AMCHP Autism Webinar
May 7, 2009
Building Culturally and
Linguistically Competent Programs
Suzanne Bronheim & Wendy Jones
National Center for Cultural Competence
Culture
Culture is an integrated pattern of human behavior which includes but is
not limited to:
roles
values
rituals
communication
languages
relationships
courtesies
thought
beliefs
practices
customs
manners of
interacting
expected
behaviors
… of a racial, ethnic, religious, social, or political group; the ability to transmit
the above to succeeding generations; dynamic in nature.
Slide Source: The National Center for Cultural Competence, 2009
Cultural Competence
behaviors
practices
attitudes
policies
structures
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 diversity
conduct cultural self-assessment
manage the dynamics of difference
institutionalize cultural knowledge
adapt to diversity
- policies - structures
- values - services
(Cross, Bazron, Dennis and Isaacs, 1989)
Slide Source: National Center for Cultural Competence,2009
Cultural Competence Continuum
(Cross, Bazron, Dennis and Isaacs, 1989)
Cultural
Proficiency
Cultural
Competence
Cultural
Pre-Competence
Cultural
Blindness
Cultural
Incapacity
Cultural
Destructiveness
Slide Source: National Center for Cultural Competence, 2009
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
Linguistic Competence
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
Goode & Jones, Revised 2004, National Center for Cultural Competence
Slide Source: National Center for Cultural Competence,2009
LINGUISTIC COMPETENCE FRAMEWORK
POLICY
DEDICATED
FISCAL
RESOURCES
PRACTICES
LINGUISTIC
COMPETENCE
DEDICATED
PERSONNEL
RESOURCES
STRUCTURES
PROCEDURES
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
Guiding Values & Principles
• 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.*
Slide Source: National Center for Cultural Competence, 2009
Guiding Values & Principles
Language Access
• 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.
Slide Source: National Center for Cultural Competence, 2009
Guiding Values & Principles
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.
Slide Source: National Center for Cultural Competence, 2009
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 ?
INTEGRALLY LINKED
Pieces of the Same Puzzle
Community Engagement
Cultural Competence
Linguistic Competence
Family Centered
Care
Literacy
Partnerships between
Families &
Professionals
T.D. Goode
Slide Source: National Center for Cultural Competence,2008
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Culture