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Wendy JonesSeptember 19, 2012
THE NATIONAL CENTER FOR CULTURAL COMPETENCE: INTRO, GUIDING VALUES AND
APPROACHES
National Center
for Cultural Competence
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OBJECTIVES
Slide Source: © 2011 - 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.
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National Centers for CYSHCN
family-professional partnerships
medical home
adequate insurance
early and continuous screening
ease of use
transition
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
NCCC and
NCFPP
Slide Source: © 2012 - National Center for Cultural Competence
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National Center for Cultural Competence
http://nccc.georgetown.edu
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, 2012Slide Source: © 2012 - National Center for Cultural Competence
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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, 2012Slide Source: © 2012 - National Center for Cultural Competence
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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, 2012Slide Source: © 2012 - National Center for Cultural Competence
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NCCC’s WEB Page
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source: © 2012 - National Center for Cultural Competence
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Five Elements of Cultural CompetenceINDIVIDUAL/ PRACTITIONER LEVEL
acknowledge cultural differences
understand your own culture
engage in self-assessment
acquire cultural knowledge & skills
view behavior within a cultural context
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(Cross, Bazron, Dennis and Isaacs, 1989)
Slide Source:© 2012 - National Center for Cultural Competence
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
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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 http://nccc.georgetown.edu/foundations/frameworks.html
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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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 http://nccc.georgetown.edu/foundations/frameworks.html
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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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 http://nccc.georgetown.edu/foundations/frameworks.html
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
Slide Source:© 2012 - National Center for Cultural Competence
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National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [09/08/2012] from www.childhealthdata.org.
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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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 trainingSlide Source:© 2012 - National Center for Cultural Competence
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
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Promising Practices
Individual Level…Engage in: knowledge developmenthttp://nccc.georgetown.edu/projects/cyshcn-outcome2.html
self-reflection activities (CEMS)http://www.nccccurricula.info/modules.html
unconscious bias awareness activities (IAT)
https://implicit.harvard.edu/implicit/
cultural competence self-assessment (CCHPA)
http://nccc.georgetown.edu/features/CCHPA.html
Slide Source:© 2012 - National Center for Cultural Competence
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
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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:© 2012 - National Center for Cultural Competence
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
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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:© 2012 - National Center for Cultural Competence
Florida CHIPRA September Clinical Team Webinar, September 19, 2012
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CONTACT US
National Center for Cultural Competence
http://nccc.georgetown.edu
800.788.2066 or 202.687.5387
Florida CHIPRA September Clinical Team Webinar, September 19, 2012Slide Source:© 2012 - National Center for Cultural Competence
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