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Saturday, July 31, 2010  

Cultural Competence - Planning for Cultural and Linguistic Competence in Systems of Care

As one thinks about a system of care responsive to the diversity of the people it serves, NAMI NH offers these values and principles to consider as you determine what you want from a service system.

Guiding Values and 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.

Practice and Service Design

  • 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.
  • Practice is driven in service delivery systems by client preferred choices, not by culturally blind or culturally free interventions.
  • Culturally competent organizations have a service delivery model that recognizes mental health as an integral and inseparable aspect of primary health care.

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 economically benefit from collaboration.
  • Community engagement should result in the reciprocal transfer of knowledge and skills among all collaborators and partners.

Family and Consumers

  • Family is defined differently by different cultures.
  • Family as defined by each culture is usually the primary system of support and preferred intervention.
  • Family/consumers are the ultimate decision makers for services and supports for their children and/or themselves.


SOURCE: “Planning for Cultural and Linguistic Competence in Systems of Care . . . For Children & Youth with Social-Emotional and Behavioral Disorders and Their Families”, National Center for Cultural Competence, Georgetown University Center for Child and Human Development, Washington DC, April 2004 - Full Report

Visit the National Center for Cultural Competence for more information
http://gucchd.georgetown.edu/nccc/index.html

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