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Wendy Jones September 19, 2012 THE NATIONAL CENTER FOR CULTURAL COMPETENCE: INTRO, GUIDING VALUES AND APPROACHES National Center for Cultural Competence 1

Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Page 1: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Wendy JonesSeptember 19, 2012

THE NATIONAL CENTER FOR CULTURAL COMPETENCE: INTRO, GUIDING VALUES AND

APPROACHES

National Center

for Cultural Competence

Page 2: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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OBJECTIVES

Slide Source: © 2011 - National Center for Cultural Competence

Participants will:

1. Identify the role of the NCCC, and it’s mission.

2. describe the guiding values of cultural and linguistic competence.

3. explore the five elements of cultural competence and their implications in pediatric practice.

4. review promising practices for pediatric practices.

Page 3: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Centers for CYSHCN

family-professional partnerships

medical home

adequate insurance

early and continuous screening

ease of use

transition

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

NCCC and

NCFPP

Slide Source: © 2012 - National Center for Cultural Competence

Page 4: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Center for Cultural Competence

http://nccc.georgetown.edu

The mission of the NCCC is to increase the capacity of health care and mental health care programs to design, implement and evaluate

culturally and linguistically competent service delivery systems to address growing diversity, persistent disparities, and to promote

health and mental health equity.

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source: © 2012 - National Center for Cultural Competence

Page 5: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Major Activities of the National Center for Cultural Competence

Web-based technical assistance

Knowledge development & dissemination

Support a “community of learners” and mentors

Collaboration and partnerships with diverse constituency groups Advancing the evidence

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source: © 2012 - National Center for Cultural Competence

Page 6: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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NCCC’s WEB RESOURCES

Publications, Checklists, Tools

Consultant Pool

Data Vignettes

Self-Assessment Instruments

Promising Practices

Curricula Enhancement Module Series

Spanish Language Portal

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source: © 2012 - National Center for Cultural Competence

Page 7: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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NCCC’s WEB Page

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source: © 2012 - National Center for Cultural Competence

Page 8: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Five Elements of Cultural CompetenceINDIVIDUAL/ PRACTITIONER LEVEL

acknowledge cultural differences

understand your own culture

engage in self-assessment

acquire cultural knowledge & skills

view behavior within a cultural context

1

2

3

4

5

(Cross, Bazron, Dennis and Isaacs, 1989)

Slide Source:© 2012 - National Center for Cultural Competence

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

Page 9: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Key Values for Cultural Competence

Values and Guiding Principles for Cultural Competence

Cultural Competence: embraces the principles of equal access and non- discriminatory practices in service delivery.

is achieved by identifying and understanding the needs and help-seeking behaviors of individuals and families.

involves working in conjunction with natural, informal support and helping networks within culturally diverse communities.

DATA Source: National Center for Cultural Competence, Foundations/Guiding Values and Principles http://nccc.georgetown.edu/foundations/frameworks.html

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 10: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Key Values for Linguistic Competence

Values and Guiding Principles for Linguistic Competence

Services and supports are delivered in the preferred language and/or mode of delivery of the population served.

Written materials are translated, adapted, and/or provided in alternative formats based on the needs and preferences of the populations served.

Interpretation and translation services comply with all relevant Federal, state, and local mandates governing language access.

Consumers are engaged in evaluation of language access and other communication services to ensure for quality and satisfaction.

Source: National Center for Cultural Competence, Foundations/Guiding Values and Principles http://nccc.georgetown.edu/foundations/frameworks.html

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 11: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Key Values for Linguistic Competence

Values and Guiding Principles for Community Engagement

Cultural competence extends the concept of self-determination to the community* Cultural competence involves working in conjunction with natural, informal support and

helping networks within culturally diverse communities (e.g., neighborhood, civic, and advocacy associations; local/neighborhood merchants and alliance groups; ethnic, social, and religious organizations; and spiritual leaders and healers)*

Communities determine their own needs Community members are full partners in decision making Communities should benefit economically from collaboration Community engagement should result in the reciprocal transfer of knowledge and skills

between all collaborators and partners. (Taylor & Brown, 1997)Source: National Center for Cultural Competence, Foundations/Guiding Values and Principles http://nccc.georgetown.edu/foundations/frameworks.html

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 12: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 13: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 14: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 15: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

Slide Source:© 2012 - National Center for Cultural Competence

Page 16: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence

Page 17: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Promising Practices Organizational Level…

Bilingual/bicultural personnel Family navigators Collaboration with cultural liaisons, promotoras,

and cultural brokers Provision of interpretation services Translation of key documents and educational

materials Opportunities for cross cultural or diversity and

communication trainingSlide Source:© 2012 - National Center for Cultural Competence

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

Page 18: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Promising Practices

Individual Level…Engage in: knowledge developmenthttp://nccc.georgetown.edu/projects/cyshcn-outcome2.html

self-reflection activities (CEMS)http://www.nccccurricula.info/modules.html

unconscious bias awareness activities (IAT)

https://implicit.harvard.edu/implicit/

cultural competence self-assessment (CCHPA)

http://nccc.georgetown.edu/features/CCHPA.html

Slide Source:© 2012 - National Center for Cultural Competence

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

Page 19: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Consider the following…

How does your practice learn about your patient’s culture and preferred language?

In what ways does your practice include cultural information into the medical record? Into partnerships with families?

Slide Source:© 2012 - National Center for Cultural Competence

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

Page 20: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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Consider the following…

What are some of the ways that your practice addresses preferred language? Literacy?

Sometimes medical culture differs from family’s values , beliefs and practices. When such situations arise, how do you handle/resolve them?

Slide Source:© 2012 - National Center for Cultural Competence

Florida CHIPRA September Clinical Team Webinar, September 19, 2012

Page 21: Wendy Jones September 19, 2012 T HE N ATIONAL C ENTER FOR C ULTURAL C OMPETENCE : I NTRO, G UIDING V ALUES AND A PPROACHES National Center for Cultural

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CONTACT US

National Center for Cultural Competence

http://nccc.georgetown.edu

[email protected]

800.788.2066 or 202.687.5387

Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence