tawara d. goode october 6, 2011 cultural and linguistic competence in centers for independent living...

37
Tawara D. Goode October 6, 2011 Cultural and Linguistic Competence in Centers for Independent Living - Part 2 Claiming the Challenge: Leadership for Organizational Change National Center for Cultural Competence 1

Upload: nathan-baker

Post on 26-Dec-2015

215 views

Category:

Documents


0 download

TRANSCRIPT

Tawara D. Goode October 6, 2011

Cultural and Linguistic Competence in Centers for Independent Living - Part 2

Claiming the Challenge: Leadership for Organizational Change

National Center

for Cultural Competence 1

Tawara D. Goode October 6, 2011

Cultural and Linguistic Competence in Centers for Independent Living - Part 2

Claiming the Challenge: Leadership for Organizational Change

National Center

for Cultural Competence 2

A Quick Review of Key Concepts

3

Culture is the learned and shared knowledge that specific

groups use to generate their behavior and interpret their

experience of the world. It includes but is not limited to:

thought

languages

values

beliefs

customs

practices

courtesies

ritualscommunication

roles

relationships

expectedbehaviors

Culture applies to racial, ethnic, religious, political, professional, and other social groups. It is transmitted through social and institutional traditions and norms to succeeding generations. Culture is a paradox, while many aspects remain the same, it is also dynamic, constantly changing.

manners ofinteracting

Slide Source:© 2011 - National Center for Cultural CompetenceData Source: Gilbert, J. Goode, T., & Dunne, C., 2007. 4

Cultural Diversity

Goode & Jackson, 2009

The term cultural diversity is used to describe differences in ethnic or racial classification & self-identification, tribal or clan affiliation, nationality, language, age, gender, sexual orientation, gender identity or expression, socioeconomic status, education, religion, spirituality, physical and intellectual abilities, personal appearance, and other factors that distinguish one group or individual from another.

Slide Source: © 2011 - National Center for Cultural Competence

5

Cultural Competence

behaviors

attitudes

policies

structures

practices

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 from Cross, Bazron, Dennis and Isaacs, 1989)

Slide Source:© 2011 - National Center for Cultural Competence6

Five Elements of Cultural Competence

Organizational Level

value diversityconduct cultural self-assessmentmanage the dynamics of differenceinstitutionalize cultural knowledgeadapt to diversity

- policies - structures- values - services

(Cross, Bazron, Dennis and Isaacs, 1989)

Slide Source:© 2011 - National Center for Cultural Competence7

Five Elements of Cultural Competence

Individual Level

(Cross, Bazron, Dennis and Isaacs, 1989)

acknowledge cultural differences

understand your own culture

engage in self-assessment

acquire cultural knowledge & skills

view behavior within a cultural context

Slide Source:© 2011 - National Center for Cultural Competence8

ESSENTIAL ELEMENTS IN ACULTURALLY COMPETENT SYSTEM

These five elements must be manifested at every level of an organization including:

policy makers administration practice & service delivery consumer/patient/family community

and reflected in its attitudes, structures, policies, practices, and services.

Adapted from Cross, Bazron, Dennis, & Isaacs, 1989

Slide Source:© 2011 - National Center for Cultural Competence9

DEDICATED FISCAL

RESOURCES

DEDICATED FISCAL

RESOURCES

DEDICATED PERSONNELRESOURCES

DEDICATED PERSONNELRESOURCES

PROCEDURESPROCEDURES

STRUCTURESSTRUCTURES

PRACTICESPRACTICES

POLICYPOLICY

LINGUISTICCOMPETENCE

LINGUISTICCOMPETENCE

LINGUISTIC COMPETENCE FRAMEWORK

Goode & Jones, Revised 2009, National Center for Cultural Competence

Slide Source:© 2011 - National Center for Cultural Competence10

Slide Source:© 2011 - National Center for Cultural Competence

Defining Leadership

11

Leaders lead people

Leaders are needed in times of change

Managers manage things

Managers are needed to improve and keep the status quo

Understanding the difference is the first step to understanding one’s role as a leader.

Claiming the Challenge: Leadership for Cultural and Linguistic Competence © 2011GUCCHDNCCC

Leadership vs. Management

12

Advocacy is the act of pleading or arguing in favor of something such as a cause.

It is the pursuit of influencing outcomes by putting hard issues on the table.

Leadership is the mobilization of resources to bring about the change.

Both leadership and advocacy keep people focused on the issue.

Leadership galvanizes the people to change their ways.

Claiming the Challenge: Leadership for Cultural and Linguistic Competence © 2011GUCCHDNCCC

Leadership vs. Advocacy

13

Claiming the Challenge: Leadership for Cultural and Linguistic Competence © 2011GUCCHDNCCC

Leadership is a combination of

values, skills, and behaviors that

mobilize people to action and shifts from

the status quo to a more promising and

hopeful future.

Authority is the power invested in a role by a formally established

procedure, such as an election, governance

structure, certification, organizational

hierarchy

Leadership vs. Authority

14

Slide Source: National Center for Cultural Competence, 2011

Leadership is a set of personal attributes,

qualities, and skills either intuitive and/or acquired

that rouses and motivates others.

WHAT IS LEADERSHIP?

Source: Peter G. Northouse, 2001

15

Slide Source:© 2011 - National Center for Cultural Competence

What is getting in your way?

16

Cultural and Linguistic Competence within the Context of Organizational

and Personal Change

17

Considering Cultural & Linguistic Competency within the Context of Organizational & Personal Change

Does making progress require

changes in people’s values, attitudes

and or habits of behavior?

Adaptive Challenge vs.

Technical Challenge

Reference: Heifetz, R.A. (1994). Leadership Without Easy Answers. Cambridge, MA: The Belknap Press of Harvard University Press

Slide Source: National Center for Cultural Competence, 201118

Prochaska’s Stages of Change

Data Source: Prochaska, J.O., Redding, C.A. & Evers, K.E. (1997). A Transtheoretical Model and Stages of Change. In K. Glanz, F.M. Lewis, B.K. Rimer (Eds.) Health Behavior and Health Education: Theory Research and Practice a (2nd edition) (pp. 60-84). San Francisco,: Jossey-Bass Publishers.

Pre-contemplation

Contemplation

Preparation

Action

Maintenance

no intention to take action in the foreseeable future; unaware or under-aware of the need for change

aware that the problem exists and seriously thinking about overcoming it; but has not yet made a commitment

combines intention and behavioral criteria; initiation of ‘baby steps’

modification of behavior, experiences, and environment; short-term changes in place and planning or long-term change

consolidates the gains attained during the action phase and works work to prevent relapse

Slide Source: National Center for Cultural Competence, 201119

Organizational Change Theories Applied to Cultural & Linguistic Competence

Resistance is a characteristic of any major organizational change effort and a major reason why organizational change efforts fail. (Prochaska, Prochaska and Levesque, 2001).

Resistance should be expected in different stages of multicultural organizational change because the topics of prejudice, discrimination and oppression are controversial and emotionally charged. (Brantley, Frost and Razak, 1996).

The Transtheoretical Model of Change suggests that it is counterproductive to forge ahead with action without addressing issues such as resistance, that stand in the way of individual and organizational readiness for change.

Data Source:Mayeno, L. Multicultural Organizational Development: A Resource for Health Equity, in Cultural Competence in Health Care Series, The California Endowment and Compasspoint Nonprofit Services, April 2007.

Slide Source: National Center for Cultural Competence, 201120

Bias Discrimination

Marginalization “ISMs”

DisproportionalityInequities

Power Differentials

Slide Source: © 2011 - National Center for Cultural Competence

21

“People with disabilities are a ‘minority group.’ Why do we need to address differences in race, ethnicity, and language?

“Board members say they want to address cultural and linguistic competence, but the money simply is not there.”

“Some staff and self-advocates make negative statements about immigrant groups and people of color. I never know what to say in these situations.”

LEADING CULTURAL AND LINGUISTIC COMPETENCE: Common Attitudinal and Structural Barriers

“If I am asked to learn about cultural competence, then they must be implying that I am incompetent!”

“Why should people with disabilities from other racial and ethnic groups get special treatment?”

“I have already taken two workshops on cultural competence.”

Slide Source: National Center for Cultural Competence, 201122

The Work of Leadership

Get on the Balcony Identify the Adaptive Challenge Regulate Distress Maintain Disciplined Attention Give the Work Back to the People Protect All Voices

Heifetz, Ron, Leadership without Easy Answers, 1996

Slide Source: National Center for Cultural Competence, 201123

Leadership is a set of

personal attributes,

qualities, and skills either

intuitive and/or acquired that rouses and motivates

others. (Northouse, 2001).

Slide Source: National Center for Cultural Competence, 2011

Leadershipby

Position

Leadershipby

Influence

24

Slide Source:© 2011 - National Center for Cultural Competence

What is your sphere of Influence?With whom?

In what context?

25

Members of the CIL search committee revised a position description to include knowledge and skills sets of cultural and linguistic competence. In their report to the Board, committee stated that the CIL is lagging far behind in meeting the needs of culturally and linguistically diverse populations in the service area. An influential member of the CIL’s board objects and strongly insists that the position is about disability.

In your role as a leader without formal authority, how would you approach this situation?As the executive director of this CIL, what would you do in these circumstances?

VIGNETTE

Slide Source:© 2011 - National Center for Cultural Competence26

Slide Source:© 2011 - National Center for Cultural Competence

1. View the world through a cultural lens. Acknowledge and understand the role of culture in your CIL position or affiliation and in day-to-day life experiences.

2. Create a shared vision. Staff, consumers, families, community partners, and key stakeholders need to be on the same page with a shared understanding of the conceptual frameworks and benefits of cultural and linguistic competency.

3. Step into the void. Addressing racial, ethnic, linguistic, and geographic disparities in services and supports demand an intentional focus on conscious or unconscious bias, prejudice, stereotyping, and discrimination. Leaders must have the will to confront the “ISMs’ with integrity, in a humane and effective manner.

Leadership Cultural and Linguistic Competence Things You Can Do!!

27

Slide Source:© 2011 - National Center for Cultural Competence

Leadership Cultural and Linguistic Competence Things You Can Do!!

4. Adapt leadership styles to the circumstances and cultural contexts. Attend to the technical and adaptive challenges in doing this work. Different leadership styles will be needed to address the dynamics and complex array of issues when leading cultural and linguistic competence (e.g. educational, motivational, directive, participatory, creative).

5. Don’t go it alone!Form strategic alliances. Collaborate with others to plan and implement “buy in” strategies as well as other efforts to advance and sustain cultural and linguistic competence that appeal to diverse groups (e.g. consumers, CIL staff & volunteers, partners). Enlist the support of allies and champions. Be inclusive and transparent in all efforts/activities. Do not be afraid to include “naysayers.”

28

Slide Source:© 2011 - National Center for Cultural Competence

Leadership Cultural and Linguistic Competence Things You Can Do!!

6. Use your power and influence intentionally and wisely. Leadership by position/formal authority and by influence are equally important in advancing and sustaining cultural and linguistic competence. The ethical, principled use of “formal” power can stimulate the process of change. The wise and intentional use of this power enables leaders to incorporate cultural and linguistic competence into all aspects of organizational life. Those who lead through influence can use their cache to sway opinions, encourage others to test out new behaviors, introduce alternative perspectives, mobilize others to action, and challenge inappropriate policies and procedures.

29

Slide Source:© 2011 - National Center for Cultural Competence

Leadership Cultural and Linguistic Competence Things You Can Do!!

7. Conflict and establishing and maintaining trust: No way around it! Conflict is inherent in human interactions. Learn and use conflict resolution strategies as a key approach to address cultural diversity. Trust can be an elusive relationship to establish and maintain, particularly in cross-cultural situations. The capacity to address trust for many cultural groups will involve intentionality, consistency, and transparency over time. Trust also acknowledges the role of historical trauma, discrimination, and marginalization among and between diverse racial, ethnic, and cultural groups. Leadership for cultural and linguistic competence requires the capacity to address both conflict and establish and maintain trust.

30

Slide Source:© 2011 - National Center for Cultural Competence

Leadership Cultural and Linguistic Competence Things You Can Do!!

9. Inspire, acknowledge, and celebrate the accomplishments of others. Inspire others to assume the mantle of leadership. Acknowledge and celebrate staff efforts and achievements in advancing and sustaining cultural and linguistic competence.

31

8. Create a safe environment to explore difficult issues. People are often reluctant to discuss issues of stereotyping, bias, prejudice, and other “ISMs.” Moreover, there are few opportunities and forums to share perspectives in a safe and authentic manner. Identifying approaches to confront attitudinal barriers in open, honest, and supportive ways, and charting a course for change remain among the most difficult, yet necessary paths on the journey to advance and sustain cultural and linguistic competence.

Slide Source:© 2011 - National Center for Cultural Competence

Leadership Cultural and Linguistic Competence Things You Can Do!!

10. Take care of self.Leading organizational change processes to achieve cultural and linguistic competence is described by many as demanding and fraught with obstacles. When engaged in this work, it is very important to “take care of self.” Discover and/or consistently engage in ways to reflect, rejuvenate, and rest.

32

Slide Source:© 2011 - National Center for Cultural Competence

What is getting in your way?

33

Source: Multnomah County Department of Health.

look like,talk like,

think like,believe like,

act like,live like...

ME!!!

move like,

Modification from Mike Magy, Massachusetts Department of Mental Health, November 2005 . Slide Source: National Center for Cultural Competence, 2011

As a culturally competent “leader”I am capable of interacting positively

with people who do NOT

34

The content of and this PowerPoint presentation are copyrighted and are protected by Georgetown University's copyright policies.

Permission is required to use or modify this PowerPoint presentation: in its entirety, individual slides, or excerpts. for broad or multiple dissemination. for commercial purposes.

To request permission and for more information, contact [email protected].

Please visit our website at http://nccc.georgetown.edu

National Center for Cultural Competence

Slide Source:© 2011 - National Center for Cultural Competence

35

Wrap Up and Evaluation

Please complete the evaluation of this program by clicking here:

https://vovici.com/wsb.dll/s/12291g4be7c

36

New Community Opportunities Attribution

This webinar is presented by the New Community Opportunities Center, a national training and technical assistance project of ILRU, Independent Living Research Utilization. Support for development of this presentation was provided by the U.S. Department of Education, Rehabilitation Services Administration under grant number H400B100003. No official endorsement of the Department of Education should be inferred. Permission is granted for duplication of any portion of this slide presentation, providing that the following credit is given to the project: Developed as part of the New Community Opportunities Center at ILRU.

37