Mental Health and Recovery Board

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Mental Health and Recovery Board

• Building Bridges to Recovery
• Embracing Local Cultures
• LaVina Miller Weaver, RN, PCC-S

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Objectives

• 1. Identify cultural competence as a tool for
• decreasing stigma related to mental
• illness and substance abuse
• 2. Develop an understanding of how local
• culture impacts communication, services
• access, and service delivery

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Trans-cultural CompetencyFrom Trans-cultural
Counseling by John McFadden

• Five stages of Trans-cultural competence
• The ability to discover anothers way of
  knowing.

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Stage I

• Ethnoentropy
• We are alienated from our own cultural identity
• understand little of self or own culture

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Stage I contd

• Avoid other ethnic groups and cultures when
  possible,
• great discomfort, not yet able to move toward
• Alienated from self/other
• live out our rejected cultural identity
• Unable to accept own cultural identity

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Stage II

• Ethnocentrism
• We believe in the inherent superiority of our own
  culture
• We see other cultures as inferior
• or wrong

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Stage III

• Ethnosyncretism
• We begin awareness and acceptance of our own
  cultural base
• Dualistic thinking starts being
  challenged..we/they
• What we used to think no longer fits/works
• Faith crisis image of God changes

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Stage III contd

• We begin accepting outside perspectives and
  critiques on our own culture without defending
• Greater capacity to contain differences
• Less need to correct
• No longer need to see things right or wrong
• but as different or not yet understood
• Capacity to listen increases

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Stage III contd

• We begin accepting new ideas and practices from
  other cultures as well
• May begin exploring new practices/actions
• Moving from thought to experimenting
• without sacrificing or rejecting our own
  cultural identity
• Early formation of transcultural core

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Stage IV

• Transethnicity
• We move beyond, or across, our own ethnic group
  to significantly experience another ethnic group
  or person
• Have an encounter/experience that shifts the core
• New way of thinking becomes more comfortable
• Relationships may change

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Stage V

• Panethnicity
• We have developed a transcendent world view
• Anchored and flexible in new understandings
• Willing to dialogue, find common ground, explore
• Hold ourselves and our world more lightly

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• We view ourselves as members of ethnic groups of
  the world
• We are only a part of a whole instead of the
  whole
• Can adopt from beyond earlier constraints

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Stage V contd

• There is a sense of sharing a common global
  culture
• as well as my own unique culture
• We are now free to choose
• Integrating from our own heritage is now a
  choice

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Characteristics of Trans-Cultural Competence

• Belief that all persons are worthy
• Regardless how feeble, how strong, how impaired
• Understands people as unique individuals
• Value discovery of others
• Is learning from others while also giving to
  othersgreat sense of mutuality and sharedness

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Characteristics of Trans-Cultural Competence

• Believe in the capacity of all people to develop
  their highest potential
• Less of a need to compare
• Great capacity to inspire others toward their
  best
• See ethnicity as an opportunity for personal
  growth and understanding
• Great capacity learn and internalize experiences
• Can allow themselves to be changedongoingly

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Why Cultural Competence?

• 1. We will be far less likely to stigmatize, to
  disregard, to set others apart
• if we allow ourselves to grow toward
  cultural competence

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Why Cultural Competence

• 2. Lack of cultural understanding can cause us
  to unintentionally violate and hurt our clients
• 3. It can keep people from seeking the help they
  may desire because they feel unsafe

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Why Cultural Competence

• 4. We will be more likely to speak up when
• we hear people being disregarded,
• sidelined, or stigmatized

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Our Community

• 96.52 White
• 1.57 Black
• 0.16 Native American
• .66 Asian
• .75 Hispanic/Latin
• 40 ..speak German or Penn Dutch
• (Holmes and Wayne County)

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• The Heart of
• Amishness
• Donald B Kraybill, The Riddle of Amish Culture
• On the Back Road to
  Heaven

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G e l l a s e n h e i t

• A paradigm that under girds all of Amish Life
• Has ideas of
• Letting go, Surrender, Yielding

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Gelassenheit

• Gelassenheit orders the entire social
  structureit forbids the use of force in human
  relationships

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Dimensions of Gelassenheit from The Riddle of
Amish Culture by Donald B. Kraybill
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Gelassenheit/Modernity

• Moderns value personal fulfillment and individual
  achievement
• The way of Gelassenheit discovers fulfillment in
  communityand receives in return a durable and
  visible ethnic identity

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Gelassenheit/Modernity

• Amish work just as hard at losing themselves as
  moderns work at finding themselves
• There is an ordered sense of doing things right
  and wellGod watches all we do
• if it is worth doing , it is worth doing it
• right

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The Shrinking Edges of Gelassenheit

• Toward individualism
• Public recognition signing name
• Business Cards

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The Shrinking Edges of Gelassenheit

• However,
• Obedience, humility, plainness, and simplicity
  remain powerful engines of resistance to dominant
  culture
• The Amish, Don Krabill

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"Upside-Down Values"

• The individual is not the supreme
• reality
• Communal goals transcend personal
• ones

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"Upside-Down Values"

• The past is as important as the
• future (persecution history)
• Tradition is valued equally with
• change

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Upside Down Values

• Personal sacrifice is esteemed (and
• rewarded) over pleasure
• .
• Local involvement outweighs national
• acclaim

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"Upside-Down Values"

• Work is more satisfying than consumption
  utilitarian culture
• Obeying, waiting, and yielding
• are embraced
• Newer, bigger, and faster are
• not better

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"Upside-Down Values"

• Preservation eclipses progress
• Staying together is the supreme value

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Values

• Larger family and extensive church ties
• Accustomed to caring for their own
• Defer to leadership/authority
• Difficulty verbalizing if disagreeing with
  authority figure

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Values

• Stoic with emotional and physical pain
• Concrete, detail orientation
• Value face to face communication

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Our Community

• What is the impact of this population on our
  community???
• How has the community been shaped by this
  people???
• How does understanding this community impact the
  delivery of mental health care???

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Our Community

• Communication language barriers
• Service deliverycultural competency
• Service accesstransportation issues
• Values conflictscultural competency

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Our Community

• Dealing with a significant sub-culture while at
  the same time providing services for a larger
  culture.
• Requires understanding of both the broader
  culture and the sub culture
• (Interest in sub culture can trump the need
  for understanding of the larger culture)

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Our Community

• The dynamics of our community with the Amish
  positions us uniquely for significant cultural
  training, and for contribution to the field of
  Transcultural Counseling.