Building Culturally Competent Aged Care:

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Building Culturally Competent Aged Care The long
journey
Serena ANN Partners in Culturally Appropriate
Care (PICAC) Officer ACT Health
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Content

• Terms
• 2. Framework
• 3. Workplace diversity
• 4. Community Engagement

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Terms
CALD Culturally And Linguistically Diverse
Cultural competence Cultural and linguistic
competence is a set of congruent behaviours,
attitudes and policies that come together in a
system that enables effective work in
cross-cultural situations
RACF Residential Aged Care Facility
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• Framework

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Framework to build cultural competence
.
Vision values

Policies practice

• Training

Language access
Cultural knowledge

• Building décor

• Workplace Diversity

• Community engagement

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Breadth of Cultural Competency
Client/resident centred care
Workplace Diversity
Community Engagement
Culturally Competent Service Provision
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Enabling Culturally Appropriate Care
Vision and values
Policies practice
Cultural knowledge
Training
Language access
Building décor
Community engagement
Workplace Diversity
Culturally appropriate care is the end result of
a culturally competent service
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Culturally Appropriate Care

• Clients language used if English is not possible
  or desired
• Clients cultural identity is affirmed and
  maintained
• Client is encouraged to participate in their
  cultural, spiritual and community life
• Health care views of client are considered while
  keeping regard to their safety.

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A culturally competent service..

• A service that has vision mission and values
  that embraces diversity as its core business and
  implements the vision through policies and
  practices that are inclusive of both staff and
  clients.

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• Workplace Diversity

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Framework to build cultural competence
.
Vision values

Policies practice

• Training

Language access
Cultural knowledge

• Building décor

• Workplace Diversity

• Community engagement

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Globalisation - workplace diversity

• Sourcing qualified staff from o/seas
• Sourcing support workers from o/seas on temporary
  work visas
• New migrants
• Bicultural Australians

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Embracing Diversity
Inclusive polices, practices, language
behaviour among staff
Inclusive practice behaviour towards
residents/clients

• Team work better communication
• Opens new options
• Increases innovation and creativity
• Improves staff and client/resident satisfaction

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Training for Cultural Competence

• Managers course
• Providers Course tailored to needs of particular
  provider, delivered on their site
• Staff RACFs CACP/EACH providers
• 4 x 1 hr 4 hours delivered on their site

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Developing Cultural Competence 2007
Units will incorporate your organizations
values, mission, vision.
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• Community Engagement

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Framework to build cultural competence
.
Vision values

Policies practice

• Training

Language access
Cultural knowledge

• Building décor

• Workplace Diversity

• Community engagement

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Community Engagement
Consultations - Be informed about CALD client
views and needs Engage - Work closely with CALD
communities to improve the service
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Community Engagement Projects
AIM

• To facilitate links between aged care service
  providers and members of CALD communities that
  will enable CALD aged people to access those
  services and experience the full benefits those
  services can provide.

Funded by Community Partners Program,
Dept Health and Ageing
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Project 1
Bilingual Partnership Facilitators and Cultural
Ambassadors
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Project 1 Bilingual Volunteers Participating
Hindi
Tamil
Spanish
Vietnamese
Hungarian
Cantonese
Mandarin
Japanese
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Project 1Project Approach

• Partnership Facilitators (PFs) Bilingual
  community volunteers training.
• Cultural Ambassadors volunteers from same
  community groups who organize events related to
  the needs of aged people same language funds.

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Project 1Training - Partnership Facilitators

• Aged care services to home, and residential aged
  care by level of care
• Communication skills
• Facilitating groups
• Community engagement, collaboration
• Skills for community educators
• Demystifying dementia and dementia services
• 28 hours, mostly 2 hour sessions, 6 mnths

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Project 1Training Delivery

• Canberra Institute of Technology
• HACC Multicultural Liaison Officer, ACT Health
• PICAC Officer, ACT Health
• Community Engagement Section, ACT Dept
  Disability, Housing and Community Services
• Alzheimers Association

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Project 1Outcomes - Cultural Ambassadors Events

• Visits to residential aged care facilities
• Community events which included isolated aged
  people
• Home visits
• Information programs on aged care
• Translation of material on aged care services
• Partnership with a service provider

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Project 2
Palliative approach to Dementia care -
Developing volunteer support
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Project 2 Bilingual Volunteers Participating
from RACFs
Greek
Croatian
Italian
St Nicholas
Villaggio Sant Antonio
Croatia Village
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Project 2Project Approach
Partnering with ethnically oriented RACFs that
have a volunteer programs Croatian, Greek,
Italian Providing palliative and dementia care
education to their bi-lingual volunteers
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Project 2Project Approach
Palliative Care Dementia Training
CALD Volunteers
Palliative approach to dementia care
RACF management
CPP PICAC
RACF staff
PEPA training
Program of Experience in the Palliative
Approach, DOHA funded
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Project 2Training

• Introduction drawcard and clarification
• Basic Dementia (3 x 2 hrs)
• Introduction Palliative Care (3 x 2 hrs)
• RACF in-service - working as a volunteer in your
  facility
• Evaluation
• 9 sessions x 2 hrs over 5 months

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Project 2Training Delivery
Alzheimers Australia ACT branch Palliative
Care Society ACT CPP and PICAC Officers
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Project 1 2 Outcomes

• Increased motivation to volunteer, related to
  greater clarity about ageing issues and services
• Felt sense of inclusion with cross-cultural
  training and common issues, learning from each
  other
• Training deliverers learned about the issues of
  dementia and palliative care related to the 3
  language groups

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Projects 1 2Lessons Learned

• Partner with language groups already organized
  around the needs of seniors
• As well as participants, involve leaders of
  community groups/staff volunteer coordinators in
  any training and its delivery
• CALD people dealing with ageing issues really
  want information on services and ageing issues.
• Always have at least 2 from each language or
  group to support one another

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Contact Details
Lily Muthurajah Multicultural HACC Liaison
Officer, ACT Health, GPO Box 825, Canberra City
ACT 2601. Ph 6205 1385, Mob [phone],
emaillily.muthurajah_at_act.gov.au Serena Ann
Culturally Appropriate Aged Care Officer, ACT
Health, GPO Box 825, Canberra City ACT 2601. Ph
6205 1302, Mob [phone], emailserena.ann_at_act
.gov.au Anna John Community Partners Program
Officer, ACT Health, GPO Box 825, Canberra City
ACT 2601. Ph 6207 7057, Mob [phone],
emailanna.john_at_act.gov.au
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References

• Cross T., Bazron, B., Dennis, K., Isaacs, M.
  (1989). Towards a culturally competent system of
  care, volume I. Washington, D.C. Georgetown
  University Child Development Center, CASSP
  Technical Assistance Center Isaacs, M. and
  Benjamin, M. (1991). Towards a culturally
  competent system of care, volume II, programs
  which utilize culturally competent principles.
  Washington, D.C. Georgetown University Child
  Development Center, CASSP Technical Assistance
  Center
• Minnesota Dept of Human Services and Health,
  Guidelines for Culturally Competent
  Organizations, 2nd ed, May 2004.
  www.dhs.state.mn.us
• Alzheimers Australia ACT, Palliative Care
  Provision in ACT Residential Aged Care
  Facilities, May 2006
• National Palliative Care Program, Volunteers
  Contributing to a Palliative Approach in Aged
  CareToolkit, 2005

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A culturally competent service..

• Does your service embrace diversity as its core
  business ?
• Is your service inclusive of the cultural and
  linguistic diversity of both staff and clients?