1. AMCHP Autism Webinar May 7, 2009

2. Building Culturally and Linguistically Competent Programs Suzanne Bronheim & Wendy Jones National Center for Cultural Competence

3. Culture Culture is an integrated pattern of human behavior which includes but is not limited to: thought languages values beliefs customs practices courtesies rituals communication roles relationships expected behaviors … of a racial, ethnic, religious, social, or political group; the ability to transmit the above to succeeding generations; dynamic in nature. manners of interacting Slide Source: The National Center for Cultural Competence, 2009

4. Slide Source: National Center for Cultural Competence,2009 Cultural Competence behaviors attitudes policies structures practices 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)

5. 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)

6. Cultural Destructiveness Cultural Incapacity Cultural Blindness Cultural Pre-Competence Cultural Competence Cultural Proficiency Slide Source: National Center for Cultural Competence, 2009 Cultural Competence Continuum (Cross, Bazron, Dennis and Isaacs, 1989)

7. 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

8. 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 Linguistic Competence Goode & Jones, Revised 2004, National Center for Cultural Competence

9. LINGUISTIC COMPETENCE POLICYPRACTICESSTRUCTURESPROCEDURES DEDICATED PERSONNEL RESOURCES DEDICATED FISCAL RESOURCES LINGUISTIC COMPETENCE FRAMEWORK Slide Source: National Center for Cultural Competence,2009

10. 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

11. 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.* Guiding Values & Principles Slide Source: National Center for Cultural Competence, 2009

12. 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. Guiding Values & Principles Slide Source: National Center for Cultural Competence, 2009 Language Access

13. 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. Guiding Values & Principles Slide Source: National Center for Cultural Competence, 2009 Language Access

14. 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

15. 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

16. What’s in your toolkit ?

18. Slide Source: National Center for Cultural Competence,2008 T.D. Goode Cultural Competence Linguistic Competence Community Engagement Family Centered Care Literacy Partnerships between Families & Professionals INTEGRALLY LINKED Pieces of the Same Puzzle