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What is Cultural Competence?

What is Cultural Competence?. Paul Rock Krech, MSW, LCSW, LISAC. Cultural competence…. Comprises behaviors, attitudes, and policies that can come together on a continuum.

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What is Cultural Competence?

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  1. What is Cultural Competence? Paul Rock Krech, MSW, LCSW, LISAC

  2. Cultural competence… • Comprises behaviors, attitudes, and policies that can come together on a continuum. • It should ensure that a system, agency, program, or individual can function effectively and appropriately in diverse cultural interaction and settings.

  3. It ensures an understanding, appreciation, and respect of cultural differences and similarities within, among and between groups.  • Cultural competency is a goal that a system, agency, program or individual continually aspires to achieve.

  4. This requires a willingness and ability to draw on community-based values, traditions, and customs and to work with knowledgeable persons of both and from the community in developing targeted interventions, communications, and other supports.

  5. Cultural competence… • ..also focuses its attention on population-specific issues including health-related beliefs and cultural values (the socioeconomic perspective), • Disease prevalence (the epidemiologic perspective), • And treatment efficacy (the outcome perspective).

  6. Cultural and linguistic competence is a set of congruent behaviors, attitudes and policies that come together in a system, agency or among professionals that enables effective work in cross-cultural situations.   

  7. "Culture" refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious or social groups. 

  8. "Competence" implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors and needs presented by consumers and their communities.

  9. Cultural Competence includes: • Attaining the knowledge, skills, and attitudes to enable administrators and practitioners within system of care to provide effective care for diverse populations, i.e., to work within the person’s values and reality conditions. 

  10. Recovery and rehabilitation are more likely to occur where managed care systems, services, and providers have and utilize knowledge and skills that are culturally competent and compatible with the backgrounds of consumers from the four underserved/underrepresented racial/ethnic groups, their families, and communities.  

  11. Cultural competence acknowledges and incorporates variance in normative acceptable behaviors, beliefs and values in determining an individual’s mental wellness/illness, and incorporating those variables into assessment and treatment.

  12. The idea of more effective cross-cultural capabilities is captured in many terms similar to cultural competence.  Cultural knowledge, cultural awareness, and cultural sensitivity all convey the idea of improving cross-cultural capacity, as illustrated in the following definitions:

  13. Cultural Knowledge • Familiarization with selected cultural characteristics, history, values, belief systems, and behaviors of the members of another ethnic group (Adams, 1995).

  14. Cultural Awareness • Developing sensitivity and understanding of another ethnic group.  This usually involves internal changes in terms of attitudes and values.  Awareness and sensitivity also refer to the qualities of openness and flexibility that people develop in relation to others.  Cultural awareness must be supplemented with cultural knowledge (Adams, 1995).

  15. 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 (National Maternal and Child Health Center on Cultural Competency, 1997).

  16. 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. • Diane L. Adams (Ed.). (1995). Health issues for women of color: A cultural diversity perspective. Thousand Oaks: SAGE Publications. • Texas Department of Health, National Maternal and Child Health Resource Center on Cultural Competency. (1997). Journey towards cultural competency: Lessons learned. Vienna, VA: Maternal and Children's Health Bureau Clearinghouse.

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