Cultural Competence

Learning Objectives

1.	Identify various goals of cultural competence.
2.	Identify steps that should be taken to put cultural competence into practice.
3.	Distinguish between minority and diversity, and between race and ethnicity.
4.	Describe the six points along the cultural competence continuum and their characteristics.
5.	Describe the five essential elements that contribute to an agency's ability to become more culturally competent.
6.	List 24 attributes, knowledge areas, and skills that are essential to the development of cultural or ethnic competence.

Course Contents


1.	Statement on Cultural Competence
		What Is Culture, and How Does It Affect Care?
		Why Cultural Competence?
		What Is Cultural Competence?
		How Is Cultural Competence Related To Evidence-Based Practices?
		How Can Cultural Competence Be Put Into Practice?
		Case Studies of Cultural Competence
			Vignette 1—Dual Diagnosis
			Vignette 2—Assertive Community Treatment
			Vignette 3—Supported Employment
			Vignette 4— Medication Management
			Vignette 5— Illness Management and Recovery Skills
			Vignette 6— Family Psychoeducation
		Some Thoughts on Four Cultural Concepts
			Minority versus Diverse Groups
			Race versus Ethnicity
		References
		Shift in Goal From Assimilation to Biculturalism
		Critical Aspects of Cultural Competence
		Selected Resources on Cultural Competence
2.	The Cultural Competence Continuum
			Cultural Destructiveness
			Cultural Incapacity
			Cultural Blindness
			Cultural Pre-Competence
			Cultural Competence
			Cultural Proficiency
3.	The Culturally Competent System of Care
			Valuing Diversity
			Cultural Self-Assessment
			Dynamics of Difference
			Institution of Cultural Knowledge
			Adaptation to Diversity
			A Value Base for Cultural Competence
4.	Developing Cultural Competence
			Policymaking Level
			Administrative Level
			Practitioner Level
			Consumer Level
			Service Adaptations
			Intake and Client Identification
			Assessment and Treatment
			Communication and Interviewing
			Case Management
			Out-Of-Home Care
			Guiding Principles
5.	Cultural Competence Standards in Managed Care Mental Health Services: Four Underserved/Underrepresented Racial/Ethnic Groups
			Demographic and Health Profile
		People of African Descent
			Demographic and Health Profile
			Historic Patterns of Mental Health Service Use
			Managed Behavioral Health Care and Race: Implications
		Asian and Pacific Islander People
			Asian Pacific Islander American Mental Health Issues
			Asian Pacific Islander Mental Health Service Delivery Issues
		American Indian, Native Alaskan, and Native Hawaiian Populations
			Demographic and Health Profile
		Managed Care in the Delivery of Mental Health Services
		References
6.	Mental Health Needs of Hispanics
		The Mental Health Needs of Hispanics in the United States
			Demographic Background
			Mental Health and Substance Use Problems
			Use of Mental Health Services
			Addressing the Service Gaps
			Conclusion
		References
7.	Cultural Competence in Serving Children and Adolescents with Mental Health Problems
			Goals and Principles of Cultural Competence
			Developing Cultural Competence
8.	Achieving Cultural Competence: A Guidebook for Providers of Services to Older Americans and Their Families
		Purpose
		Introduction
		What is Culture?
		Factors that Influence Culture
		What is Cultural Competence?
		Barriers to Service Access
			Structural Barriers
			Cultural Barriers
		Research on Cultural Competence
		Why is Cultural Competence Important?
			Introduction
			Demographics
			Racial and Ethnic Disparities Education Level
			Living Arrangements
		Poverty
			Life Expectancy
			Death Rates by Condition
			Self-Rated Health Status
			Access to and Satisfaction with Health Care
		Principles of Cultural Competence
			Values and Attitudes
			Communication Styles
			Community/Consumer Participation
			Physical Environment
			Policies and Procedures
			Population-Based Service Delivery
			Training and Professional Development
		Creating Programs That Work
			The Three M’s
			Characteristics of Culturally Competent Service Delivery
		People Profiles
		Program Profiles
			Illustrative Examples
	Post Test

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