Does cultural competence matter in improving patient outcomes?
RCTs, pre-post, controlled 1) Patient outcomes: health behaviors 2) access to health care system 3) provider: cultural competence Yes The interventions reviewed increased patients’ knowledge for self-care, decreased barriers to access, and improved providers’ cultural competence.
Are guidelines for cultural competency followed by those directly involved?
In addition, more research is needed to determine how well both individual-level and organizational-level guidelines for cultural competency are followed by those directly involved in service delivery [53]. Broader issues of culture, racism and privilege
What is cultural competence in addiction treatment?
Cultural competence includes matching clinicians and clients on linguistic and cultural backgrounds as well as being mindful of the impact of culture on client's experience of addiction problems.
What happens when there is a lack of culturally competent care?
Studies have shown that the absence of culturally competent care can lead to preventable mistakes and adverse events.
How can I improve my cultural competence?
Promote Awareness and Education to Improve Cultural Competence in Health Care. Promoting awareness and education plays a key role in improving cultural competence in health care. To develop cultural competence, healthcare professionals need to identify their beliefs and build an awareness of their culture.
What is cultural competence?
Cultural competence offers a pathway and a framework to reach the goal of better health for all patients. Culturally and linguistically appropriate services, or CLAS, respond to individual preferences and needs of each patient. They also help improve health outcomes and decrease health disparities.
Why is cultural competence important in health care?
Cultural competence in health care addresses the disparities that people of racially and culturally diverse backgrounds often experience. It can ensure all patients get the care they need to live healthier lives.
What are the social determinants of health?
Social determinants of health, such as working and living conditions and quality healthcare access, aren’t the same for everyone. Health inequities pose a serious challenge to the healthcare community, but healthcare providers have a powerful tool at their disposal: cultural competence. Cultural competence in health care addresses ...
Why can't a clinician order a diagnostic test?
As a result, the clinician may not order a diagnostic test, when in fact the patient’s response reflected their notion of respectful behavior. When healthcare providers fail to recognize the differences between them and their patients, they may inadvertently deliver lower-quality care.
What is culturally competent treatment?
A literature review was conducted to identify relevant literature related to cultural competence in mental health services delivery and specifically treatment for addictive disorders. Several theoretical models of cultural competence in therapy have been developed, but the lack of rigorous research limits the empirical evidence available. Research indicates that culturally competent treatment practices including providing therapy and materials in the client's language, knowledge, understanding and appreciation for cultural perspectives and nuances, involving the wider family and community and training therapists can enhance client engagement, retention and treatment outcomes for substance use and gambling. Further methodologically rigorous research is needed to isolate the impact of cultural competence for the treatment of addictions and guide research to determine treatment efficacy within specific CALD populations. Training therapists and recruiting therapists and researchers from CALD communities is important to ensure an ongoing focus and improved outcomes for CALD populations due to the importance of engaging these populations with addiction treatment. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Message: The treatment needs of culturally diverse individuals with addictions are often not met. Theoretical models can guide therapists in incorporating cultural competence. Culturally targeted treatments increase recruitment, retention and treatment outcomes. Cultural competence includes matching clinicians and clients on linguistic and cultural backgrounds as well as being mindful of the impact of culture on client's experience of addiction problems. Few methodologically rigorous trials have been conducted to guide treatment practices and research needs to be incorporated into existing culturally relevant treatment services.
What is cultural competence in therapy?
Several theoretical models of cultural competence in therapy have been developed, but the lack of rigorous research limits the empirical evidence available. Research indicates that culturally competent treatment practices including providing therapy and materials in the client's language, knowledge, understanding and appreciation ...
What is cultural adaptation?
Cultural adaptation is an emerging science that aims at addressing these challenges and opportunities to enhance the effectiveness of interventions by grounding them in the lived experience of the participants.
How does culture affect the way people see themselves?
Cultural groups are living organisms with members exhibiting different levels of identification with their common culture and are impacted by other intersecting identities.
What is cultural competence?
Organizational cultural responsiveness is a dynamic, ongoing process; it is not something that is achieved once and is then complete. The commitment to increase cultural competence must also involve a commitment to maintain it through periodic reassessments and adjustments.
How to improve organizational culture?
Step 1: Identify key stakeholders who can provide valuable feedback about current strengths and areas in need of improvement regarding the function of the organization and the needs of its community .Step 2: Adopt a self-assessment guideline for organizational cultural competence.
What is cultural competence?
“Cultural competence is a stance taken toward culture, not a discrete status or simple mastery of particular knowledge and skills. A culturally competent evaluator is prepared to engage with diverse segments of communities to include cultural and contextual dimensions important to the evaluation. Culturally competent evaluators respect the cultures represented in the evaluation.”8
Why is cultural competence important in evaluation?
Because culture is influenced by many characteristics (i.e., race, ethnicity, language, gender, age, religion, sexual orientation, education, and experience), it is important that we stop and reflect on our own culture before embarking on an evaluation. To conduct culturally competent evaluations, we must learn and appreciate each program’s cultural context and acknowledge that we may view and interpret the world differently from many evaluation stakeholders.
What is cultural acceptance?
Cultural acceptance of a behavior, for instance, can mask a problem or deter a person from seek- ing treatment. Counselors should be aware of how the client’s culture conceptualizes issues related to health, healing and treatmentprac- tices, and the use of substances.
When did the World Health Organization and the National Institutes of Health start testing the cross-cultural applicability of classification
In 1972 , the World Health Organization (WHO) and the National Institutes of Health (NIH) embarked on a joint study to test the cross-cultural applicability of classification systems for various diagnoses, including sub- stance use disorders.
What is cultural awareness?
Cultural awareness is the first step toward becoming a culturally competent counselor. Racial, ethnic, and cultural identities. A key step in attaining cultural competence is for counselors to become aware of their own racial, ethnic, and cultural identities. Although .
What can a counselor do to supplement clinical treatment?
Counselors can suggest appropriate traditional treatment resources to supplement clinical treatment activities. In sum, clinicians need to incorporate culture- based goals and objectives into treatment plans and establish and support open client– counselor dialog to get feedback on the proposed plan’s relevance.
Why was Zhang Min referred to a counselor?
Zhang Min, a 25-year-old first-generation Chinese woman, was referred to a counselor by her primary care physician because she reported having episodes of depression. The counselor who con- ducted the intake interview had received training in cultural com- petence and was mindful of cultural factors in evaluating Zhang Min.
Is client a culture?
Clients are often part of a culture within a culture.There is not just one Latino, African American, or Native American culture; many variables influence culture and cultural identity (seethe “What Are the Cross-Cutting Factors in Race, Ethnicity, and Culture” section in Chapter 1).
Can emotions be expressed in other cultures?
In some cultural groups, feelings may not be expressed directly, whereas in other cultural groups, some emotions are readily expressed and others suppressed. For example, expressions of sadness may at first be more readily shared by some clients in counseling settings, whereas others may find itmore . 55 .