57
Improving Cultural Competence, Part 3:
Evaluation and Treatment Planning
IN THIS CHAPTER
Step 1: Engage Clients
Step 2: Familiarize Clients
and Their Families With
Treatment and Evaluation
Processes
Step 3: Endorse
Collaboration in
Interviews, Assessments,
and Treatment Planning
Step 4: Integrate
Culturally Relevant
Information and Themes
Step 5: Gather Culturally
Relevant Collateral
Information
Step 6: Select Culturally
Appropriate Screening
and Assessment Tools
Step 7: Determine
Readiness and Motivation
for Change
Step 8: Provide Culturally
Responsive Case
Management
Step 9: Incorporate
Cultural Factors Into
Treatment Planning
58
59
Step 1: Engage Clients
Step 2: Familiarize Clients
and Their Families With
Treatment and Evaluation
Processes
60
Step 3: Endorse
Collaboration in
Interviews, Assessments,
and Treatment Planning
61
Step 4: Integrate
Culturally Relevant
Information and Themes
Immigration History
62
Cultural Identity and
Acculturation
Membership in a Subculture
63
Beliefs About Health, Healing,
Help-Seeking, and Substance Use
Trauma and Loss
64
Step 5: Gather Culturally
Relevant Collateral
Information
65
Step 6: Select Culturally
Appropriate Screening
and Assessment Tools
Culturally Appropriate Screening
Devices
Culturally Valid Clinical Scales
66
67
68
Diagnosis
69
Step 7: Determine
Readiness and Motivation
for Change
Stages of Change
70
Motivational Interviewing
Step 8: Provide Culturally
Responsive Case
Management
Cultural competence begins with self-
knowledge; counselors and case managers
should be aware of and responsive to how
their culture shapes attitudes and beliefs.
This understanding will broaden as they
gain knowledge and direct experience with
the cultural groups of their client popula-
tion, enabling them to better frame client
issues and interact with clients in culturally
specific and appropriate ways. TIP 27,
Comprehensive Case Management for
Substance Abuse Treatment (CSAT 1998a),
offers more information on effec- tive case
management.
71
Step 9: Incorporate
Cultural Factors Into
Treatment Planning
72