Cultural Competency in Health, Social & Human Services: Directions for the 21st Century

by Lecca,Pedro J.

• ISBN13: 9780815322054
• ISBN10: 0815322054
• Edition: 1st
• Format: Hardcover
• Copyright: 1998-01-01
• Publisher: Routledge

Summary

Cultural competency is an issue that is becoming increasingly more important as thousands of people come to this country every year. Because of widely different social mores, living conditions, traditions, personal beliefs, and practices of clients, health professionals in all specialties are finding it difficult to communicate effectively with the members of the diverse racial and ethnic groups that come to them for help. To give health and human services professionals the necessary training, material on cultural competency has been mandated in several different curricula, yet appropriate pedagogical material remains relatively rare. This pioneering volume presents the latest information and techniques for improving cultural competency in the delivery of health, social, and human services to ethnic and racial minority groups in the United States. Special attention is paid to the importance of understanding the social and culture backgrounds of clients when assessing diagnosis of policy and economicissues, which are rarely examined in this context. Notable for its combination of theory and practice, which will be invaluable for both professionals and students, this book also includes material on cultural competency within such special populations as the mentally ill, the elderly, children, and families.

Table of Contents

Preface	xi	(2)
Acknowledgments	xiii
PART I Cultural Competency Framework	3	(160)
CHAPTER 1 Cultural Competency Services for Multicultural Populations	3	(28)
The Four Major Multicultural Populations in the United States	8	(4)
Sociodemographics	12	(19)
CHAPTER 2 Cultural Values of the Major Ethnic Groups	31	(20)
Ethnic Identification	31	(2)
Acculturation	33	(1)
Cultural Values Among the Major Ethnic Groups	33	(9)
American Values and Beliefs	42	(2)
Training Directions	44	(7)
CHAPTER 3 Cultural Competency and Its Role in Health Services	51	(34)
How Health Providers Can Become Culturally Competent	54	(18)
Religion and Folk Beliefs	72	(5)
Medical Compliance	77	(8)
CHAPTER 4 Cultural Competency and Mental Health Services	85	(56)
The Impact of Migration on Families	89	(12)
Somatization	101	(6)
Assessment of Culturally Diverse Populations	107	(19)
Psychopharmacology and Ethnicity	126	(15)
CHAPTER 5 Cultural Competency and Child and Family Services	141	(22)
Family in America	142	(1)
Child Abuse: An Example of Family Failure	143	(1)
Family and Children Services	144	(1)
Historical Overview of Foster Care Placement	144	(3)
Afrocentrism	147	(2)
Latinos and Others	149	(1)
Contemporary Foster Care	150	(1)
Legislative Action	150	(2)
Demographics	152	(1)
Cultural Strategies for Intervention	153	(2)
Comments	155	(8)
PART II Organizational Issues	163	(84)
CHAPTER 6 Cultural Competency and Services to the Minority Aged and Frail	163	(28)
Direct Care	169	(6)
Prevention and Health Education	175	(4)
Long-Term Care	179	(3)
Other Health Care Concerns	182	(2)
Recommendations for Today and Tomorrow	184	(1)
Recommendations for Interventions, Actions, and Solutions	185	(6)
CHAPTER 7 Cultural Competency and Practitioner Issues	191	(10)
Origins of Spiraling Health Care Costs	192	(1)
Structure of the Health Care System in the United States	193	(2)
Impact of Health Care Reform on Social and Human Services	195	(6)
CHAPTER 8 Cultural Competency and Leadership Issues	201	(18)
How Individuals Can Become Multicultural as Leaders and Practitioners	202	(2)
How Managers Can Become Multicultural Leaders	204	(3)
Behaviors That Managers Can Utilize to Help Build a Trust Climate in a Diverse Agency	207	(1)
Managers as Policy Makers	207	(2)
How Individuals Can Become Multicultural Practitioners	209	(1)
Therapy	209	(4)
Treatment	213	(1)
Do's and Don'ts of Multicultural Therapy	214	(5)
CHAPTER 9 Cultural Competency and Human Resources	219	(28)
Affirmative Action and Its Relation to Cultural Competency	220	(5)
Cultural Competency Implementation	225	(18)
Conclusion	243	(4)
PART III Policy Imperatives	247	(40)
CHAPTER 10 Future Policy Directions for Cultural Competency	247	(22)
General Comments on Entitlement Services	249	(5)
Education, Employment, and Staffing	254	(1)
Managed Care Services/Health Maintenance Organizations	255	(4)
Health Care Services	259	(7)
Mental Health and Substance Use/Abuse Programs	266	(3)
CHAPTER 11 Twenty-First-Century Perspectives on Cultural Competency	269	(14)
Current Climate in the Health, Social, and Human Services	270	(1)
"Etiological" Discussion	271	(2)
More on the Meaning of Current Policy Changes	273	(2)
About Efficiency	275	(1)
Efficiency and Cost Containment	275	(8)
CHAPTER 12 Conclusion	283	(4)
Why Cultural Competency?	284	(3)
Index	287	(8)
About the Authors	295