amchp autism webinar may 7, 2009. building culturally and linguistically competent programs suzanne...
TRANSCRIPT
AMCHP Autism WebinarMay 7, 2009
Building Culturally and Linguistically Competent Programs
Suzanne Bronheim & Wendy JonesNational Center for Cultural Competence
CultureCulture is an integrated pattern of human behavior which includes but is not limited to:
thought
languages
values
beliefs
customs
practices
courtesies
ritualscommunication
roles
relationships
expectedbehaviors
… of a racial, ethnic, religious, social, or political group; the ability to transmit the above to succeeding generations; dynamic in nature.
manners ofinteracting
Slide Source: The National Center for Cultural Competence, 2009
Slide Source: National Center for Cultural Competence,2009
Cultural Competence
behaviors
attitudes
policies
structures
practices
requires that organizations have a clearly defined, congruent set of values and principles, and demonstrate behaviors, attitudes, policies, structures, and practices that enable them to work effectively cross-culturally
(adapted from Cross, Bazron, Dennis and Isaacs, 1989)
Slide Source: National Center for Cultural Competence,2009
Five Elements of Cultural Competence
Organizational Level
value diversityconduct cultural self-assessmentmanage the dynamics of differenceinstitutionalize cultural knowledgeadapt to diversity
- policies - structures- values - services
(Cross, Bazron, Dennis and Isaacs, 1989)
Cultural Destructiveness
CulturalIncapacity
Cultural Blindness
CulturalPre-Competence
CulturalCompetence
CulturalProficiency
Slide Source: National Center for Cultural Competence, 2009
Cultural Competence Continuum(Cross, Bazron, Dennis and Isaacs, 1989)
What Cultural Competence is Not
• Cookbook approaches to specific racial or ethnic groups
• Translating materials into other languages as the only action
• Making alterations in programs or approaches at one point in time
• Treating everyone the same
• Only the concern of providers/employees
Slide Source: National Center for Cultural Competence,2009
Slide Source: National Center for Cultural Competence,2009
is the capacity of an organization and its personnel to communicate effectively, and convey information in a manner that is easily understood by diverse audiences including persons of limited English proficiency, those who are not literate or have low literacy skills, and individuals with disabilities
requires organizational and provider capacity to respond effectively to the health literacy needs of populations served
insures policy, structures, practices, procedures and dedicated resources to support this capacity
Linguistic Competence
Goode & Jones, Revised 2004, National Center for Cultural Competence
DEDICATED FISCAL
RESOURCES
DEDICATED FISCAL
RESOURCES
DEDICATED PERSONNELRESOURCES
DEDICATED PERSONNELRESOURCES
PROCEDURESPROCEDURES
STRUCTURESSTRUCTURES
PRACTICESPRACTICES
POLICYPOLICY
LINGUISTICCOMPETENCE
LINGUISTICCOMPETENCE
LINGUISTIC COMPETENCE FRAMEWORK
Slide Source: National Center for Cultural Competence,2009
Guiding Values & Principles
Organizational
• Systems and organizations must sanction, and in some cases mandate, the incorporation of cultural knowledge into policy making, infrastructure, and practice.*
• Cultural competence embraces the principles of equal access and non-discriminatory practices in service delivery.*
Slide Source: The National Center for Cultural Competence, 2009
• Cultural competence is achieved by identifying and understanding the needs and help-seeking behaviors of individuals and families.*
• Culturally competent organizations design and implement services that are tailored or matched to the unique needs of individuals, children, families, organizations, and communities served.*
Guiding Values & Principles
Slide Source: National Center for Cultural Competence, 2009
• Services and supports are delivered in the preferred language and/or mode of delivery of populations served.*
• Written materials are translated, adapted and/or provided in alternative formats based on the needs and preferences of the population served.
Guiding Values & Principles
Slide Source: National Center for Cultural Competence, 2009
Language Access
• Interpretation and translation services comply with all relevant Federal, state and local mandates.
• Consumers are engaged in evaluation of language access and other communication services to ensure quality and satisfaction.
Guiding Values & Principles
Slide Source: National Center for Cultural Competence, 2009
Language Access
Guiding Values & Principles
Cultural competence:
Extends the concept of self-determination to the community
Involves working with natural, informal, support and helping networks
Slide Source: National Center for Cultural Competence, 2009
Guiding Values & Principles
Community Engagement
Communities determine their own needs
Community members are full partners in decision-making
Communities should economically benefit from collaboration
Should result in reciprocal transfer of knowledge and skills among all collaborators
Slide Source: National Center for Cultural Competence, 2008
What’s in your toolkit ?
What’s in your toolkit ?
Slide Source: National Center for Cultural Competence,2008
T.D. Goode
Cultural Competence
Linguistic Competence
Community Engagement
Family Centered Care Literacy
Partnerships between Families &
Professionals
INTEGRALLY LINKEDPieces of the Same Puzzle