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 Competence 1

OBJECTIVES Slide Source: © 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. 2

National Centers for CYSHCN family- professional partnerships medical home adequate insurance early and continuous screening ease of usetransition Florida CHIPRA September Clinical Team Webinar, September 19, 2012 NCCC and NCFPP Slide Source: © National Center for Cultural Competence 3

National Center for Cultural Competence 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, 2012 Slide Source: © National Center for Cultural Competence 4

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, 2012 Slide Source: © National Center for Cultural Competence 5

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, 2012 Slide Source: © National Center for Cultural Competence 6

NCCC’s WEB Page Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source: © National Center for Cultural Competence 7

Five Elements of Cultural Competence INDIVIDUAL / P RACTITIONER LEVEL acknowledge cultural differences understand your own culture engage in self-assessment acquire cultural knowledge & skills view behavior within a cultural context (Cross, Bazron, Dennis and Isaacs, 1989) Slide Source:© National Center for Cultural Competence Florida CHIPRA September Clinical Team Webinar, September 19,

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 Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 9

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 Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 10

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 Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 11

National Survey of Children's Health. NSCH Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 12

National Survey of Children's Health. NSCH Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 13

National Survey of Children's Health. NSCH Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 14

National Survey of Children's Health. NSCH Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 15

National Survey of Children's Health. NSCH Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 16

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

Promising Practices Individual Level… Engage in:  knowledge development  self-reflection activities (CEMS)  unconscious bias awareness activities (IAT)  cultural competence self- assessment (CCHPA) Slide Source:© National Center for Cultural Competence Florida CHIPRA September Clinical Team Webinar, September 19,

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:© National Center for Cultural Competence Florida CHIPRA September Clinical Team Webinar, September 19,

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:© National Center for Cultural Competence Florida CHIPRA September Clinical Team Webinar, September 19,

CONTACT US National Center for Cultural Competence or Florida CHIPRA September Clinical Team Webinar, September 19, 2012 Slide Source:© National Center for Cultural Competence 21