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Increasing Cultural Competence in Oregons CDRC

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Oregon estimated 2004 Population = 3,594,586. White 2,948,024 82.01 ... COQUILLE. COOS BAY. COW CREEK BAND OF UMPQUA. KLAMATH. FORT MCDERMT. UMATILLA. BURNS PAIUTE ... – PowerPoint PPT presentation

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Title: Increasing Cultural Competence in Oregons CDRC


1
Increasing Cultural Competence in Oregons CDRC
  • Brian Rogers, MD
  • Director
  • Child Development and Rehabilitation Center
  • Oregon Health Science University

2
Oregon Splendor
3
Oregon Demographics US Census
  • Oregon estimated 2004 Population 3,594,586
  • White 2,948,024 82.01
  • Hispanic or Latino 343,278
    08.00
  • Asian 121,880 03.00
  • Black or African American 64,117 01.60
  • American Indian Alaska Native
    49,138 01.30
  • Ntv. Hawaiian Other Pac. Islander
    9,630 00.20
  • Some Other Race
    150,972 04.20
  • Two or More Races
    83,225 03.10

4
Oregon Reservations
UMATILLA
GRAND ROUDE
CELILO VILLAGE
WARMS SPRINGS
SILETZ
COOS BAY
BURNS PAIUTE
COQUILLE
COW CREEK BAND OF UMPQUA
KLAMATH
FORT MCDERMT
5
National Survey of Children with Special Health
Care Needs 2001 SLAIT Data
Oregon vs. Nation for Uninsured X Race/Ethnicity
of Child
6
Oregon vs. Nationwide SLAITS Data 2001
  • Estimate number of Self-Reported Children with
    Special Health Care
  • Needs 113,418
  • Prevalence By Race/Ethnicity Oregon National
  • Hispanic 8.3 8.6
  • White (Non-Hispanic) 14.1 14.2
  • Black (Non-Hispanic) 13.0
  • Asian (Non-Hispanic) 4.4
  • Nt. American/Alaskan Nt. (Non-Hispanic) 16.6
  • Nt. Hawaiian/Pac. Isld. (Non-Hispanic)
    9.6 
  • Due to the small size of this group in the State
    population, data have been suppressed to protect
    respondents' confidentiality.
  • Estimate has been suppressed because it does
    not meet the standard for reliability or
    precision.

7
Oregon vs. Nationwide SLAITS Data 2001
OUTCOME Families of CYSHCN are partners in
decision-making and satisfied with services
8
About CDRC
  • Values
  • Family Centered Care
  • Self Determination
  • CULTURAL EFFECTIVENESS
  • recognizing, respecting and honoring
  • the individuals and familys cultural
  • values, language and traditions
  • Life Span and Holistic
  • Community Collaboration
  • Accountability
  • Collegiality

9
What We Do
  • CDRC Clinical Services
  • Oregon Institute on Disability Development /
    UCEDD LEND
  • Oregon Center for Children and Youth with
    Special Health Needs

10
About the NCCC TA Visit
  • Purpose
  • For CDRC as an organization to commit to the
    work, process and change for increased cultural
    competence
  • Identify what we are doing well, what we arent
    doing that we should be doing, and what we can do
    better

11
Continuing Education Program at CDRC
  • CDRC Grand Rounds
  • CDRC Visiting Scholar Series

12
Structure of the NCCC TA Visit
  • Individual sessions specific to
  • Clinical Services
  • Oregon Center for CYSHN Community Outreach
  • Research and Public Health
  • Teaching Training
  • Administration
  • University-Wide Issues

13
Photos from TA Visit
University Presentation
CDRC Presentation
CDRC Presentation
Administration
14
Direct Impact of the NCCC TA Visit
  • Knowledge of the diversity within our state
    broadened
  • Internal barriers and challenges were identified
  • Identification of small changes that have large
    impacts

15
Outcomes in Oregon Center for CYSHN
  • Families who live in rural areas report their
    needs are usually or always met
  • Partner with parents who reflect the diverse
    cultures in those communities
  • Partner with parents in community mapping of
    cultural resources
  • Continue needs assessment to include perspectives
    of diverse groups in Oregon

16
Outcomes in Teaching
  • Revised the specific Modules on cultural
    competency in our LEND curriculum
  • Revised the entire curriculum to ensure cultural
    issues in every module
  • Prioritized diversity for recruitment and
    retention of staff and trainees

17
Outcomes in Clinical Services
  • Recruitment of bilingual staff in key positions
  • Continued use of personal interpreters in clinic
    settings
  • Improvement of ethnicity data collection

18
Outcomes in Administration
  • Develop a comprehensive plan to address
    recruitment (diversity and retention)
  • Staff annual performance reviews
  • CDRC Multicultural Council
  • Importance of cultural competency in our
    decision-making

19
Outcomes in Research
  • Cultural Competency checklist
  • Collaboration on research projects
  • High School Minority Projects and Summer Youth
    Program

20
CDRCs Next Steps
  • Monitor and celebrate our progress
  • Second TA from the NCCC
  • Strategic plan for organization
  • Plan of action
  • Plan of accountability
  • Continue to work with NCCC over the next 4 years

21
Summary
  • CDRC knows Cultural and Linguistic Competence is
    a continuum
  • Create an organizational environment that values
    diversity
  • Better serve all children and families
  • Address cultural competence in our training
  • Conduct research that addresses cultural
    competence

22
Thank you!
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