Cultural Competency- Basis for Quality

1. Cultural Competency- Basis for Quality Veronica Kelley, LCSW Cultural Competency Officer SBC DBH/OCCES ROP Training July 13, 2010

2. What is Cultural Competency? • Providing services in a way that makes sense to the person/s you are providing it to. • Culture: Any group that shares beliefs, values, norms • Competent: Ability to do… • Congruent set of practice skills, knowledge, behaviors, attitudes & policies that come together in a system, agency or among providers and pros that enables that system to work effectively cross culturally- Cross et al, 1989

3. Cultural Competency • It is the right thing to do • Services aren't quality if they aren't culturally appropriate • It is also the law

4. Cultural Competency regulations • Title VI of the Civil Rights Act of 1964 • “no person in the United States shall on the ground of race, color or national origin be excluded from participation in, denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance” (42 U.S.C. 200d) • Also prohibits recipients of federal funds from providing services to LEP persons that limited in scope or lower in quality than those provided to others.

5. Cultural Competency regulations • Executive Order 13160- • Non discrimination on the basis of race, sex, color, national origin, disability, religion, age, sexual orientation and the status as a parent in Federally conducted Education and Training programs • California Educational Code • 221.5-231.5- Sex Equity in Education • 8230-8233- Migrant Children Education • 8850.5-Family relationships and Parenting Education* • 1300-CA. Public Civil Liberties Act*

6. San Bernardino ROP

7. San Bernardino general

8. Consider Cultural Impact of families/Living Situation on Students

9. Caucasian • Family values can be varied • Majority culture • American education system easier to comprehend • Focus generally on independence/autonomy/success of self

10. Latino • Family system may be more traditional to native country traditions/beliefs • Parental unit may be working multiple jobs • May be paternal authority with maternal responsibility • If newer arrival, may be monolingual parents • Extended family • Value education

11. African American • Can be of African Heritage/Caribbean/Black • Family system extended • Long history of bias negatively impacting black children, especially boys • Maternal responsibility/authority

12. Asian Pacific Islander • Value education • Stigma extends to everyone in family/community • Obedience to parents • Intergenerational stress

13. Native American Indian • Long history of trauma with school system • Distrust with majority system • Family systems are very extended • Many may include indigenous practices/stories, etc.

14. Cultural Competency • In closing; you must understand the make up and culture of your students in order to provide them a more effective educational experience. • Formal education will make you a living; self education will make you a fortune~ John Rohn

15. San Bernardino County Department of Behavioral Health Alcohol and Drug Disorders101 Presented by Gary R. Atkins, M.S.W. Deputy Director, Program Operations, Alcohol and Drug Services 268 W. Hospitality Lane, Suite 400 San Bernardino, CA 92415

16. San Bernardino County Department of Behavioral Health Elements of Addiction

17. San Bernardino County Department of Behavioral Health Elements of Addiction

18. San Bernardino County Department of Behavioral Health Elements of Addiction

19. Alcohol and Drug Services Administration The Chronic Care and Recovery Support Framework Gary Atkins, MSW Deputy Director of Program Operations County of San Bernardino Department of Behavioral Health

20. OBJECTIVES To transform to a chronic care model for Behavioral Health Services. To build unity across the alcohol and drug field. To promote and understand the Institute of Medicine’s Chronic Care Framework. To develop and implement ideas for systems integration and transformation. County of San Bernardino Department of Behavioral Health

21. Creating the Roadmap for the Chronic Care and Recovery Support Framework County of San Bernardino Department of Behavioral Health

22. Current Prevention Services Seven Contracted Environmental Prevention Providers Applied Research and Data Media Advocacy Enforcement Community Organization Policy Development County of San Bernardino Department of Behavioral Health

23. Current Alcohol and Drug Treatment Services 29 OUTPATIENT CLINICS 2 DETOX CLINICS 7 RESIDENTIAL CLINICS 13 PC 1000 PROGRAMS 9 DRUG COURTS 6 RECOVERY CENTERS 14 DUI PROGRAMS County of San Bernardino Department of Behavioral Health

24. A substance abuse treatment service system should be designed … With the understanding that addiction is a chronic disease. Relapse is likely to happen, especially in early stages of recovery. Clients have individual and multiple needs, therefore a continuum of care is necessary. County of San Bernardino Department of Behavioral Health

25. CREATING AN INTEGRATED QUALITY BASED TREATMENT SYSTEM • Evidenced based practices • Data Collection • System Evaluation • Accountability for • Measurable Outcomes Unified Leadership Collaboration Among Systems • Regulate Facilities • Program Quality • Health and Safety Provide regular feedback to providers regarding outcomes and advancement of the field. County of San Bernardino Department of Behavioral Health

26. In Summary… THE BIG PICTURE OUTCOME DATA WILL SHOW PROGRESS. CHANGE IS GOOD, AND NEEDED… FUNDING, ALWAYS AN ISSUE TO OVERCOME… CAN BE AN OPPORUNITY TO REFRAME THE FUTURE… County of San Bernardino Department of Behavioral Health

27. THANK YOU… Gary Atkins, MSW Deputy Director of Program Operations Department of Behavioral Health County of San Bernardino (909) 382-3079 gatkins@dbh.sbcounty.gov County of San Bernardino Department of Behavioral Health