Expanding Perspectives: Cultural Competency and Healthcare Access through Youth Uprising

1. Expanding Perspectives:Cultural Competency and HealthcareAccess through Youth Uprising Allison Chan & Peter LeYouth Board California School-Based Health Alliance

2. Webinar Housekeeping • Everyone is “listen-only” mode. • Two listen options: phone or web (phone tends to be better!) • Call in #: • Type questions in “chat box” located in the sidebar to the right. • If you are having technical difficulties please be sure to address the panelists and we will do our best to help you. • The webinar is being recorded. • Supporting materials will be available on our websites within one week of this webinar.

3. Presentation Objectives • Upon completion of this webinar, participants will be able to: • Identify: cultural competency issues in healthcare access • Describe: how underrepresented populations are impacted in healthcare due to disparities • Discuss: how adults can approach and facilitate cultural competency through youth engagement

4. Introductions • Peter Le, MS Candidate • Allison Chan, BSN

5. Roll Call! • In the chat box to the right, type • (be sure to address everyone)… • Your first name • Organization

6. California School-Based Health Alliance • The California School-Based Health Alliance is the statewide non-profit organization dedicated to improving the health and academic success of children and youth by advancing health services in schools. • Our work is based on two basic concepts: • Health care should be accessible and where kids are. • Schools should have the services needed to ensure that poor health is not a barrier to learning.

7. Statistics • 30% of the U.S. population is comprised of racial & ethnic groups. • Approximately 50% of the California population identifies as non-white.

8. What do these statistics mean? • Surges in diversity • Importance to provide culturally and linguistically appropriate services to our growing number of racially and ethnically diverse communities. • Consequences arise when cultural and ethnic considerations are ignored or disregarded. • Examples

9. Cultural Misunderstanding vs. Cultural Bias • Cultural Misunderstanding • Lack of knowledge and/or awareness of cultural beliefs and practices. • May result in costly and unnecessary evaluations. • Example • Cultural Bias • A prejudice or highlighted distinction in viewpoint that suggests a preference of one culture over another. • Influences where particular persons live and what they have available as educational and healthcare opportunities • Example

10. Limited English Proficiency (LEP) & Interpreters • According to the US Census Bureau, 199,000 Alameda County residents (13.3%) were uninsured in 2010 and 36% of these people have limited English proficiency. • Language barriers within the healthcare system have adverse consequences. • Inconsistency of accessible medical interpreters between facilities. • Leads to fear among LEP patients to seek further care. • Initiatives to increase healthcare access Wilma Chan at a press event for ACHealthCare.org Source: https://oaklandnorth.net/2011/10/21/new-website-aids-healthcare-services-search-for-non-english-speakers/

11. Where are we now? • Cultural competence is still something the healthcare field is working towards. • Cultural competency has been neglected. • To be culturally competent is a process.

12. How to Cultivate Cultural Competency Among Youth • Youth Advisory Boards CSBHA Youth Board • Networking opportunities Y2Y Network • Ethnic-based groups/organizations for underrepresented minorities. • Be receptive to unique backgrounds and experiences. • Provide culturally relevant examples where possible and appropriate. • The youth are the experts!!!

13. Webinar: Empowering Youth to Advocate for Their Peers • School-based health centers (SBHCs) are facing uncertainty in ensuring access to healthcare for all, but students, especially those trained through SBHC youth development programs, can be some of the strongest allies for health access advocacy. • Learn ways your SBHC can mobilize youth to advocate for health services, partner with school administration to ensure students are protected while publicly advocating, and continue to empower young people to voice support for health for all. Access the webinar here: http://www.schoolhealthcenters.org/about-us/toolkits-and-services/webinars/

14. Cultural Competency in Action: Smile Pinki • Important for caregivers to have an understanding of the local context to facilitate effective communication, trust, better quality of care and improved patient outcomes • Patients are more likely to share sensitive information with providers if they feel understood and not judged • As human beings, we are more likely to relate and confide in someone who comes from the same cultural background or at least recognize that someone is culturally aware even though our backgrounds may differ.

15. We live in a diverse community, and in return, our healthcare system needs to reflect adequate and accessible care for all of those in our diverse community!

16. Additional Materials: • Taveras, E. M., & Flores, G. (2004). Why Culture and Language Matter: The clinical consequences of providing culturally and linguistically appropriate services to children in the emergency department. Clinical Pediatric Emergency Medicine, 5 (2), 76-84. • Smile Pinki (2008)

17. Thank you! • Reminder: All materials and a recording of this webinar will be available by the end of this week.