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Cultural Competence Working with Latino Families Carlos Martinez Outreach Coordinator AMHA

Cultural Competence.

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Cultural Competence Working with Latino Families Carlos Martinez Outreach Coordinator AMHA

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    1. Cultural Competence Working with Latino Families Carlos Martinez Outreach Coordinator AMHA

    2. Cultural Competence “Cultural competence is a set of attitudes, skills, behaviors, and policies that enable organizations and staff to work effectively in cross-cultural situations. It reflects the ability to acquire and use knowledge of the health-related beliefs, attitudes, practices, and communication patterns of consumers and their families to improve services, strengthen programs, increase community participation, and close the gaps in health status among diverse population groups”. CULTURAL COMPETENCE IS AN ONGOING PROCESS

    3. Evaluating Oneself!!! Cultural competence begins with an honest desire not to allow biases to keep us from treating individuals with respect. It requires an honest assessment of our positive and negative assumptions about others. Most people do not want to admit they suffer from cultural ignorance, or even harbor negative stereotypes and prejudices.

    4. Avoiding Stereotypes… One of the dangers in writing a guide to culture is that in trying to describe an entire cultural group. This may create or reinforce stereotypes. Diversity exist in every group. People change through acculturation and assimilation. Avoid jumping to conclusion.

    5. Cultural Competence Pointers Clinicians should be aware of personal attitudes , beliefs, and behaviors that may influence the care of consumers. Develop partnership with the consumer and maintain “cultural humility.” It will help you learn and better understand the historical, familial, community, occupational, and environmental context in which consumers live.

    6. The Continuum of Working Across Cultures Cultural Efficiency Cultural Competence Cultural Pre-Competence Cultural Blindness Cultural Incapacity Cultural Destructiveness By Georgetown University’s Child Development Center (Cross, Bazaron, Dennis & Isaacs, 1989)

    7. Cultural Destructiveness…? http://www.newsobserver.com/100/story/417424.html

    8. Mecklenburg County… Population: 829,197 14 % of the population over the age of 5 years speaks a language other than English at home. Families speaking Spanish increased from 6% in 2000 to 7.7% in 2003. It’s estimated that more than 60,000 Latinos live in Mecklenburg county. 1 out of 5 adult Latinos in Mecklenburg are illiterate.

    9. Where do Latinos/Hispanics come from? About 54% are from Mexico About 32% come from other countries: Guatemala, Honduras, El Salvador, Nicaragua, Ecuador, Colombia, Costa Rica, etc. About 8% are from Puerto Rico About 5% are from Cuba http://quickfacts.census.gov

    10. Why do Latinos/Hispanics come to NC? Economic reasons Political reasons Natural Disasters Medical Treatment College/University

    11. CULTURE SHOCK!!! The person immigrating experiences a phenomenon when moving from one culture to another This is translated into a state of anxiety that is precipitated by the loss of familiar signs and symbols when the person is suddenly immersed in a cultural system that is marked different from his own Source: Carolina Abello, MA, LCAS, CCS

    12. Are most Latinos acculturating in Mecklenburg County? We must take into consideration: The number of years in the US Language Use of service network Community involvement

    13. Inter-Personal Relationships… Personal Space and gestures: Closeness is comfortable: Latinos tend to stand close during gatherings, conversations and in lines. Physical contact is common: (Kissing when greeting, touching when talking). A warm handshake and a smile is customary when arriving and departing. Men who are well acquainted may also include a touch on forearm, pat on back or “un abrazo”

    14. Inter-Personal Relationships… Personal Space and gestures Latinos from coastal areas or the islands often speak loud and fast. Interruptions in the dialogue means that they are involved in the conversation. Expressions are bigger, hand gesturing. Latinos often show appreciation with smiles and pats on the back rather than words of thanks. Staring is a form of compliment, possible question, curiosity, or need for interaction.

    15. Inter-Personal Relationships… More Tips!!! Do not raise your voice. Speak slower. Be patient, frustration is often miss-understood as rudeness…or “having a racist attitude” Some Latinos are not familiar with the system. Do not overwhelm them with too much information. Avoid “Passive Discrimination

    16. Best Practices for Limited English Proficiency (LEP) Consumers Best Practices… Bilingual/Bicultural Professionals Frontline bilingual support staff Double sided bilingual forms (Releases, consumer’s rights, confidentiality, consent for services) Bilingual materials in lobby Building signage Special aid to illiterate clients Negotiate alternative cultural treatments NOT Recommended Practices Use of interpreters only Use of family members /children to interpret Only English language forms prepared for consumer’s signature Voice mail with only English options Unresolved prejudices Inaccurate diagnoses and treatment due to lack of cultural knowledge

    17. Questions? Carlos.martinez@mecklenburgcountync.gov THANK YOU…GRACIAS !!!

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