul><ul><li>Represent almost half of minority Americans </li></ul></ul><ul><ul><li>Nearly equal in number to African Americans </li></ul></ul><ul><ul><li>Largest racial/ethnic minority population by 2025 </li></ul></ul><ul><li>People of color </li></ul><ul><ul><li>1 in 3 Americans by 2050 </li></ul></ul><ul><ul><ul><li>Higher birth rates </li></ul></ul></ul><ul><ul><ul><li>Higher immigration rates </li></ul></ul></ul>
  18. 19. Health Care Statistics <ul><li>Mortality rates higher until age 44 </li></ul><ul><ul><li>African Americans </li></ul></ul><ul><ul><li>Latinos </li></ul></ul><ul><ul><li>Native Americans </li></ul></ul><ul><li>Infant mortality </li></ul><ul><ul><li>Twice as high among African Americans </li></ul></ul><ul><li>Deaths due to HIV/AIDS </li></ul><ul><ul><li>Dramatically increased </li></ul></ul><ul><ul><ul><li>African Americans </li></ul></ul></ul><ul><ul><ul><li>Latinos </li></ul></ul></ul>
  19. 22. Individual Cultural Competence Continuum Model Cultural Proficiency Cultural Pre-Competency Cultural Competence Cultural Blindness Cultural Destructiveness Cultural Incapacity
  20. 23. Organizational Cultural Competence A journey, not a destination... Unaware, Competent Aware, Incompetent Aware, Competent Unaware, Incompetent
  21. 24. Journeying to a Culturally Competent Organization <ul><li>Communication is encouraged </li></ul><ul><li>Staff represent the diversity of community members </li></ul><ul><li>Leadership is committed and supportive </li></ul><ul><li>All employees are involved </li></ul><ul><li>Inclusive organizational structures and policies exist </li></ul>
  22. 25. Our Journey <ul><li>Sharing experiences </li></ul><ul><li>Progressing along our personal continuum </li></ul><ul><li>Moving closer to our destination </li></ul><ul><li>AND always . . . </li></ul><ul><li>Improving the quality of health care in the communities we serve </li></ul>
  23. 26. Acknowledgements <ul><li>Charlotte Newman & Jan Kelley (2001). Cultural Quality: An Introductory Look into Cultural Competency in Health Care , slide show for the Delmarva Foundation </li></ul><ul><li>Hope Center for Advance Technologies (2001). Psychology With Sociology , a course developed by faculty from Lawrence Technological University, University of Detroit-Mercy, and Wayne State University </li></ul><ul><li>Joan Engebretson (2001). Culture and Health Care , class notes for Advance Practice Nursing: Health Promotion, The University of Texas-Houston, Health Science Center School of Nursing </li></ul>

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