Andrea Sola Rapaport, Counsellor 1

Transcription

1 Cultural competency in assessment practices with newcomer families and Assessing Assessment, Best Practices and New Research The 12 th Annual Assessment Conference May 1 st, 2014 Andrea Sola Rapaport, Trauma Counsellor How do we help people? Identity & Language barriers to access health/mental health/social services Cultural Competency and Cultural Safety Widening the lens of helpers Context of cultural meaning Acculturation stress Linguistic Competence Providing bilingual/bicultural staff Foreign language interpretation services, having connections with workers/advocates Materials developed and tested for specific cultural, ethnic, and linguistic groups DeSouza (2008) Andrea Sola Rapaport, Counsellor 1

2 Acculturation Stress Economic difficulties Language barriers Coping with family dynamics Culture shock and isolation Impact of Acculturation on Family Dynamics Parenting in a new culture Changes in parental authority Reversal roles Intergenerational values Development outcomes for immigrant children and youth Contextual factors Family socio-economic status (SES) Parent characteristics, family structure, and extra-familial environments Important to address both risk factors and resilience of immigration Andrea Sola Rapaport, Counsellor 2

3 A Relational Story "It's not only about the migrants, it's about the migrants and us as a majority... just like in a couple we're part of the equation" Cécile Rousseau, Director of the Transcultural Child Psychiatry Clinic at the Montreal Children's Hospital (2013) Cultural Competency Cultural competency refers to the process by which individuals and systems respond respectfully to people of all ethnic backgrounds, cultures, classes, languages, races, and other diversities Lansford, Deater-Deckard, & Bornstein (2007) It also relates to the capacity of being skilled in understanding interactions among members of a culture on their own terms Ball (2008) Cultural Safety A cultural safe practice progresses from cultural awareness through to cultural sensitivity and on to cultural safety Ramsden (2003) Cultural awareness and cultural sensitivity terms are separated and not interchangeable concepts with cultural safety Koptie (2009) Andrea Sola Rapaport, Counsellor 3

4 Multidimensional Model of Cultural Competency (MDCC) Dimension 1 Understanding the process of personal identity formation Dimension 2 Discerning the three attributes of a culturally competent helping professional: awareness, knowledge, and skills Sue & Sue (2013) MDCC cont Dimension 3 Intervening at a professional level as well as at organizational and societal levels Showing intent to address the client s systems that may be/are detrimental for the client s well-being Sue & Sue (2013) Cultural Safety It is defined by participants in a program or by recipients of care DeSouza (2008) Service providers aim to improve clients feelings of being respected, included, and protected in their cultural identity, values, beliefs, and chosen goals Ball (2008) Andrea Sola Rapaport, Counsellor 4

5 Cultural Safety Principles Protocols Personal knowledge Process Partnerships Positive purpose Cultural Humility Practitioners self-awareness process Realistic and ongoing self-appraisal Lifelong learning commitment Tervalon & Murray-Garcia (1998) References Ball, J. (2008, February). Cultural safety in practice with children, families and. Poster presented at The Early Years Interprofessional Research and Practice Conference, Vancouver. DeSouza, R. (2008). Wellness for all: The possibilities of cultural safety and cultural competency in New Zealand. Journal of Research in Nursing, 13(125), Koptie, S. (2009). Irihapety Ramsden: The public narrative on cultural safety. First Peoples Child and Family Review, 4(2), Lansford, K. Deater-Deckard, & M. Borsntein (Eds.)., Immigrant families in contemporary society. NY: The Guildford Press. Rousseau, C. (2013) A relational story video. Multicultural Mental Helth Resource Centre. Sue, D. W., & Sue, D. (Eds.). (2013). Counselling the culturally diverse: Theory and practice (6th ed.). NJ: John Wiley & Sons. Trevalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), Andrea Sola Rapaport, Counsellor 5

6 Questions Thank You! Andrea Sola Rapaport, Counsellor 6