Race and Cultural Race and Cultural Today s focus s focus Today - PDF document

Race and Cultural Race and Cultural Today’ ’s focus s focus Today Complexity in Complexity in � Discuss Cultural Competence as an ethical Discuss Cultural Competence as an ethical � obligation for healthcare providers obligation for healthcare providers Medicine Medicine � Address other views of looking at illness Address other views of looking at illness � Dixie Galapon, Ph.D. Dixie Galapon, Ph.D. � Discuss recommendations for healthcare Discuss recommendations for healthcare � Director, Mental Health Services Director, Mental Health Services providers and also family members to ensure providers and also family members to ensure Union of Pan Asian Communities Union of Pan Asian Communities that the healthcare encounter is more culturally that the healthcare encounter is more culturally www.upacsd.com www.upacsd.com relevant relevant (619) 229- -2999 2999 (619) 229 dgalapon@upacsd.com dgalapon@upacsd.com Cultural Competence – – an ethical an ethical Cultural Competence UPAC Info UPAC Info obligation for healthcare obligation for healthcare professionals professionals � Established in 1974 Established in 1974 � � Cultural Competence Cultural Competence – – refers to development of awareness, refers to development of awareness, � Mission of UPAC: To Mission of UPAC: To � � knowledge and skills in working with diverse populations (Cross, knowledge and skills in working with diverse populations (Cross, provide for social service provide for social service et. Al, 1989) et. Al, 1989) � How do we provide healthcare treatment that is respectful of the How do we provide healthcare treatment that is respectful of the needs of San Diego’ needs of San Diego ’s s � cultures of the families we serve? cultures of the families we serve? Asian, Pacific Islander Asian, Pacific Islander and other ethnic groups and other ethnic groups Cross, T., Bazron Cross, T., Bazron, B., Dennis, K. & Isaacs, M. , B., Dennis, K. & Isaacs, M. (1989). (1989). Towards a culturally competent system of care: A Monograph on Ef Towards a culturally competent system of care: A Monograph on Effective Services for fective Services for http://www.upacsd.com http://www.upacsd.com Minority Children Who Are Severely Emotionally Disturbed: Volume Minority Children Who Are Severely Emotionally Disturbed: Volume I I Washington, DC: Georgetown University Child Development Washington, DC: Georgetown University Child Development Center. Center. What are the dangers of ignoring What are the dangers of ignoring Demographics Demographics culture? culture? � Over 50% of the state of California is composed of Over 50% of the state of California is composed of � � Wrong diagnosis Wrong diagnosis � minority groups (U.S Census Bureau, 2000) minority groups (U.S Census Bureau, 2000) � Ineffective treatment Ineffective treatment � � “ “The worldviews of a culturally diverse population are The worldviews of a culturally diverse population are � � Wrong medications prescribed Wrong medications prescribed likely to quite different from the healthcare likely to quite different from the healthcare � provider provider… …How normality and abnormality are defined How normality and abnormality are defined � Patient does not understand directions from Patient does not understand directions from � and what is regarded as “ “helping helping” ” may differ may differ and what is regarded as provider provider considerably. considerably.” ” (Sue, 2003) (Sue, 2003) � Patient dissatisfaction Patient dissatisfaction � � Treatment non Treatment non- -compliance compliance Sue, D.W. (2003) Sue, D.W. (2003) “ “Chapter I: Cultural Competence in the Treatment of Ethnic Minori Chapter I: Cultural Competence in the Treatment of Ethnic Minority Populations ty Populations” ”. . � In Psychological Treatment of Ethnic Minority Populations by Cou In Psychological Treatment of Ethnic Minority Populations by Council of National Psychological ncil of National Psychological � Difficulty in developing trust Difficulty in developing trust Associations for the Advancement of Ethnic Minority Interests. Published by the Association of Associations for the Advancement of Ethnic Minority Interests. Published by the Association of � Black Psychologists, Washington, D.C. Black Psychologists, Washington, D.C. 1

What are some barriers to a What are some barriers to a Awareness Awareness successful treatment outcome? successful treatment outcome? � Workers/Clinicians Workers/Clinicians � Language barriers Language barriers � � must be aware of and must be aware of and � Patient/provider do not understand each other Patient/provider do not understand each other � sensitive to their own sensitive to their own � Patient is not able to read prescription Patient is not able to read prescription � racial and cultural racial and cultural � Cultural barriers Cultural barriers � heritage and heritage and � Shame and stigma of seeking help Shame and stigma of seeking help value/respect value/respect � differences. They are differences. They are � Traditional healing is preferred Traditional healing is preferred � aware that their aware that their � Lack of understanding of Western medicine Lack of understanding of Western medicine � worldview are only one worldview are only one of many. . of many Knowledge Knowledge Awareness Awareness � Knowledge about traditional Knowledge about traditional � methods of healing, views on methods of healing, views on illness and health, illness and health, sociopolitical influence, sociopolitical influence, immigration issues, poverty, immigration issues, poverty, the effects of minority status, the effects of minority status, feelings of alienation and feelings of alienation and powerlessness, etc. powerlessness, etc. The Eight Questions by Arthur The Eight Questions by Arthur The Story of Lia The Story of Lia Lee Lee Kleinman, MD Kleinman, MD What do you call the problem? Qaug dab What do you call the problem? Qaug dab � “ “The Spirit Catches You and The Spirit Catches You and 1. 1. � You Fall Down: A Hmong You Fall Down: A Hmong peg. peg. That means the spirit catches you That means the spirit catches you Child, Her American Child, Her American and you fall down. and you fall down. Doctors, and the Collision of Doctors, and the Collision of What do you think has caused the What do you think has caused the 2. 2. Two Cultures” ”, by Anne , by Anne Two Cultures problem? problem? Soul loss. Fadiman, 1997 Fadiman , 1997 Soul loss. Arthur Arthur Kleinman Kleinman (born 1941) is a prominent American psychiatrist and (born 1941) is a prominent American psychiatrist and � Born in 1981 Born in 1981 � professor of medical anthropology and cross- -cultural psychiatry at cultural psychiatry at professor of medical anthropology and cross Harvard University Harvard University 2