strengthening families webinar key concepts in clc april 2013
DESCRIPTION
Defining important concepts in cultural and linguistically responsive services for families and youth. April 2013TRANSCRIPT
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
KEY CONCEPTS FOR CULTURALLY AND LINGUISTICALLY
APPROPRIATE FAMILY STRENGTHENING PROGRAMS
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Discussion
• Important definitions• Strategies for engagement and
outreach• Office of Cultural & Linguistic
Competence
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
What Is Culture?Culture can be defined culture in the broad sense, as there are other things in addition to race, language, and ethnicity that contribute to a person’s sense of self in relation to others. Multiple memberships in these subgroups contribute to an individual’s personal identity and sense of own “culture”.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Culture as an Iceberg
Visible Part: AgeRaceGenderLanguagePhysical abilitiesCultural artifacts
Hidden Part:notions of modestyconception of beauty ideals body languageAttitudes toward eldersgoverning child-raisingdefinition of sinrelationships to animalstempo of workpatterns of superior / subordinate relationships
concepts of humoreye contact behaviorsocial interaction
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Dimensions of Culture
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Culture Gives Context, Meaning, and Direction
• It is a filter through which people process their experiences and events of their lives.
• It influences people’s values, actions, and expectations of themselves.
• It impacts people’s perceptions and expectations of others.
• It informs our understanding of when support is needed.
• It influences how and from whom we seek support.
• It influences how we attempt to provide support.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Why is Cultural Competence Important ?
Legal Requirements• Title IV of the US Civil Rights Act• Executive Order 13166• CLAS StandardsResearch on Health Disparities• US Surgeon General Report on Disparities in
Mental Health• Institute of Medicine’s “Unequal Treatment
Report”• President’s New Freedom Commission Report
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Cultural Competency
Cultural Competence
Value Diversity
Conduct SelfAssessment
Manage theDynamics of
difference
Acquire and institutionalize
cultural knowledge
Adapt to the cultural
Contexts of your
community
And incorporate the above in all aspects of policy making, administration, practice, service delivery and involve systematically consumers, key stakeholders and communities.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Linguistic Competency
Linguistic competence - 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 have low literacy skills or are not literate, and individuals with disabilities. Linguistic competency requires organizational and provider capacity to respond effectively to the health literacy needs of populations served.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
What makes an organizations culturally competent?
Cultural Competence
Do our practices inhibit or prohibit engagement?
Do we seek meaningful inclusion of cultural considerations throughout the planning process?
Do we promote meaningful Family involvement?
Do we get regular feedback from service users?
Do we have ONGOING training that develops a workforce able to work cross culturally?
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
What makes an organization linguistically competent?
Linguistic Competence
Offer TTY and other assistive
technology devices
Offer materials in
Alternative formats
(e.g., audiotape,
Braille, enlarged print )
Use qualified translation Services
especially for legally
binding documents
Print materials in
Easy to read, low literacy, picture and
symbol formats
Utilize ethnic media
in languages for outreach
to diverse
communities
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Community Engagement Model
Minnesota Department of Human Services
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Organizational Self Assessment
• Is “partnership” in the mission?
• Is it mentioned in the values?• Operating procedures:
– Who represents the organization in partnerships?
– Who decides in which partnerships the organization may engage?
Adapted from Cornelia Ramsey, PhD, MSPH, Center for Clinical and Translational Research, Virginia Commonwealth University
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Building Relationships
Partnerships combine the knowledge, wisdom and experience of complementary community agencies to solve shared health, social and economic challenges.
Minnesota Department of Human Services
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Communication
Minnesota Department of Human Services
Communication should be interactive not about “selling”
The outcome may include attracting new staff and board members, increasing referrals, attracting new participants, increasing your volunteer capacity or getting into new geographic markets.
Writing, speaking, connecting with people one-on-one – are all effective communication methods that are relatively inexpensive.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Barriers leading to non-participation
1. Organizational approach to inclusion, diversity, openness
2. History & how it influences the present
3. Individual experiences and perceptions
Adapted from Cornelia Ramsey, PhD, MSPH, Center for Clinical and Translational Research, Virginia Commonwealth University
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Ask & Listen!
• Ask how is the community voice integrated into strategies? – Logistics - who, what, where, when, how– Philosophy - both sides compromise, communities
want to be heard, communities are forgiving, willing to compromise
• Ask what do non-participants tell you?– Issues of recruitment vs. retention – understand the
differences
Adapted from Cornelia Ramsey, PhD, MSPH, Center for Clinical and Translational Research, Virginia Commonwealth University
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
• Learn about the specific cultures present in the community as well as the needs and issues that impact them
• Engage cultural brokers as a way to introduce you to key community informants
• Be flexible with your agenda and expectations
• Ensure that partnerships are reciprocal.
• Be present in the community• Understand that relationships take
time to be built and that just one negative event can destroy them
Community Engagement Goals
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
OCLC Goal
Support a system that delivers services in a culturally
and linguistically sensitive manner to consumers that
are receiving service in Virginia’s mental health,
intellectual disabilities, and substance use disorder
and prevention system which will aid and enhance the
opportunities for recovery and person-centered
practices.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
OCLC- What we do
OCLC
Language Services Planning at Secretariat,
Agency, and Local level
Workforce Diversity, and Inclusion (Recruitment, Retention, and Succession)
Organizational CLC Training and
Consultation
CLC Resource Development
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Office of CLC - What We Do…
Training and Consultation• Cultural and linguistic competence planning• Cross cultural communication and conflict resolution• Working with interpreters• Attracting and retaining a diverse workforce• Working with diverse populations• Cultural competence in new employee orientation• Interpreter training for bilingual staff• Adaptations to evidence-based practices• CLC policy development and evaluation
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Office of CLC - What We Do…
• Partner with stakeholders to provide regional training and technical assistance on implementation of cultural and linguistic competent activities and services.
• Provide nominations to expand the diversity of boards and advisory committees
• Support organizations when developing new programs and initiatives to ensure best practices around working with communities of color are considered.
• Provide educational materials to stakeholders on the CLAS Standards.
• Develop mechanisms to collect and analyze data related to CLC.
• Support stakeholders with special projects related to limited English proficient consumers and communities.
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DBHDSVirginia Department of
Behavioral Health andDevelopmental Services
Contact Us
1220 Bank Street Rm .433
Richmond, VA 23219
804.786.5872
Google Groups- “VA DBHDS Cultural and Linguistic Competence”
Facebook – Virginia Dept. of Behavioral Health and Developmental Services
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