AMCHP Autism Webinar May 7, 2009

1. AMCHP Autism Webinar May 7, 2009

2. Building Culturally and Linguistically Competent Programs Suzanne Bronheim & Wendy Jones National Center for Cultural Competence

3. Culture roles values rituals Culture is an integrated pattern of human behavior which includes but is not limited to: communication languages relationships courtesies thought beliefs practices customs manners of interacting expected behaviors … of a racial, ethnic, religious, social, or political group; the ability to transmit the above to succeeding generations; dynamic in nature. Slide Source: The National Center for Cultural Competence, 2009

4. behaviors practices policies attitudes structures Cultural Competence requires that organizations have a clearly defined, congruent set of values and principles, and demonstrate behaviors, attitudes, policies, structures, and practices that enable them to work effectively cross-culturally (adapted from Cross, Bazron, Dennis and Isaacs, 1989) Slide Source: National Center for Cultural Competence,2009

5. Five Elements of Cultural Competence Organizational Level • value diversity • conduct cultural self-assessment • manage the dynamics of difference • institutionalize cultural knowledge • adapt to diversity - policies - structures - values - services (Cross, Bazron, Dennis and Isaacs, 1989) Slide Source: National Center for Cultural Competence,2009

6. Cultural Competence Continuum (Cross, Bazron, Dennis and Isaacs, 1989) CulturalProficiency CulturalCompetence CulturalPre-Competence Cultural Blindness CulturalIncapacity Cultural Destructiveness Slide Source: National Center for Cultural Competence, 2009

7. What Cultural Competence is Not Cookbook approaches to specific racial or ethnic groups Translating materials into other languages as the only action Making alterations in programs or approaches at one point in time Treating everyone the same Only the concern of providers/employees Slide Source: National Center for Cultural Competence,2009

8. Linguistic Competence • is the capacity of an organization and its personnel to communicate effectively, and convey information in a manner that is easily understood by diverse audiences including persons of limited English proficiency, those who are not literate or have low literacy skills, and individuals with disabilities • requires organizational and provider capacity to respond effectively to the health literacy needs of populations served • insures policy, structures, practices, procedures and dedicated resources to support this capacity Goode & Jones, Revised 2004, National Center for Cultural Competence Slide Source: National Center for Cultural Competence,2009

9. LINGUISTIC COMPETENCE FRAMEWORK Slide Source: National Center for Cultural Competence,2009

10. Guiding Values & Principles Organizational • Systems and organizations must sanction, and in some cases mandate, the incorporation of cultural knowledge into policy making, infrastructure, and practice.* • Cultural competence embraces the principles of equal access and non-discriminatory practices in service delivery.* Slide Source: The National Center for Cultural Competence, 2009

11. Guiding Values & Principles • Cultural competence is achieved by identifying and understanding the needs and help-seeking behaviors of individuals and families.* • Culturally competent organizations design and implement services that are tailored or matched to the unique needs of individuals, children, families, organizations, and communities served.* Slide Source: National Center for Cultural Competence, 2009

12. Guiding Values & Principles Language Access • Services and supports are delivered in the preferred language and/or mode of delivery of populations served.* • Written materials are translated, adapted and/or provided in alternative formats based on the needs and preferences of the population served. Slide Source: National Center for Cultural Competence, 2009

13. Guiding Values & Principles Language Access • Interpretation and translation services comply with all relevant Federal, state and local mandates. • Consumers are engaged in evaluation of language access and other communication services to ensure quality and satisfaction. Slide Source: National Center for Cultural Competence, 2009

14. Guiding Values & Principles • Cultural competence: • Extends the concept of self-determination to the community • Involves working with natural, informal, • support and helping networks Slide Source: National Center for Cultural Competence, 2009

15. Guiding Values & Principles • Community Engagement • Communities determine their own needs • Community members are full partners in decision-making • Communities should economically benefit from collaboration • Should result in reciprocal transfer of knowledge and skills among all collaborators Slide Source: National Center for Cultural Competence, 2008

16. What’s in your toolkit ?

17. What’s in your toolkit ?

18. Community Engagement Cultural Competence Linguistic Competence Partnerships between Families & Professionals Family Centered Care Literacy INTEGRALLY LINKED Pieces of the Same Puzzle T.D. Goode Slide Source: National Center for Cultural Competence,2008