Cultural Competence Training

Race Equality in Mental Health Service 2014

Learning Objectives

To develop knowledge and understanding of cultural competence

To develop practice skills in working positively with cultural difference

East Sussex Black and Minority Ethnic (BME) population statistics (ESiF - 2011)

Overall population in East Sussex 526,671, of which 8.4% BME people

The largest population after White British was White Other at 4.4%(including White Irish & GRT),Asian or Asian British at 1.7%, Mixed at 1.4%,Black or Black British at 0.6%, Other at 0.3%.

The largest BME population in Eastbourne at 12.6%, of which White Other 6.7%.

Hastings 10.8% of which Black, Asian, mixed and other ethnic group 6.3%. Lewes 7.5% of which White Other 4.1%

CULTURAL COMPETENCE

CULTURAL

AWARENESS

CHALLENGING

OPPRESSIVE &

DISCRIMINATORY

PRACTICE

CULTURAL

KNOWLEDGE

CULTURAL

SENSITIVITY

CULTURAL

SENSITIVITY

CHALLENGING

INSTITUTIONAL RACISM

The Cultural Iceberg

10% of our Culture is visible, on the surface.

90% of our Culture is out of conscious awareness.

Cultural BeliefsWhat is it about these young womens culture that they choose to dress this way in Britain

today?

7Components of the Iceberg

Core Beliefs & Assumptions

Values & Norms

Behaviours & Decisions

Products - food, clothes,

art, symbols, buildings etc...

Wearing hijab is a symbolic act showing you are a Muslim

deciding to dress differentlydetermination to wear hijab despite

hostilitybeing appreciated for intelligencerather than physical appearance

not being afraid to stand up for your beliefs

more likely to be seen as a person rather than object as women are judged on how they look and then how

they think

Allports Scale of Discrimination

Anti-locution

Avoidance

Violence

Elimination

Discrimination

10

Break

Equalities Monitoring Wherever you go, people want to know

your business. Your age, gender, sexuality, race, religion, whether youre disabled Where does all this information go?

What's it got to do with you? Why is this important?

Cultural, Ethnic and Religious Considerations

Different perceptions of mental health beliefs

Cross cultural variation - how people present e.gsomatic

Importance of Spirituality and Faith when accessing mental health care e.g spiritual support/faith healer

Misunderstandings of terminology

Working with Interpreters

Role play

Operational tips Language compatibility Pre meetings Ground Rules Confidentiality & boundaries Seating arrangements Body language and eye contact Dont leave interpreter alone with clients No longer than 2 hour sessions Post meeting

Thank You

Val Biggs Race Equality in Mental Health Val.Biggs@eastsussex.gov.uk

Misgana Berhane Counselling Plusmisganaberhane@yahoo.com