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Cultural Competency Overview


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Title: Cultural Competency Overview

Cultural Competency Overview
WSU Project CARE Web-Based Instruction

Wayne State University
collaboration with the
Detroit-Wayne County
Community Mental Health Agency
Training Goal
  • The overall goal of this training is to review
    terms and concepts related to cultural competency
    and to explain the framework the Agency is
    adopting related to cultural competency in
    service delivery.

Behavioral Objectives
  • At the end of this training, participants will be
    able to
  • Define and explain terms and concepts related to
    cultural competency
  • Identify the Agency needs related to cultural
    competency based in analysis of the state
    contract and the response to the state contract
  • Explain a framework for a series of training
    initiatives addressing training needs related to
    cultural competency

Terms Definitions
  • Culture
  • The integrated pattern of human behavior
    that includes thought, communication, actions,
    customs, beliefs, values and institutions of a
    racial, ethnic, religious or social group.
    Culture defines the preferred ways for meeting
  • Race
  • The concept of race as used by the Census
    Bureau reflects self-identification by people
    according to the race or races with which they
    most closely identify. These categories are
    sociopolitical constructs and should not be
    interpreted as being scientific or
    anthropological in nature.
  • Ethnicity
  • A large group of people classes according
    to common racial, national, tribal, religious,
    linguistic or cultural origin or background
  • Cultural Awareness
  • Developing sensitivity and understanding of
    another ethnic group. This usually involves
    internal changes in terms of attitudes and

Terms Definitions, contd.
  • Cultural Sensitivity
  • Knowing that cultural differences as well as
    similarities exist, without assigning values,
    i.e. better or worse, right or wrong, to those
    cultural differences.
  • Cultural Diversity
  • Refers to differences in race, ethnicity,
    language nationality or religion among various
    groups within a community.
  • Cultural Competency
  • A set of congruent practice skills,
    behaviors, attitudes and policies that come
    together in a system, agency, or among
    professionals and enables that system, agency or
    those professionals to work effectively in
    cross-cultural situations.
  • Accommodations
  • To accommodate access and assure an individuals
    full participation and receipt of maximum benefit
    from the services being offered, the services
    must be provided in a manner that recognizes and
    takes into consideration the individuals
    ethnicity, cultural differences, language
    proficiency, communication, and physical

Organizational Cultural Competency Framework
Provider Agency
Cultural Destructiveness
Cultural Blindness
Ethnic Issues
Disability Culture
Cultural Competence of a System
  • Is a continual developmental process to provide
    relevant services
  • Promotes services that are community based,
    consumer driven and family oriented
  • Addresses access to mental health services,
    cultural adaptation of services and equity in
    service benefit
  • Is an active process to assure mental health
    services, supports and treatment are effective
    across cultures
  • Is integrated throughout the service delivery
    system-needs assessment, information exchange,
    service design and development, hiring practices,
    staff development and supervision, outcome
    measurement, policy and governance

Integration of Cultural Competency into an
Organizational System
  • Utilize the Culturally and Linguistically
    Appropriate Services Standards. (Office of
    Minority Health, 2001)
  • Implement a written strategic plan to increase
    organizational cultural competence
  • Know and understand the various cultural groups
    present in the community served
  • Recruit and retain a diverse staff that are
    representative of the community
  • Assure workforce includes readily accessible
    bilingual/bicultural staff
  • Provide language assistance at all points of
  • Provide translated vital service documents,
    rights and grievance information

Applying Evidenced Practices Across Cultural
  • Four As of Cultural Competency and
    Evidence-Based Care
  • Accommodation/organizational readiness
  • Implementing evidence-based care in organizations
    that have already made accommodations to the
    special needs of its cultural groups
  • Acceptability
  • Assessment of whether or not model can work for
    cultural groups of the organization (e.g. ACT
    suitable to a Mung population?)

Applying Evidenced Practices Across Cultural
Groups, contd.
  • Four As of Cultural Competency and
    Evidence-Based Care, contd.
  • Adaptation
  • Adapting the practice, if appropriate, to
    cultural groups of the organization e.g., special
    medication guidelines
  • Appraisal
  • Appraising fidelity within the framework of
    cultural adaptation
  • Appraising culture-specific outcomes

  • Brach, Cindy (1996). Cultural competency and
    managed care. Policy in Perspective, June 1996.
  • Cultural Competence Strategic Framework Task
    Force (1996). New York State Cultural Competence
    Standards (Draft Final Report). Albany, NY New
    York State Office of Mental Health.
  • Lu, Francis (1996). Getting to cultural
    competence guidelines and resources. Behavioral
    Healthcare Tomorrow, April 1996.
  • Mason, J. L., et al. (1995). An Introduction to
    Cultural Competence Principles and Elements, An
    Annotated Bibliography. Portland, OR Portland
    State University, Research and Training Center on
    Family Support and Childrens Mental Health.
  • Roizner, Monica (1996). A Practical Guide for
    the Assessment of Cultural Competence in
    Childrens Mental Health Organizations. Boston,
    MA Judge Baker Childrens Center.
  • Shockley, Mareasa (1997). The State-of-the-States
    Responses to Cultural Competence and Diversity
    in Child Mental Health (Final Draft). Washington,
    D.C. Georgetown University Child Development
  • Siegel, Carole, et al., (2002). Cultural
    Competency Methodological and Data Strategies to
    Assess the Quality of Services in Mental Health
    Systems of Care. NYSOMH, Nathan Kline Institute
    for Psychiatric Research, 2002.
  • Stanley, Sue (2003). Cultural Competency Is it
    Politically Correct? Newsletter, APPIC, November

Thank You for Your Participation
Final Steps
  • To receive your certificate, please click here,
    which will take you to a Word Document.
  • After completing the evaluation, please email the
    word document to Tia Griffin tgriffin_at_med.wayne.e
    du. or bring the completed evaluation to suite