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12/14/2016 CULTURAL IMPLICATIONS OF SELF-ADVOCACY December 14, 2016 PRESENTERS Elver Ariza-Silva, Individual and Family Advocate DC Quality Trust for Individuals with Disabilities Diana Autin, Executive Co-Director for Health and Family Support Statewide Parent Advocacy Network of New Jersey (SPANNJ) National Field Co-Coordinator, Family Voices Dori Tempio, Community Outreach & Consumer Rights Coordinator Able South Carolina Tawara D. Goode, Principal Investigator Leadership Institute for Cultural Diversity and Cultural and Linguistic Competence Georgetown University National Center for Cultural Competence Georgetown University Center for Excellence in Developmental Disabilities Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

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12/14/2016

CULTURAL IMPLICATIONS OF SELF-ADVOCACY

December 14, 2016

PRESENTERS Elver Ariza-Silva, Individual and Family AdvocateDC Quality Trust for Individuals with Disabilities

Diana Autin, Executive Co-Director for Health and Family SupportStatewide Parent Advocacy Network of New Jersey (SPANNJ)National Field Co-Coordinator, Family Voices

Dori Tempio, Community Outreach & Consumer Rights CoordinatorAble South Carolina

Tawara D. Goode, Principal InvestigatorLeadership Institute for Cultural Diversity and Cultural and Linguistic CompetenceGeorgetown University National Center for Cultural CompetenceGeorgetown University Center for Excellence in Developmental Disabilities

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

12/14/2016

OBJECTIVESParticipants will: 1. Define self-advocacy.2. Describe the culturally-defined determinants that

influence self-advocacy.3. Explain how organizations tailor self-advocacy efforts to

the cultural and linguistically diverse populations thatthey serve.

4. Reflect on leadership that supports culturally-informedself-advocacy at the individual, family, and communitylevels.

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Culture is the learned and shared knowledge that specific groups use to generatetheir behavior and interpret their experience of the world. It includes but is not limited to:

thought

languagesvalues

beliefs

customs

practicescourtesies

ritualscommunication

roles

relationships

expected

behaviors

Culture applies to racial, ethnic, religious, political, professional, and other social groups. It is transmitted through social and institutional traditions and norms to succeeding generations. Culture is a paradox, while many aspects remain the same, it is also dynamic, constantly changing.

manners of

interacting

Data Source: Gilbert, J. Goode, T., & Dunne, C., 2007.

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

12/14/2016

Culture …

is applicable to all peoples is value laden & rooted in belief systems is active & dynamicis multilayered & multidimensional exists at conscious & unconscious levels is often viewed as thick, thin, or compartmentalized provides group member identitystructures perceptions & shapes behaviors varies in expression both among and between

individual group members permeates every aspect of life

Goode, T. & Jones, W. Cultural Influences on Child Development: The Middle Years. In T. Gullotta T. & G. Blau (Eds.) Family Influences on Childhood Behavior and Development: Evidence-based Approaches to Prevention and Treatment Approaches. New York: Routledge, Taylor & Francis Group, 2008.

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

CULTURE IS …

Comprised of beliefs about reality, how people should interact with each other, what they know about the world, and how they should respond to the social and material environments in which they find themselves.

Reflected in religion, morals, customs, politics, technologies, and survival strategies of a given group. It affects how groups work, parent, love, marry, and understand health, mental health, wellness, illness, disability, and end of life.

Data Source: Gilbert, J., Goode, T. D., & Dunne, C. (2007). Cultural awareness. From the Curricula Enhancement Module Series. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development.

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

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Intersectionality

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Selected Definitions of Self-Advocacy

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

The action of representing oneself or one’s views or interestshttp://www.oxforddictionaries.com/us/definition/american_english/self-advocacy

An individual’s ability to effectively communicate, convey, negotiate or assert his or her own interests, desires, needs, and rights. https://www.google.com/webhp?sourceid=chrome-instant&ion=1&espv=2&ie=UTF-8#q=definition+of+self-advocacy

Any time people speak or act on their own behalf to improve their quality of life, effect personal change, or correct inequalitieshttps://teachingselfadvocacy.wordpress.com/description-of-self-advocacy/

12/14/2016

MANY DEFINITIONS OF SELF-ADVOCACY

Self-advocacy is defined in different ways by different constituents and groups.

Self-advocacy has been closely associated with disability rights and civil rights for individuals with disabilities, with a particular emphasis on individuals with intellectual disabilities.

Many individuals with intellectual disabilities have embraced the term of self-advocate to refer to themselves.

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Selected Definitions of Self- Advocacy

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Self advocacy is a set of skills that includes: (1) Speaking up for yourself; (2)

Communicating your strengths, needs and wishes; (3) Being able to listen

to the opinions of others, even when their opinions differ from yours; (4)

Having a sense of self-respect; (5) Taking responsibility for yourself; (6)

Knowing your rights; and (7) Knowing where to get help or who to go to

with a question.http://www.pacer.org/parent/php/PHP-c95.pdf

Self advocacy is speaking up for yourself, making your own decisions about your own life, learning how to get information so that you can understand things that are of interest to you, finding out who will support you in your journey, knowing your rights and responsibilities, problem solving, listening and learning, reaching out to others when you need help and friendship, and learning about self-determination. http://www.wrightslaw.com/info/self.advocacy.htm

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Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Dori’s personal narrative on self-advocacy

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Elver’s personal narrative about self-advocacy

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Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Diana’s insights on self-advocacy from an organizational perspective

Self-Advocacy through a Cultural Lens

Presented by:Diana Autin

Executive Co-Director, SPAN, home of theNational Center for Parent Information & Resources, & the

National RAISE Transition TA CenterCo-Director, National Center for Family-Professional Partnerships

Board Member, Federation of Families for Children’s Mental Health

12/14/2016

Diana Autin

Advocate

Attorney

Co-Director of a Family-Led Organization

Mom of diverse adult children

Native American/Cajun

What is self-advocacy?

Speaking up for yourself

Making your own decisions about your own life

Learning how to get information that you need

Finding out & connecting to those who will support you in your journey

Knowing your rights and responsibilities

Developing skills in problem solving, listening and learning

Reaching out to others when you need help and friendship

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To be able to influence decisions about your life based on your beliefs & expectations about your present & your future

To be able to move towards your vision, hopes, & dreams

Why is self-advocacy important?

Cultural beliefs about:

The importance of individual/personal “rights” vs. the importance of relationships

The desire to avoid conflict

The role of “authority” (professionals, agencies)

How systems will perceive “advocacy”

Cultural barriers to self-advocacy:For families re: systems

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Fear of, or actual:

Intimidation

Coercion

Retaliation

Immigration & Customs Enforcement (ICE)

Child welfare

Juvenile justice

Against you for your advocacy

Cultural barriers to self-advocacy:For families re: systems

Cultural expectations on the part of families about the decision-making role of parents vs. children (of any age)

Parent fears about the cultural assimilation of their children & abandonment of traditional values

Parent fears about the implications of self-advocacy on the part of their children

Cultural barriers for youth self-advocacy

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Discrimination Race, nationality, immigrant status, language Socio-economic status LGBTQ Other discrimination

Lack of access to resources to develop advocacy knowledge & skills, confidence/self-efficacy, & support

Lack of language access Low expectations for diverse youth/young adults with disabilities

Other Barriers to Self-Advocacy for Culturally/Racially/Ethnically Diverse Self-Advocates

Strengths-based

Family-centered

Solution-focused

Culturally responsive approaches to self-advocacy

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Identify small group of parents/youth from community of focus & community cultural brokers

Ask for their help/be led by their wisdom in:

Understanding cultural, language, religious impacts (both sources of strength & potential barriers)

Developing strategies to reach, engage, & support families/youth from their background & address fears including helping parents understand the importance of youth self-advocacy

Implementing strategies

Evaluating progress & planning next steps

Peer stories provide an emotional connection that is just as important as the “rights”/systems navigation information

Starting place

Understanding Peers who have “been there” Peers who are “like me”

Start where diverse youth are Help identify where they want to go Build: Trust Knowledge & Skills Recognition of their own strengths Self-confidence

Provide opportunities to practice advocacy at all levels Pair with peers for collaborative advocacy Build/connect with support networks Focus on benefits to others/”the community” of advocacy

Advocacy “Formula”

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Laws & regulations Rights now, rights at age of majority

How institutions work Key decision-makers Formal & informal decision-making Facts; current status Barriers & solutions Qualities of effective systems Existing resources

Advocacy Knowledge

Building & Supporting Advocacy

Nurture it

Be led by parents & youth from diverse communities

Ensure diverse staff

Avoid assumptions

Don’t paternalize

Allow mistakes

Make the space

Provide support

Listen, respond

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Pathways to Advocacy

• Critical supports for diverse families & youth:– Opportunities to practice

advocacy skills, & safe settings to practice them

– Relationship with respected & trusted people who provide feedback & support

– Sense of belonging

– Understanding of the expectations of systems & how they work

Opportunities for Advocacy at all levels

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Toll-free # available for parents, youth, & professionals Staff & leadership speaking 10 languages representing NJ’s diversity Language line for other languages Evening & weekend hours to meet diverse needs

Intensive 1-1 support for families/youth with greatest needs Help prepare for meetings Accompany to meetings (IEP, home visits, doctor visits) Local support groups for immigrants, families of color, grandparents raising grandchildren,

etc.

Workshops on key advocacy issues (education, health, transition, disability) Workshops provided in multiple languages Simultaneous interpretation as needed Workshops held in underserved communities & in partnership with immigrant &

community-based organizations Biannual Parent Leadership & Advocacy Conference teaching advocacy skills

Multi-lingual resources Key informational materials available in 7 languages

Building Diverse Family Self-Advocacy

Webinar series Talking with your youth about their disability Self-disclosure about your disability Integrating Health into the Transition IEP IDEA & Transition Laws providing access to young adults post-high school Supported Decision-Making & Alternatives to Guardianship Vocational Rehabilitation WIOA

Supporting participation of diverse youth at the REACH follow-up forum youth roundtables

Sponsoring full day regional interactive youth advocacy development workshops (North, Central, South Jersey) each year

Building Diverse Youth Capacity:SPAN, REACH for Transition, & RAISE

12/14/2016

Host an annual forum for the 19 parent centers in the 9 NE states (CT, ME, MA, NH, NJ, NY, PA, RI, VT) on: Building capacity of diverse youth self-advocates

Helping parents support their youths’ self-advocacy

Panel of diverse youth/young adult leaders representing KASA, ASAN, Youth MOVE, “teaching” parent center staff (2015) What their parents did to support their self-advocacy

How to work effectively with youth with different disabilities

Supported parent center staff & youth leaders in a full day roundtable on resources to enhance youth self-advocacy for youth from diverse backgrounds with a variety of disabilities (2016)

Learning from youth self-advocates:REACH for Transition

NJ YELL (Youth Engaged in Leading & Learning)

Selected Example of Success

12/14/2016

Provided initial & ongoing youth development Individual level advocacy: Youth leading/more engaged in their own transition meetings Youth speaking to doctors about their own healthcare

Systemic level advocacy by diverse NJ YELL Youth leaders: Input into Boggs Center health transition guide for youth & SPAN

transition guide Panel presentations to doctors & providers Keynotes at regional youth leadership conferences Presentation at national AMCHP Conference Plenary session Testified at Maternal & Child Health Block Grant hearing Maintain SPAN Youth Resources for Empowerment website Co-lead Transition Workgroup of NJ Community of Care Consortium

NJ YELL

National Center for Family-Professional Partnerships: www.fv-ncfpp.org National Center for Parent Information & Resources: www.parentcenterhub.org National Center for Parent Leadership, Advocacy, & Community Empowerment:

www.parentsatthetable.org National Association for Family, School, & Community Engagement:

http://nafsce.org/ Serving on Groups Parent Leadership Development: www.servingongroups.org Community Organization & Family Issues: www.cofionline.org/ Dual Capacity-Building Framework for Family-School Partnerships:

www2.ed.gov/documents/family-community/partners-education.pdf Family Engagement Inventory: www.childwelfare.gov/fei/practice-strategies/ Parents Anonymous Shared Leadership: http://parentsanonymous.org/parent-

shared-leadership/ The Partnership Way: Leading by Convening: www.ideapartnership.org/building-

connections/the-partnership-way.html

Key Resources: Parent Self-Advocacy

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Autistic Self-Advocacy Network: http://autisticadvocacy.org/ Got Transition National Healthcare Transition Center: www.GotTransition.org Kids As Self-Advocates: www.fvkasa.org/index.php National Center for Parent Information & Resources Youth Self-Advocacy Resources:

www.parentcenterhub.org/?s=youth+self+advocacy National Center on Secondary Education & Transition: www.ncset.org National Collaborative on Workforce & Disability for Youth: www.ncwd-youth.info/ National Gateway to Self-Determination: www.ngsd.org National RAISE Transition TA Center: www.raisecenter.org/ National Resource Center for Supported Decision-Making:

www.supporteddecisionmaking.org National Technical Assistance Center on Transition: http://transitionta.org/ Quality Trust for Individuals with Disabilities: www.DCQualityTrust.org SPAN Youth Resources for Empowerment: www.spanadvocacy.org/content/youth-

resources-empowerment Youth MOVE: www.youthmovenational.org/

Key Resources: Youth Self-Advocacy

12/14/2016

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Acknowledge differences in what self-advocacy means, how it is expressed and practiced by members of culturally diverse groups

1. Acknowledge cultural difference

2. Understand your own culture

3. Engage in self-assessment

4. Acquire cultural knowledge & skills

5. View behavior in a cultural context

Applying the Cultural Competence Framework to Self-AdvocacyFive Elements of Individual Cultural Competence

Acknowledge your conceptualization and beliefs about self-advocacy and how they influence your world view and actions

Reflect on the how culture is addressed in self-advocacy efforts in which you are involved

Inquire, learn, and practice how to support self-advocacy for individuals from culturally and linguistically diverse groups

Recognize the influence of culture on how and the extent to which individuals engage in self-advocacy

T.D. Goode

12/14/2016

WHAT IS YOUR ROLE AS LEADER

Slide Source:© 2016 - Georgetown University National Center for Cultural Competence

Model the way

Inspire a shared vision

Challenge the process

Enable others to act

Encourage the heart

Five Practices of Exemplary Leadership Leadership Practices Inventory

CULTURAL IMPLICATIONS OF SELF-ADVOCACY: INTENTIONALITY

CONTACT US

National Center for Cultural Competencehttp://nccc.georgetown.edu

[email protected]

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