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Preparing the Adult Mental Health Workforce to Succeed in A Transformed System of Care

2. Objectives . Review definitions of cultural and linguistic (use of language) competenceUnderstand the importance of cultural diversity and the use of language in the course of all their interactions with consumers and their familiesUnderstand how the lack of cultural and linguistic competenc

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Preparing the Adult Mental Health Workforce to Succeed in A Transformed System of Care

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    1. 1 Preparing the Adult Mental Health Workforce to Succeed in A Transformed System of Care NASMHPD/OTA Workforce Curriculum Module Developed by Hines-Cunningham 2009 Module VI

    2. 2 Objectives Linguistic competence for this module should be understood as the competent and person-centered, non-discriminatory use of language in speaking and writing. It is also the ability to provide access to treatment and services to consumers and their families in the language of their choice, and at no cost to them.Linguistic competence for this module should be understood as the competent and person-centered, non-discriminatory use of language in speaking and writing. It is also the ability to provide access to treatment and services to consumers and their families in the language of their choice, and at no cost to them.

    3. 3 What do we mean by diversity The “ISMS” Gender (sexism) Race (racism) Religion Sexual Orientation Age (ageism) Disability Ethnicity Socio-economic (classism) The “ISMS” are an important aspect of understanding and developing skills in working in a culturally competent context. Issues pertaining to the “ISMS” like sexism, racism, etc are important in understanding the ethno cultural context of people.The “ISMS” are an important aspect of understanding and developing skills in working in a culturally competent context. Issues pertaining to the “ISMS” like sexism, racism, etc are important in understanding the ethno cultural context of people.

    4. 4 “We Are A Diverse Nation” Current Total US population-305,801,369 (as of 12/3/08)   We are a Diverse Nation-Speakers should emphasize the importance of understanding diversity on a national level and not just based upon their individual region and/or state. Participants can be asked how these statistics relate to their individual areas.   We are a Diverse Nation-Speakers should emphasize the importance of understanding diversity on a national level and not just based upon their individual region and/or state. Participants can be asked how these statistics relate to their individual areas.

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    6. 6 We are a Diverse Nation This slide focuses on the US population which includes a number of consumers who utilize the services we provide. It is significant that nearly 20% of the U.S. population speak a language other than English at home.This slide focuses on the US population which includes a number of consumers who utilize the services we provide. It is significant that nearly 20% of the U.S. population speak a language other than English at home.

    7. 7 We are a Diverse Nation This slide delineates information regarding English proficiency by state. Is your state listed? What have been some of your experiences with people who are limited in their English proficiency.This slide delineates information regarding English proficiency by state. Is your state listed? What have been some of your experiences with people who are limited in their English proficiency.

    8. 8 We Are a Diverse Nation This summarizes the preceding information.This summarizes the preceding information.

    9. 9 What is Cultural and Linguistic Competence? One of the key purposes of these slides is engaging participants in the development of the definitions of cultural and linguistic competence. We ask why definition is important to stress the concept of common ground which represents one of the major themes of the training. Participants maybe asked for specific examples of their expressions of culture given the diversity of the group.   One of the key purposes of these slides is engaging participants in the development of the definitions of cultural and linguistic competence. We ask why definition is important to stress the concept of common ground which represents one of the major themes of the training. Participants maybe asked for specific examples of their expressions of culture given the diversity of the group.  

    10. 10 First Steps: Forming Definitions Why is this Important The definitions related to linguistic competency are important even if the facility where the training is taking place does not have resources in place. It is important for participants to become familiar with these words and needs of consumers who speak languages other than English.   The definitions related to linguistic competency are important even if the facility where the training is taking place does not have resources in place. It is important for participants to become familiar with these words and needs of consumers who speak languages other than English.  

    11. 11 Culture - What is it? Portland State University and cross- cultural skills in Indian child welfare, NW Indian child welfare Institute, Perry Center for children, 1988.Portland State University and cross- cultural skills in Indian child welfare, NW Indian child welfare Institute, Perry Center for children, 1988.

    12. 12 Expressions of Culture Participants should be engaged in discussing expressions of their culture in choices of food, family, (i e meaning of family), dance, dress, etc.Participants should be engaged in discussing expressions of their culture in choices of food, family, (i e meaning of family), dance, dress, etc.

    13. 13 Why is Cultural and Linguistic Competency Important? These set of slides are designed to provide clear understanding of the multifaceted and multidimensional aspects of cultural and linguistic competence.   Why is Cultural and Linguistic Competency Important? These set of slides are designed to provide clear understanding of the multifaceted and multidimensional aspects of cultural and linguistic competence.  

    14. 14 The individual needs of consumer and their families should be stressed. This rests at the foundation of culturally and linguistically competent mental healthcare.The individual needs of consumer and their families should be stressed. This rests at the foundation of culturally and linguistically competent mental healthcare.

    15. 15 Cultural and Linguistic Competence Emphasis should be placed on the importance of understanding cultural and linguistic competence impacts every aspect of our work. Trainers should ask for examplesEmphasis should be placed on the importance of understanding cultural and linguistic competence impacts every aspect of our work. Trainers should ask for examples

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    17. 17 CLAS: National Standards for Culturally and Linguistically Appropriate Services in Health Care Bilingual: A term describing a person who has some degree of proficiency in two languages. A high level of bilingualism is the most basic of the qualifications of a competent interpreter or translator, but by itself does not insure the ability to interpret or translate (Sampson, 2006) Note to Instructor: the CLAS standards refer to National Standards for Culturally and Linguistically Appropriate Services in Health Care. You may wish to go to the Office of Minority Health to print off a hand-out for participants on the 14 standards listed within these guidelines: at http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15Note to Instructor: the CLAS standards refer to National Standards for Culturally and Linguistically Appropriate Services in Health Care. You may wish to go to the Office of Minority Health to print off a hand-out for participants on the 14 standards listed within these guidelines: at http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15

    18. 18 INTERPRETING: This refers to the process of interpreting and the purpose.This refers to the process of interpreting and the purpose.

    19. 19 INTERPRETER: We should explain while interpreting is the process, the interpreter is the person.We should explain while interpreting is the process, the interpreter is the person.

    20. 20 LANGUAGE IDENTIFICATION CARDS OR POSTERS: Individuals can go to http://www.cultureconnectinc.org/ispeakcards.php for samples of I speak cardsIndividuals can go to http://www.cultureconnectinc.org/ispeakcards.php for samples of I speak cards

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    22. 22 What is a Culturally Competent Professional An awareness and acceptance of differences An awareness of one’s own cultural values An understanding of the “dynamics of difference” in the helping process Basic knowledge of the client’s culture An ability to practice skills to fit the client’s cultural context Emphasize this is a continual process that we strive for. No one is absolutely culturally competent.Emphasize this is a continual process that we strive for. No one is absolutely culturally competent.

    23. 23 These are important questions to ask ourselves as we strive to be culturally and linguistically competent.These are important questions to ask ourselves as we strive to be culturally and linguistically competent.

    24. 24 Why is Cultural and Linguistic Competency Important?

    25. 25 Why is Cultural and Linguistic Competency Important?

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    27. 27 Facilitator should ask participants for specific examples of how cultural and linguistic competency is essential in understanding trauma, co occurring, etc. Efforts should be made to help in understanding the causal relationship. Facilitator should ask participants for specific examples of how cultural and linguistic competency is essential in understanding trauma, co occurring, etc. Efforts should be made to help in understanding the causal relationship.

    28. 28 Placing Cultural and Linguistic Competence into Practice: Dissecting The Concept of Worldview These slides are designed to help participants concretize the information they have been learning thus far. Thus the concept of worldview which help us to understand and demystify the basic fabric of individuals. Although, the worldview slide contains a number of conceptual areas, there are others that participants may come up with during the presentation. Trainers need to emphasize that worldview components are things we need to learn about consumers and their families. Understanding a person’s worldview can help us avoid stereotyping and avoid misinformation about consumers   On the other hand, participants also need to be aware of external factors that exist that effect cultural and linguistic competency, because these also exert an influence on worldview Participants also need to understand their own world views and how this may impact their relationships with consumers and their families.These slides are designed to help participants concretize the information they have been learning thus far. Thus the concept of worldview which help us to understand and demystify the basic fabric of individuals. Although, the worldview slide contains a number of conceptual areas, there are others that participants may come up with during the presentation. Trainers need to emphasize that worldview components are things we need to learn about consumers and their families. Understanding a person’s worldview can help us avoid stereotyping and avoid misinformation about consumers   On the other hand, participants also need to be aware of external factors that exist that effect cultural and linguistic competency, because these also exert an influence on worldview Participants also need to understand their own world views and how this may impact their relationships with consumers and their families.

    29. 29 This slide captures the multidimensional and multifaceted aspect of worldview. Participants should be asked what opportunities or barriers may exist between themselves and consumers in terms of worldviews This slide captures the multidimensional and multifaceted aspect of worldview. Participants should be asked what opportunities or barriers may exist between themselves and consumers in terms of worldviews

    30. 30 Institutional (including disparities) Racism, prejudice and discrimination Political socio-economic factors Support network -- historical Workforce diversity and values Demographic These are a number of factors in our external environment which impact cultural and linguistic competence. Are there examples from their own experience?These are a number of factors in our external environment which impact cultural and linguistic competence. Are there examples from their own experience?

    31. 31 Key Skills in Being a Cultural and Linguistic Helper… Key Skills in Being a Culturally and Linguistically Competent Helper?   Again, this is an opportunity to drive home the concepts and to being to see that Knowledge, Skills and Personal Characteristics are essential. Key Skills in Being a Culturally and Linguistically Competent Helper?   Again, this is an opportunity to drive home the concepts and to being to see that Knowledge, Skills and Personal Characteristics are essential.

    32. 32 Obtaining Knowledge:

    33. 33 Cross Cultural Communication These are factors to consider when engaging in communicating with consumers and their families. Are there other factors which are important?These are factors to consider when engaging in communicating with consumers and their families. Are there other factors which are important?

    34. 34 Personal Characteristics Communication and genuineness are key Helpers need to express empathy (where appropriate), warmth, flexibility, and encourage a problem-solving approach Helpers should view and accept diversity as a strength of our nation and communities Helpers should communicate a willingness to work with people who are different

    35. 35 Personal Characteristics of Competent Staff Ownership, recognition, and articulation of personal feelings towards people who are different Recognition of stereotyping, personal biases, and sense of privilege, all of which may negatively impact your capacity to help The ability to apologize when indicated, and to create a warm and inviting environment Greeting a person every day with a smile can go a long way!

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    37. 37 Consider and Discuss: 1. A teen age girl who is hearing impaired is admitted to the unit accompanied by their father. What are the implications? 2. A person refuses to bathe due to religious reasons, what would you do?

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    39. 39 Consider and Discuss: (continued) 5. You are an ethnic minority and find that the treatment team is missing important information about a consumer’s ethnic identity. What would you do? How would you handle it?

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