AMCHP Autism WebinarMay 7, 2009

Building Culturally and Linguistically Competent Programs

Suzanne Bronheim & Wendy JonesNational Center for Cultural Competence

CultureCulture is an integrated pattern of human behavior which includes but is not limited to:

thought

languages

values

beliefs

customs

practices

courtesies

ritualscommunication

roles

relationships

expectedbehaviors

… of a racial, ethnic, religious, social, or political group; the ability to transmit the above to succeeding generations; dynamic in nature.

manners ofinteracting

Slide Source: The National Center for Cultural Competence, 2009

Slide Source: National Center for Cultural Competence,2009

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 Cross, Bazron, Dennis and Isaacs, 1989)

Slide Source: National Center for Cultural Competence,2009

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)

Cultural Destructiveness

CulturalIncapacity

Cultural Blindness

CulturalPre-Competence

CulturalCompetence

CulturalProficiency

Slide Source: National Center for Cultural Competence, 2009

Cultural Competence Continuum(Cross, Bazron, Dennis and Isaacs, 1989)

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

Slide Source: National Center for Cultural Competence,2009

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

Linguistic Competence

Goode & Jones, Revised 2004, National Center for Cultural Competence

DEDICATED FISCAL

RESOURCES

DEDICATED FISCAL

RESOURCES

DEDICATED PERSONNELRESOURCES

DEDICATED PERSONNELRESOURCES

PROCEDURESPROCEDURES

STRUCTURESSTRUCTURES

PRACTICESPRACTICES

POLICYPOLICY

LINGUISTICCOMPETENCE

LINGUISTICCOMPETENCE

LINGUISTIC COMPETENCE FRAMEWORK

Slide Source: National Center for Cultural Competence,2009

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

• 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.*  

Guiding Values & Principles

Slide Source: National Center for Cultural Competence, 2009

 

• 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.

Guiding Values & Principles

Slide Source: National Center for Cultural Competence, 2009

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.

Guiding Values & Principles

Slide Source: National Center for Cultural Competence, 2009

Language Access

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

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

What’s in your toolkit ?

What’s in your toolkit ?

Slide Source: National Center for Cultural Competence,2008

T.D. Goode

Cultural Competence

Linguistic Competence

Community Engagement

Family Centered Care Literacy

Partnerships between Families &

Professionals

INTEGRALLY LINKEDPieces of the Same Puzzle