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Bibliography #28 – Cultural Competence
– November 2006
 printer-friendly
version | back
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 Order #: 15178
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Authors: |
Anglin,
D.M., Link, B.G., Phelan, J.C.
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Title: |
Racial Differences in
Stigmatizing Attitudes Toward People With Mental Illness. |
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Source: |
Psychiatric Services
57(6): 857-862, 2006. (Journal Article:
6 pages)
|
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Abstract: |
This articles states that
stigma is a significant impediment to the successful treatment of
individuals with mental illness, especially among racial minority groups.
Although limited, the literature suggests that African Americans are more
likely than Caucasians to believe that people with mental illnesses are
dangerous. The authors reexamined this issue and assessed whether racial
differences also extend to beliefs about how people with mental illness
should be treated if violent. A nationally representative probability
sample of 1,241 respondents participated in a telephone survey. The
analysis focused on the 81 African-American and 590 Caucasian respondents
who participated in a vignette experiment about a person with schizophrenia
or major depressive disorder. The authors analyzed respondents' perceptions
that the person would be violent, as well as their attitudes about blame
and punishment. This study found racial differences in stigmatizing
attitudes toward individuals with mental illness; however, African
Americans' negative perception did not necessarily result in endorsement of
harsher treatment of mentally ill persons. This study highlights the
complexity of the stigma process and emphasizes the need to consider racial
differences in developing interventions targeted to improve public
attitudes (authors). |
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Order #: 15179 |
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Authors: |
Willging,
C.E., Salvador, M., Kano, M.
|
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Title: |
Pragmatic Help Seeking:
How Sexual and Gender Minority Groups Access Mental Health Care in a Rural
State. |
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Source: |
Psychiatric Services
57(6): 871-874, 2006. (Journal Article:
4 pages)
|
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Abstract: |
This study examined how
lesbian, gay, bisexual, and transgender (LGBT) people in rural areas of the
poor and multiethnic state of New Mexico access secular (professional and
lay) and sacred (indigenous and Christian) mental health care resources.
In-depth, semistructured interviews were used to document the help-seeking
processes of 38 rural LGBT people. Obtaining assistance was complicated by
the ideal of self-reliance and the view of mental illness as a sign of
weakness. Financial considerations and a lack of and community-based LGBT
social networks also exerted substantial influence on help seeking. Many
LGBT people would strategically remain silent about their sexuality or
gender status and rely on their family ties to access the range of secular
and sacred resources that are most commonly available in medically
underserved rural communities. Although persons from sexual and gender
minority groups often experience positive outcomes as a result of help
seeking, some LGBT people remain vulnerable to anti-LGBT sentiments that
persist within secular and sacred sectors of rural health care systems
(authors). |
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Order #: 15177 |
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Authors: |
Willging,
C.E., Salvador, M., Kano, M.
|
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Title: |
Unequal Treatment:
Mental Health Care for Sexual and Gender Minority Groups in a Rural State. |
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Source: |
Psychiatric Services
57(6): 867-870, 2006. (Journal Article:
4 pages)
|
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Abstract: |
This study examined the
social dynamics of communities and clinic settings that impede the delivery
of culturally relevant services to lesbian, gay, bisexual, and transgender
(LGBT) people living in rural areas. Ethnographic interviews were conducted
with 20 providers in rural areas to document their perceptions of LGBT
mental health care. A majority of rural providers claimed that there is no
difference between working with LGBT clients and non-LGBT clients. This
neutral therapeutic posture may be insufficient when working with rural
LGBT clients. Despite providers' claims of acceptance, lack of education
about LGBT mental health issues, and homophobia influences services for rural
LGBT people. LGBT clients had been denied services, discouraged from
broaching sexuality and gender issues by providers, and secluded within
residential treatment settings. The challenges of ensuring access to
quality care for this population are magnified by provider discourses of
"therapeutic neutrality" (authors). |
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Order #: 14794 |
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Authors: |
American
Public Health Association.
|
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Title: |
American Journal of
Public Health: American Indian/Alaska Native Health Policy. |
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Source: |
American Journal of Public
Health 95: 745-920, 2005. (Journal:Entire
Issue: 176 Pages)
|
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Abstract: |
This issue contains
articles that focus on the following topics: reforming American Indian
health financing; improving the oral health of Alaska Natives; capitalizing
on the virtues of vaccines; tuberculosis among American Indians/Alaska
Natives; American Indian/Alaska
Natives and White elders; and racial/ethnic inequalities in cancer survival
in New
Zealand. |
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Order #: 14720 |
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Authors: |
Arend,
E.D.
|
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Title: |
The Politics of
Invisibility: Homophobia and Low-Income HIV-Positive Women Who Have Sex
with Women. |
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Source: |
Journal of Homosexuality
49(1): 97-122, 2005. (Journal Article:
25 Pages)
|
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Abstract: |
This article critically
examines the physical, emotional and psychological needs of low-income
HIV-positive women who have sex with women (WSW) and their methods of
coping with HIV. This population has been overlooked by government
researchers, health care providers and the AIDS service community. In
addition to stigmas against homosexuality and HIV in larger society,
low-income, African-American and Latina HIV-positive WSWs face culturally-based stigmas
and are disproportionately affected by poverty, drug addiction,
homelessness, sex work and abuse. Through an analysis of sixteen intensive
interviews with low-income HIV-positive WSWs of color the author examines
the participants' perceptions of available support networks and patterns of
disclosure in order to raise awareness of their struggle against HIV and
homophobia and to assist in empowering the low-income HIV-positive WSW
community (author). |
|
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Order #: 14797 |
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Authors: |
Borrell,
L.N.
|
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Title: |
Racial Identity Among
Hispanics: Implications for Health and Well-Being. |
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Source: |
American Journal of Public
Health 95: 379-381, 2005. (Journal Article:
3 Pages)
|
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Abstract: |
This article discusses the
elimination of health disparities and the Hispanic population. Despite
their low socioeconomic position and lack of health insurance coverage,
Hispanics as a group are often omitted from the health disparities
discourse because they are believed to fare similar to if not better than
non-Hispanic whites with regard to mortality outcomes. Recent studies
provide evidence to counter the so-called Hispanic health advantage or
Hispanic paradox. To move forward efforts to eliminate health disparities,
the health of Hispanics deserves a look beyond the paradox. |
|
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Order #: 15202 |
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Authors: |
Isaacs,
M, Huang, L., Hernandez, M., Echo-Hawk, H.
|
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Title: |
The Road to Evidence:
The Intersection of Evidence-Based Practices and Cultural Competence in
Children's Mental Health. |
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Source: |
Washington D.C.: National Alliance of Multi-Ethnic Behavioral Health Associations,
2005. (Report: 50 Pages)
|
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Abstract: |
This policy paper on the
intersection of evidence-based practices (EBPs) and cultural competence
grow out of recent research findings and policy trends that encourage
greater use of EBPs in clinical programs with children, adolescents, and
their families to improve the quality of care and outcomes of mental health
interventions. In fact, the use and expansion of EBPs in mental health care
are considered a major component in the transformation of the mental health
system as envisioned by the President's New Freedom Commission (2003). The
report notes that "in a transformed mental health system, consistent
use of evidence-based, state-of-the-art medications and psychotherapies
will be standard practice. At the
same time, the Commission report highlights the importance of eliminating
disparities in mental health care for culturally diverse populations and
rural and geographically remote areas (authors). Available From: National
Alliance of Multi-Ethnic Behavioral Health Associations, 1875 I Street NW
Suite 5009, Washington D.C. 2006, (202)429-5520, www.nambha.org. |
|
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Order #: 14792 |
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Authors: |
Meharry Medical College.
|
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Title: |
Journal of Health Care
for the Poor and Underserved. |
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Source: |
Journal of Health Care for
the Poor and Underserved 16(1): 1-179, 2005. (Journal:Entire Issue: 179 Pages)
|
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Abstract: |
This issue contains a
number of papers in which factors such as race and ethnicity are in the
foreground. Some of the topics
discussed include: blacks being less likely to receive mental health
treatment and more likely to receive drug treatment than whites;
affirmative action in medical school admissions; access to care in terms of
race and/or ethnicity; and measuring functional health literacy among
various ethnic groups. |
|
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Order #: 14799 |
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Authors: |
Nemoto,
T., Operario, D., Keatley, J., Nguyen, H., Sugano, E.
|
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Title: |
Promoting Health for
Transgender Women: Transgender Resources and Neighborhood Space (TRANS)
Program. |
|
Source: |
American Journal of Public
Health 95: 382-384, 2005. (Journal Article:
3 Pages)
|
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Abstract: |
This article describes a
health promotion intervention program tailored to transgender women in San Francisco. The
program creates a safe space for providing transgender-sensitive education
about HIV risk reduction, substance abuse prevention, and general health
promotion. Transgender health
educators conduct workshops and make referrals to appropriate substance
abuse treatment programs and other services in the community. Evaluation findings indicate that this
community-tailored intervention may be an effective way to reach
transgender women and reduce sexual risk behaviors, depression, and
perceived barriers to substance abuse treatment (authors). |
|
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Order #: 15214 |
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Authors: |
Washington, O.G.
|
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Title: |
Identification and
Characteristics of Older Homeless African American Women. |
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Source: |
Issues in Mental Health
Nursing 26(2): 117-136, 2005. (Journal
Article: 19 pages)
|
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Abstract: |
This article discusses an
issue that has received little research attention-older African American
women who are homeless. An exploratory study examined demographics and
health characteristics of 100 women. Their mean age was 52.55 years (SD =
3.57) and ranged from 50 to 74 years. Most were unmarried, homeless more
than three months, reported more than two diagnoses, and self-rated their
health as fair or good. Length of time homeless did not significantly
influence self-reported health. Medical diagnoses increased with time
homeless, and rates of some chronic diseases were higher than domiciled
African American elders 60 years of age and over Nearly half (48.5%) of
women who were homeless more than 12 months reported emotional/mental
illness (author). |
|
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Order #: 14343 |
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Authors: |
Agency
for Healthcare Research and Quality.
|
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Title: |
2004 National
Healthcare Disparities Report. |
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Source: |
Rockville, MD: Agency for Healthcare Research and Quality, 2004.
(Report: 143 Pages)
|
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Abstract: |
This second annual report
indicates that there are pervasive disparities related to race, ethnicity,
and socioeconomic status in the American health care system. This report
focuses on focuses on priority populations, including women, children, the
elderly, racial and ethnic minority groups, low-income groups, residents of
rural areas, and individuals with special health care needs, specifically
children with special needs, people in need of long-term care and people
requiring end-of-life care. The report presents measures of disparities in
four key areas of health care: effectiveness, patient safety, timeliness,
and patient centeredness. This report identifies three key themes:
disparities are pervasive; improvement is possible; and gaps in information
exist, especially for specific conditions and populations. Available From: Agency
for Healthcare Research and Quality, 540 Gaither Road, Suite 2000, Rockville, MD 20850, (301) 427-1364, drqrreq@ahrq.gov, www.qualitytools.ahrq.gov/disparitiesreport/download/download_report.aspx |
|
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Order #: 14225 |
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Authors: |
American
Journal of Public Health.
|
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Title: |
Disparities in Health
Communication. |
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Source: |
American Journal of Public
Health 94(12): 2041-2216, 2004. (Journal:Entire
Issue: 175 Pages)
|
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Abstract: |
The root causes of health
disparities are numerous and relate to individual behaviors, provider
knowledge and attitudes, organization of the health care system, and
societal and cultural values. Disparities have been well documented, even
in systems that provide unencumbered access to health care, suggesting that
factors other than access to care (e.g., culture and health communication)
are responsible. Efforts to eliminate health disparities must be informed
by the influence of culture on the attitudes, beliefs, and practices of not
only minority populations but also public health policymakers and the
health professionals responsible for the delivery of medical services and
public health interventions designed to close the health gap (authors). |
|
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Order #: 13345 |
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Authors: |
American
Medical Student Association.
|
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Title: |
Diversity and Cultural
Competency Case Studies. |
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Source: |
Reston, VA: American Medical Student Association, 2004. (Case Study: 5
pages)
|
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Abstract: |
This publication includes
seven case studies with discussion questions for each: preferential
treatment; cultural beliefs in a scientific presentation; affirmative
action; racial stereotyping; effect of racial bias; misinformation; and
preferential treatment (authors). Available From: American Medical Student
Association, 1902
Association Drive, Reston, VA 20191, (703) 620-6600, www.amsa.org/div/cstudies.cfm. |
|
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Order #: 14157 |
|
Authors: |
Cooper, L.A., Powe, N.R.
|
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Title: |
Disparities in Patient
Experiences, Health Care Processes, and Outcomes: The Role of
Patient-Provider Racial, Ethnic, and Language Concordance. |
|
Source: |
New
York, NY: Commonwealth Fund, 2004. (Report: 24 Pages)
|
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Abstract: |
This report maintains that
ethnic minorities are poorly represented among physicians and other health
professionals. In what is called "race-discordant" relationships,
patients from ethnic groups frequently are treated by professionals from a
different ethnic background. The research reviewed here documents ongoing
racial and ethnic disparities in health care and links patient-physician
race and ethnic concordance with higher patient satisfaction and better
health care processes. Based on this research, the authors issue the
following recommendations: health policy should be revised to encourage
workforce diversity by funding programs that support the recruitment of
minority students and medical faculty;
health systems should optimize their providers' ability to establish
rapport with minority patients to improve clinical practice and health care
delivery; cultural competency training should be incorporated into the
education of health professionals; and future research should provide
additional insight into the mechanisms by which concordance of patient and
physician race, ethnicity, and language influences processes and outcomes
of care (authors). Available From: Commonwealth Fund, One East 75th Street,
New York, NY 10021, (212) 606-3800, publications@cmwf.org,
www.cmwf.org/publications/publications_show.htm?doc_id=231670 |
|
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Order #: 13583 |
|
Authors: |
Fong, R.
|
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Title: |
Culturally Competent
Practice With Immigrant and Refugee Children and Families. |
|
Source: |
New
York, NY: The Guilford Press, 2004. (Book:
320 pages)
|
|
Abstract: |
This book covers the
breadth of issues involved in working with immigrant and refugee children
and families. Within an innovative conceptual framework, essential
knowledge is presented to guide culturally competent practice with clients
from over 14 immigrant groups whose numbers are growing in the United
States today. Expert authors review the history of each group's migration
to the U.S. and discuss key issues facing families, including cultural
conflicts, trauma associated with refugee experiences and/or illegal
status, and the effects of poverty and discrimination. Particular attention
is given to ways that the practitioner can help families draw on culturally
based resources for coping and resilience as they navigate the challenges
of their new lives. Recommendations for strengths-based assessment and
intervention are brought to life in detailed case examples (authors). Available
From: The Guilford Press, 72 Spring Street, New York, NY 10012, (212)
431-9800, www.guilford.com. |
|
|
Order #: 13145 |
|
Authors: |
Grainer-Monsen,
M., Haslett, J.
|
|
Title: |
Worlds Apart Video
Module: A Four-Part Series on
Cross-Cultural Healthcare. |
|
Source: |
Boston, MA: Fanlight
Productions, 2004. (Video Module: 48 minutes)
|
|
Abstract: |
This video set contains
four films, which follow patients and families faced with critical medical
decisions, as they navigate their way through the health care system.
Filmed in patients' homes, neighborhoods and places of worship, as well as
hospital wards and community clinics, Worlds Apart provides a look at both
the patients' cultures and the culture of medicine. This series is a
valuable tool for raising awareness about the role socio-cultural barriers
play in patient-provider communication and in the provision of health care
services for culturally and ethnically diverse patients. Available From: Fanlight
Productions, 4196 Washington Street, Suite 2, Boston, MA 02131, (800)
937-4113, www.fanlight.com. (COST: $369.00) |
|
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Order #: 13146 |
|
Authors: |
Green,
M., Betancourt, J., Carrillo, J.
|
|
Title: |
Worlds Apart
Facilitator's Guide: A Four-Part
Series on Cross-Cultural Healthcare. |
|
Source: |
Boston, MA: Fanlight
Productions, 2004. (Guide: 31 pages)
|
|
Abstract: |
This guide, to be used in
accompaniment with the Worlds Apart Video Module, focuses on the different
perspectives and values regarding health and illness among healthcare
workers and their patients. The
authors also discuss the issues and challenges faced in caring for a
diverse population, as well as addressing the individuality of the patient
rather than the stereotype of their background. Discrimination, negotiation and
communication skills, and mistrust are also discussed (authors). Available
From: Fanlight Productions, 4196 Washington Street, Suite 2, Boston, MA
02131, (800) 937-4113, www.fanlight.com. |
|
|
Order #: 13635 |
|
Authors: |
Jacobs,
E., Shepard, D., Suaya, J., Stone, E.
|
|
Title: |
Overcoming Language
Barriers in Health Care: Costs and Benefits of Interpreter Services. |
|
Source: |
Research and Practice
94(5): 866-869, 2004. (Journal Article:
4 pages)
|
|
Abstract: |
In this article, the
authors assess the impact of interpreter services on the cost and the
utilization of health care services among patients with limited English
proficiency. The authors measured the change in delivery and cost of care
provided to patients enrolled in a health maintenance organization before
and after interpreter services were implemented. According to the article, when compared
with English-speaking patients, patients who used the interpreter services
received significantly more recommended preventive services, made more
office visits, and had more prescriptions written and filled. The article
states that the estimated cost of providing interpreter services was $279
per person per year. The authors
conclude that providing interpreter services is a financially viable method
for enhancing delivery of health care to patients with limited English
proficiency (authors). |
|
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Order #: 13383 |
|
Authors: |
Kaiser
Permanente.
|
|
Title: |
Kaiser Permanente
National Program: Enhancing
Culturally Competent Care to Specific Populations. |
|
Source: |
Pasadena, CA: Kaiser Permanente California, 2004. (Handbook:
)
|
|
Abstract: |
This workbook series
describes the population characteristics, health beliefs, and specific
health needs of Latinos, African Americans, Asian Americans and other
populations comprising the health plan membership. Each handbook is sponsored by a physician
"champion" from the ethnic/cultural group upon which the book is
focused. The handbooks are in
easy-to-read format and present demographic characteristics of the
population, health beliefs, risk factors and epidemiological data. In
addition, the authors describe the implications of this data and
information for providers serving the plan's diverse membership (authors). Available
From: Jean Gilbert, Ph.D., Kaiser Permanente California, 393 East Walnut
Street, LR-6, Pasadena, CA 91188, (818) 564-3743, Jean.Gilbert@kp.org,
www.diversityrx.org/HTML/MOCPT6.htm. |
|
|
Order #: 13374 |
|
Authors: |
Management
Sciences for Health.
|
|
Title: |
The Provider's Guide to
Quality and Culture. |
|
Source: |
Boston, MA: Management Sciences for Health, 2004. (Guide: 1
page)
|
|
Abstract: |
This interactive web-based
resource helps health care providers examine their own cultural beliefs,
attitudes, and biases and learn more about how cultural differences may
influence clinical outcomes. This
guide also offers an exercise that is geared to helping organizations get
started with their efforts to improve cultural competence. Major enhancements to the guide include:
enhanced information on five major cultural groups in the United States;
excerpts from selected chapters of the ten-volume Substance Abuse and
Mental Health Services Administration, Health Resources and Services
Administration and the Office of Minority Health, Office of Public Health
and Science special collaborative edition cultural competence monograph
series; and additional resources and links (authors). Available From: Management
Sciences for Health, 165 Allandale Road, Boston, MA 02130, (617) 524-7799, http://erc.msh.org/quality&culture. |
|
|
Order #: 13364 |
|
Authors: |
National
Health Care for the Homeless Council.
|
|
Title: |
Addressing Cultural and
Linguistic Competence in the HCH Setting: A Brief Guide. |
|
Source: |
Nashville, TN: National
Health Care for the Homeless Council, 2004. (Guide: 13 pages)
|
|
Abstract: |
This document provides a
framework for understanding the basic requirements of culturally and
linguistically competent health care delivery and identifies key resources
with which Health Care for the Homeless projects and other health care
providers should be familiar (authors). Available From: National Health
Care for the Homeless Council, P.O. Box 60427, Nashville, TN 37206, (615)
226-2292, www.nhchc.org/cultural.htm. |
|
|
Order #: 13313 |
|
Authors: |
National
Health Law Program.
|
|
Title: |
Language Services
Action Kit. |
|
Source: |
Washington, DC: National
Health Law Program, 2004. (Toolkit: 58 pages)
|
|
Abstract: |
The Access Project and the
National Health Law Program have developed a Language Services Action Kit
for advocates and others working to ensure that people with limited English
proficiency in their state get appropriate language assistance services in
medical settings. In this toolkit,
the authors explain the federal laws and policies that require health care
providers to ensure access to services for people with limited English
proficiency, and how states pay for Medicaid and SCHIP services. The toolkit also discusses how states can
get federal funding to help pay for language services, such as
interpretation, for program enrollees.
The authors describe models that some states have adopted to
reimburse health care providers for language services, and provide
information and describe techniques for demonstrating the need for language
services in advocacy campaigns. A
list of resources for additional information about language services; and
suggestions for getting advocacy efforts started are also included
(authors). Available From: National Health Law Program, 1101 Fourteenth
Street NW, Suite 405, Washington, DC 20005, (202) 289-7724,
www.healthlaw.org. |
|
|
Order #: 14158 |
|
Authors: |
Office of
Minority Health Resource Center.
|
|
Title: |
Setting the Agenda for
Research on Cultural Competence in Health Care. |
|
Source: |
Washington, DC: Office of
Minority Health Resource Center, 2004. (Report:
229 Pages)
|
|
Abstract: |
This project looks at the
question of what impact cultural competence interventions have on the
delivery of health care and health outcomes, and investigates the
opportunities and barriers that affect how further research in this area
might be conducted. Health care providers take many approaches to bridge
barriers to communication that stem from racial, ethnic, cultural, and
linguistic differences. Cultural competence encompasses both interpersonal
and organizational interventions and strategies for overcoming those
differences. This document is the final report for the Cultural Competence
Research Agenda project, the purpose of which was to examine how cultural
competence affects health care delivery and health outcomes (authors). Available
From: Office of Minority Health Resource Center, P.O. Box 37337,
Washington, DC 20013, (800) 444-6472, info@omhrc.gov,
www.omhrc.gov/cultural/cultural18.htm |
|
|
Order #: 13427 |
|
Authors: |
Zerger,
S.
|
|
Title: |
Health Care for
Homeless Native Americans. |
|
Source: |
Nashville, TN: National
Health Care for the Homeless Council, 2004. (Report: 46 pages)
|
|
Abstract: |
In this report, the author
discusses the severe health disparity experienced by Native Americans, and
their disproportionate representation among numerous high-needs groups,
including the homeless. This report describes some of the key factors
contributing to this growing inequity and then explains, in general terms,
how health services are delivered to Native Americans. The author also discusses the barriers
preventing adequate access to those services. Interviews with individuals providing
health care to Native Americans who are homeless are used to offer some
tentative solutions for overcoming access barriers in the short-term
(author). Available From: National Health Care for the Homeless Council,
P.O. Box 60427, Nashville, TN 37206, (615) 226-2292, www.nhchc.org. |
|
|
Order #: 13377 |
|
Authors: |
Agger-Gupta,
N., Iwataka, M., Wang, K.
|
|
Title: |
Cultural and Linguistic
Competency Standards: Executive Summary. |
|
Source: |
Los Angeles, CA: Los
Angeles County Department of Health Services, 2003. (Executive Summary: 14 pages)
|
|
Abstract: |
This guide was developed
by the Los Angeles County Department of Health Services (DHS) to guide and
assist the DHS and its entities in providing quality care to the county’s
diverse populations. The authors
offer a roadmap for implementing departmental policies related to patient
care and workforce issues (authors). Available From: Los Angeles County
Department of Health Services, 313 North Figueroa Street, Room 123, Los
Angeles, CA 90012, (213) 240-7710,
www.dhs.co.la.ca.us/odp/docs/dhsexecsumm.pdf. |
|
|
Order #: 13379 |
|
Authors: |
Campinha-Bacote,
J.
|
|
Title: |
The Process of Cultural
Competence in the Delivery of Healthcare Services. Fourth Edition. |
|
Source: |
Cincinnati, OH:
Transcultural C.A.R.E. Associates, 2003. (Book:
114 pages)
|
|
Abstract: |
This book includes a model
of cultural competence, and an instrument (IAPCC-R) based on this model, to
measure the cultural competence of healthcare professionals. The author takes healthcare professionals
on a personal journey towards cultural competence in healthcare
delivery. This journey includes
examining the author’s practice model of cultural competence, the process
of cultural competence in the delivery of healthcare services. The author discusses clinical application
of the model's constructs of cultural desire, cultural awareness, cultural
knowledge, cultural skill, and cultural encounters. Based on this model, the author also
provides healthcare professionals with an instrument, inventory for
assessing the process of cultural competence among healthcare professionals
to assess their own level of cultural competence (author). Available From: Transcultural
C.A.R.E. Associates, Dr. Campinha-Bacote, 11108 Huntwicke Place,
Cincinnati, OH 45241, (513) 469-1664,
www.transculturalcare.net/Resources.htm (COST: $20.00). |
|
|
Order #: 12912 |
|
Authors: |
Doty, H.,
Weech-Maldonado, R.
|
|
Title: |
Racial/Ethnic
Disparities in Adult Preventive Dental Care Use. |
|
Source: |
Journal of Health Care for
the Poor and Underserved 14(4): 516-534, 2003. (Journal Article: 18 pages)
|
|
Abstract: |
This study examines
whether adult preventive dental care utilization differs by
ethnicity/race. According to the
authors, logistic regression results find that controlling only for
predisposing characteristics (gender, age, education, and health status),
African Americans, Mexican Americans, and Other race/ethnicity are less
likely than whites to utilize dental services. The article states that the effects are
no longer significant when enabling resource variables are included in the
model (income level, insurance, census region, and metropolitan statistical
area). Interactions between
race/ethnicity and insurance status show that privately insured racial/ethnic
minority groups do not differ from privately insured whites in their
utilization of dental services.
Similarly, the preventive dental care utilization of publicly
African Americans and Other Hispanics does not differ significantly from
privately insured whites. However,
publicly insured whites, Mexican Americans, and individuals of Other
race/ethnicity have significantly lower odds of utilizing dental services
relative to whites with private insurance (authors). |
|
|
Order #: 12599 |
|
Authors: |
Gay,
Lesbian, Bisexual, and Transgender Health Access Project.
|
|
Title: |
Community Standards of
Practice for Provision of Quality Health Care Services for Gay, Lesbian,
Bisexual, and Transgendered Clients. |
|
Source: |
Boston, MA: GLBT Health
Access Project, 2003. (Guide: 7 pages)
|
|
Abstract: |
These standards were
created to improve gay, lesbian, bisexual, and transgendered (GLBT)
clients' access to quality care and to assist clinicians and their
facilities in creating responsive environments. These standards were guided
by four principles: the elimination of discrimination on the basis of
sexual orientation and gender identity; the promotion and provision of full
and equal access to services; the
elimination of stigmatization of GLBT people and their families; and the
creation of health service environments where it is safe for people to be
"out" to their providers. The resulting community standards of
practice and quality indicators outlined in this document will guide and
assist providers in achieving these goals. The standards address both
agency administrative practices and service delivery components (authors). Available
From: GLBT Health Access Project, JRI Health, 100 Boylston Street Suite #
815, Boston, MA 02116, (617) 988-2605, www.glbthealth.org/sop.html |
|
|
Order #: 12644 |
|
Authors: |
Health
Resources and Services Administration.
|
|
Title: |
Women's Health USA
2003. |
|
Source: |
Rockville, MD: Health
Resources and Services Administration, 2003. (Book: 80 pages)
|
|
Abstract: |
This booklet is the second
edition of the Women's Health USA data book, and selectively includes
emerging issues and trends in women's health. New topics included in this edition are:
data and information on incarcerated women, immigrant women, breastfeeding,
medication use, bleeding disorders, and the Health Resources and Services
Administration (HRSA) programs and populations. The authors claim that racial and ethnic
disparities as well as sex disparities are highlighted. The booklet profiles women's health from
a variety of data sources, and brings together the latest possible
information from various agencies within the Federal Government (authors). Available
From: Health Resources and Services Administration, Maternal and Child
Health Bureau, 5600 Fishers Lane, Room 18-05, Rockville, MD 20857, (301)
443-2170, www.mchb.hrsa.gov. |
|
|
Order #: 12835 |
|
Authors: |
Howard,
D.
|
|
Title: |
Are the Treatment Goals
of Culturally Competent Outpatient Substance Abuse Treatment Units
Congruent With Their Client Profile? |
|
Source: |
Journal of Substance Abuse
Treatment 24(2): 103-113, 2003. (Journal
Article: 13 pages)
|
|
Abstract: |
This study examines whether
organizational treatment goals varied among outpatient substance abuse
treatment (OSAT) units identified as providing a level of culturally
competent care for African Americans. Cross-sectional data from the 1995
National Drug Abuse Treatment System Survey (NDATSS) was used. Of the
nationally representative, stratified sample of 699 units, 618
participated. Spearman correlation, analysis of variance, Behrens-Fisher
t-tests, chi-square, and multivariate logistic regression were used.
Culturally competent units, even after controlling for organizational and
client characteristics, were more apt than non-culturally competent units
to indicate that achieving steady employment, spiritual strength, and
physical health were important treatment goals. A congruency exists among
culturally competent OSAT units between the client profile, which is more
distressful than that for non-culturally competent units, and the
orientation of treatment goals, which are more holistic; that is, treating
the total individual, rather than the addiction only (authors). |
|
|
Order #: 12836 |
|
Authors: |
Howard,
D.
|
|
Title: |
Culturally Competent
Treatment of African American Clients Among a National Sample of Outpatient
Substance Abuse Treatment Units. |
|
Source: |
Journal of Substance Abuse
Treatment 24(2): 89-102, 2003. (Journal
Article: 13 pages)
|
|
Abstract: |
This study measures the
level of cultural competency with respect to African American clients that
exists among a national sample of outpatient substance abuse treatment
(OSAT) units and determines the relationship of cultural competency to
various characteristics of these units and their clients. The study
utilizes cross-sectional data from the 1995 National Drug Abuse Treatment
System Survey (NDATSS). The sample for NDATSS was randomly selected from a
comprehensive list of OSAT programs compiled by the Institute for Social
Research at the University of
Michigan in 1994. Of the nationally representative,
stratified sample of 699 units, 618 participated. Spearman correlation,
analysis of variance, Behrens-Fisher t-tests, and chi-square were used for
bivariate comparisons. Culturally competent units are typically public,
federal-funded organizations. Staffs of culturally competent units are
typically college-educated with specialized treatment certification. High
severity of illness as well as increased social distresses is pervasive
among the clients of culturally competent units. Consideration of this
client profile may be a key determinant in evaluating the effectiveness of
cultural competency for African American substance abusers (authors). |
|
|
Order #: 12913 |
|
Authors: |
Lukoschek,
P.
|
|
Title: |
African Americans'
Beliefs and Attitudes Regarding Hypertension and Its Treatment: A
Qualitative Study. |
|
Source: |
Journal of Health Care for
the Poor and Underserved 14(4): 566-587, 2003. (Journal Article: 21 pages)
|
|
Abstract: |
In this article, the
author explores the health beliefs known to influence nonadherence among
hypertensive African Americans.
These individuals were recruited from an urban, public hospital and
divided into two categories: adherent, well-controlled versus nonadherent,
poorly controlled participants.
Separate focus group sessions were held for each category. According to the author, patients proved
similar with respect to sociodemographic variables but varied in the
duration of hypertension. Some
beliefs were mentioned more often among nonadherent participants than among
adherent participants when describing medical treatments and physicians'
encounters. Some patients perceived
medication to be harmful and noneffective, and some expressed distrust of
pharmaceutical companies and physicians, believing them to use patients for
experimentation to test medications.
Their descriptions of dialogues with physicians suggested
authoritarian and ethnicity-inappropriate communication patterns. The authors suggest integrating health
beliefs into educational interventions and physician-patient communication
as methods to reduce nonadherence rates among African Americans (author). |
|
|
Order #: 13045 |
|
Authors: |
Mottet,
L., Ohle, J.
|
|
Title: |
Transitioning Our
Shelters: A Guide to Making Homeless
Shelters Safe for Transgender People. |
|
Source: |
Washington, DC: National Gay and Lesbian Task Force Policy
Institute, 2003. (Report: 51 pages)
|
|
Abstract: |
This guide is a joint
publication of the National Coalition for the Homeless (NCH) and the
National Gay and Lesbian Task Force. Earlier this year, the NCH adopted a
nondiscrimination resolution covering transgender people. The guide
combines the transgender expertise of the Task Force with NCH's expertise
on shelters to produce a usable guide that is suitable for homeless
shelters across the country (authors). Available From: National Gay and
Lesbian Task Force Policy Institute, 1325 Massachusetts Avenue NW, Suite
600, Washington, DC 20005, (202) 393-5177, www.ngltf.org. |
|
|
Order #: 13369 |
|
Authors: |
National Center for Cultural Healing.
|
|
Title: |
Cultural Competence and
Health Care: Module 7. Continuing
Education for Health Service Providers in Psychology. |
|
Source: |
Reston, VA: National Center for Cultural Healing, 2003. (Bibliography:
11 pages)
|
|
Abstract: |
This bibliography provides
an extensive list of books, reports, curricula and articles on mental
health issues in cultural competence.
A wide range of topics are covered under this theme, including
children, ethnic populations, rural issues, health care barriers, and
gender differences. These publications
are available through the National Center for Cultural Healing only (authors). Available From: National
Center for Cultural Healing, 2331 Archdale Road, Reston, VA 20191, (703)
626-1619, www.culturalhealing.com/mentalhealth.htm |
|
|
Order #: 12613 |
|
Authors: |
New York State Office of Mental Health.
|
|
Title: |
Cultural Competence and
Evidence-Based Practices. |
|
Source: |
Albany, NY: New York State Office of Mental Health, 2003. (Fact
Sheet: 2 pages)
|
|
Abstract: |
Cultural competence is
provision of effective and respectful care that is compatible with the
cultural health and mental health beliefs, practices and languages of the
people receiving services. Cultural
Competence activities need to be imbedded within all stages of development,
implementation and evaluation of evidence-based practices. Readiness for
implementation needs to include skill development and policy guidance to
ensure clinical and administrative practices are responsive to the
diversity of the population served. Assessment of systems and providers
needs to evaluate effectiveness of evidence-based practices across cultures
and continue to build the evidence base for strategies demonstrated to be
effective for everyone receiving the service (authors). Available From: Cathy
Cave, Cultural Competence Coordinator, New York State Office of Mental
Health, 44 Holland Avenue, Albany, NY 12229, (518) 408-2026,
ccave@omh.state.ny.us,
www.omh.state.ny.us/omhweb/ebp/culturalcompetence.htm |
|
|
Order #: 13378 |
|
Authors: |
Queensland Health.
|
|
Title: |
Cultural Diversity: A
Guide for Health Professionals. |
|
Source: |
Brisbane, Queensland: Queensland Health, 2003. (Guide:
1 pages)
|
|
Abstract: |
This web-based guide
provides basic information about different community groups and sections of
the population. The guide includes the demography and epidemiological,
cultural and migration backgrounds of a select number of ethnic groups in Queensland. The
authors also refer to key issues including children and young people, women
and major life cycle events such as pregnancy and birth, and torture and
trauma. Each section also includes contact information, general community
information, and summary data from research conducted with these
communities (authors). Available From: Queensland Health Building, 147-163 Charlotte Street, Brisbane Queensland 4000,
http://203.147.140.236/multicultural/cultdiv/default.asp. |
|
|
Order #: 12615 |
|
Authors: |
Siegel,
C., Haugland, G.
|
|
Title: |
The Convergence Between
Cultural Competency and Evidence-Based Practice. |
|
Source: |
Baltimore, MD: National Association of State Mental Health
Program Directors Research Institute, 2003. (Presentation: 20 pages)
|
|
Abstract: |
This paper indicates that
both national and state mental health agencies are promoting the
dissemination and implementation of evidence-based practices into the
service delivery community. The authors question whether evidence-based
practices can be expected to work in environments in which issues related
to cultural diversity have not yet been addressed. The authors state that Cultural
Competency (CC) has been posited as a mechanism to reduce the mental health
disparities associated with race, ethnicity and language. Service delivery entities in which CC has
been implemented will be aware of the need to evaluate the suitability of
an evidence-based practice to the cultural groups it serves, and if deemed
suitable, to adapt these practices for these groups. Fidelity to the models of evidence-based
practice needs to be measured in terms of these adaptations, and appraisals
of success of these practices need to include culture specific outcomes. The implementation of evidence-based
practices should walk hand in hand with the adoption of CC into a service
delivery entity (authors). Available From: National Association of State
Mental Health Program Directors Research Institute, 66 Canal Center Plaza,
Suite 302, Alexandria, VA 22314, (703) 739-9333, www.nri-inc.org/conference/Conf03/siegel,haughland.ppt. |
|
|
Order #: 13340 |
|
Authors: |
Siegel,
C., Haugland, G., Chambers, E.D.
|
|
Title: |
Cultural Competency
Methodological and Data Strategies to Assess the Quality of Services in
Mental Health Systems of Care: Cultural Competency Assessment Scale.
Service Delivery Agency Level. |
|
Source: |
Orangeburg, NY: Center for the Study of Issues in Public Mental
Health, 2003. (Instrument: 16 pages)
|
|
Abstract: |
This scale was derived
from the work of the two phase SAMHSA/CMHS funded project conducted in
prior years in which performance measures of cultural competency (CC) in
behavioral healthcare settings were selected and benchmarked. An expert
panel of persons from the four major racial/ethnic groups in the U.S., experts in CC, providers, consumers and planning
persons guided the work, in addition to consumer focus group reviews. A
small group of these panel members used the measures and their benchmarks
to set the criteria to be measured, within 11 areas, and these became the
basis of the scale. For each area, an agency’s performance is rated on a five
point scale, with four levels of the scale related to a specific
performance measure and its benchmark and the first level reserved to
indicate no action. The rating of 5 on an item represents the ideal
condition that the expert panel felt was attainable. Use of the scale is
simpler than applying the long list of measures that had been developed.
Its use is expected to move and promote organizations and their personnel
toward culturally competent behaviors in the delivery of mental health
services. The CC Assessment Scale is fully compatible with prior work of
other groups and in particular with the CLAS standards (authors). Available
From: Center for the Study of Issues in Public Mental Health, Nathan S.
Kline Institute, 140 Old Orangeburg Road, Orangeburg, NY 10962, (845) 398-6582, www.rfmh.org |
|
|
Order #: 14013 |
|
Authors: |
Van
Servellen, G., Carpio, F., Lopez, M., Garcia-Teague, L, Herrera, G.,
Monterrosa, F., Gomez, R., Lombardi, E.
|
|
Title: |
Program to Enhance
Health Literacy and Treatment Adherence in Low-Income HIV-Infected Latino
Men and Women. |
|
Source: |
AIDS Patient Care and STDs
17(11): 581-594, 2003. (Journal Article:
14 Pages)
|
|
Abstract: |
This paper reports the
initial results of a pilot study to evaluate the acceptability and
effectiveness of a program to enhance health literacy in low-income
HIV-infected Latino men and women receiving antiretroviral therapy.
Participants rated the program highly on measures of satisfaction,
providing evidence of its acceptability. The effectiveness of the program
was assessed in comparisons of the intervention and standard care only
groups at baseline and 6-week intervals. Program participants showed significant
improvement over comparison group participants on measures of HIV/AIDS and
treatment-related knowledge and recognition and understanding of HIV terms.
Although there were no significant changes in adherence mastery and
behaviors during the six week follow up period, there were significant
changes in program participants' knowledge about medication adherence.
Future steps to examine the sustainability of the program in the medical
management of patients are planned in addition to determining its long-range
relative impact (authors). |
|
|
Order #: 11165 |
|
Authors: |
American
Journal of Public Health.
|
|
Title: |
Women of Color. |
|
Source: |
American Journal of Public
Health 92: 501-688, 2002. (Journal:Entire
Issue: 188 pages)
|
|
Abstract: |
This issue discusses
health issues for minority women. It
has a special section on the future health needs of minority women as well
as a section on rural health and women of color. There is also a collection of articles on
research and practice on minority women's health issues. In total there are 29 articles in this
issue devoted to these topics. |
|
|
Order #: 11737 |
|
Authors: |
Betancourt,
J., Green, A., Carrillo, E.
|
|
Title: |
Cultural Competence in
Health Care: Emerging Frameworks and
Practical Approaches. |
|
Source: |
New York, NY: The
Commonwealth Fund, 2002. (Report: 30 pages)
|
|
Abstract: |
The field of cultural competence
has recently emerged as part of a strategy to reduce disparities in access
to and quality of health care. Since
this is an emerging field, efforts to define and implement the principles
of cultural competence are still ongoing.
To provide a framework for discussion and examples of practical
approaches to cultural competence, this report set out to evaluate current
definitions of cultural competence and identify benefits to the health care
system by reviewing the medical literature and interviewing health care
experts in government, managed care, academia and community health care
delivery. It also identifies models
of culturally competent care and determines key components of cultural
competence and develops recommendations to implement culturally competent
interventions and improve the quality of health care. Available From: The
Commonwealth Fund, One East 75th Street, New York, NY 10021, (212)
606-3800, www.cmwf.org |
|
|
Order #: 13381 |
|
Authors: |
Campinha-Bacote,
J.
|
|
Title: |
Readings and Resources
in Transcultural Health Care and Mental Health. Thirteenth Edition. |
|
Source: |
Cincinnati, OH:
Transcultural C.A.R.E. Associates, 2002. (Monograph:
389 pages)
|
|
Abstract: |
This monograph is for
healthcare providers and healthcare organizations that are interested and
committed to the process of striving towards cultural competence in
healthcare service and delivery. The
"Readings" section is comprised of articles that are all authored
or co-authored by Dr. Campinha-Bacote.
The "Resources" section contains materials that can assist
organizations in learning and/or obtaining more information about a
specific area in cultural competence. This section will also provide the
reader with information about available resources on specific ethnically
and culturally diverse populations (author). Available From: Transcultural
C.A.R.E. Associates, Dr. Campinha-Bacote, 11108 Huntwicke Place,
Cincinnati, OH 45241, (513) 469-1664, www.transculturalcare.net/Resources.htm
(COST: $45.00). |
|
|
Order #: 12193 |
|
Authors: |
Center
for Substance Abuse Treatment.
|
|
Title: |
Appendix C--Cultural
Competence. |
|
Source: |
In Simple Screening
Instruments for Outreach for Alcohol and Other Drug Abuse and Infectious
Diseases: Treatment Improvement Protocol Series 11. Washington, DC: U.S
Department of Health and Human Services, SAMHSA, CSAT, 2002. (Book Chapter: 12 pages)
|
|
Abstract: |
This appendix includes two
articles on cultural competence. The first article, "Cultural
Sensitivity: Treatment for Diversity," was published in the
July/August 1992 issue of The Counselor, a publication of the National
Association of Alcoholism and Drug Abuse Counselors. For the article, the
association invited several treatment professionals to share their views on
prejudice and cultural sensitivity.
The second article, "Self-Instruction to Prevent HIV Infection
Among African-American and Hispanic-American Adolescents," was
published in 1990 in the Journal of Consulting and Clinical Psychology, a
publication of the American Psychological Association. The authors report
the results of a study in which different interventions were used to
instruct adolescents about avoiding behavioral risks for HIV infection
(authors). Available From: National Clearinghouse for Alcohol and Drug
Information, P.O. Box 2345, Rockville, MD 20852, (800) 729-6686.
www.health.org |
|
|
Order #: 11992 |
|
Authors: |
Coridan,
C., O'Connell, C.
|
|
Title: |
Meeting the Challenge:
Ending Treatment Disparities for Women of Color. |
|
Source: |
Alexandria, VA: National
Mental Health Association, 2002. (Report:
22 pages)
|
|
Abstract: |
This report, based on
research which clearly shows that women are more likely than men to
experience co-occurring mental health and substance abuse/addiction
disorders, focuses on the increased need women have for comprehensive
treatment models. Due to the
majority of persons who suffer from addictive disorders, women of minority
status are often unaware of, or unable to access appropriate services. When women of color who have mental
health problems, substance abuse/addiction and co-occurring disorders seek
help, they can encounter inadequate and irrelevant treatment programs with
little or no sensitivities to specific gender, racial and cultural
issues. This report provides
research-based information, strategies and action steps for grant writing
and other funding, advocacy, coalition building, community services
assessments and program development (authors). Available From: National
Mental Health Association, 2001 North Beauregard Street, 12th Floor,
Alexandria, VA 22311, (800) 969-NMHA , www.nmha.org. |
|
|
Order #: 10957 |
|
Authors: |
Fiscella,
K., Franks, P., Doescher, M.P., Saver, B.G.
|
|
Title: |
Disparities in Health
Care by Race, Ethnicity, and Language Among the Insured. |
|
Source: |
Medical Care 40 (1):
52-59, 2002. (Journal Article: 8 pages)
|
|
Abstract: |
This study's objective was
to examine the effect of access barriers, including English fluency, on
racial and ethnic disparities in health care. Cross-sectional analysis of the Community
Tracking Survey (1996-1997) was used with adults 18 to 64 years with
private or Medicaid health insurance.
Independent variables included race, ethnicity, and English
fluency. Dependent variables
included having had a physician or mental health visit, influenza
vaccination, or mammogram during the past year. The health care use pattern
for English-speaking Hispanic patients was not significantly different than
for non-Hispanic white patients in the crude or mulitvariate models. In contrast, Spanish-speaking Hispanic
patients were significantly less likely than non-Hispanic white patients to
have had a physician visit, mental health visit. After adjustment for predisposing, need,
and enabling factors, Spanish-speaking Hispanic patients showed
significantly lower use than non-Hispanic white patients across all four
measures. Black patients had a
significantly lower crude relative risk of having received influenza
vaccination. Adjustment for
additional factors had little impact on this effect, but resulted in black
patients being significantly less likely than non-Hispanic white patients
to have had a visit with a mental health professional. Among insured nonelderly adults, there
are appreciable disparities in health-care use by race and Hispanic
ethnicity. Ethnic disparities in
care are largely explained by differences in English fluency, but racial
disparities in care are not explained by commonly used access factors
(authors). |
|
|
Order #: 13385 |
|
Authors: |
Harden,
E.
|
|
Title: |
Rural Health Care: Cultural Competency Education and
Awareness Manual. |
|
Source: |
Kansas City, MO: National
Rural Health Association, 2002. (Manual:
48 pages)
|
|
Abstract: |
This manual covers various
aspects of cultural and ethnic awareness and is designed to help healthcare
practitoners recognize the differences between segments of the population.
This manual is designed to help prevent practioners and consumers from
misunderstanding and misinterpreting each other.The effectiveness of
healthcare providers in reaching and working with multicultural populations
rests heavily upon the sensitivity, respect, and understanding paid to
racial and ethnic diversity. Available From: National Rural Health
Association, One West Armour Blvd., Suite 203, Kansas City, MO 64111, (816) 756-3140, www.nrharural.org
(COST: $60.00). |
|
|
Order #: 13386 |
|
Authors: |
Harden,
E.
|
|
Title: |
Rural Health Care:
Cultural Competency Education and Awareness Workbook. |
|
Source: |
Kansas City, MO: National
Rural Health Association, 2002. (Workbook:
36 pages)
|
|
Abstract: |
This workbook accompanies
the Cultural Competency Education and Awareness Manual, which covers
various aspects of cultural and ethnic awareness and is designed to help
healthcare practitioners recognize the differences between segments of the
population. The effectiveness of healthcare providers in reaching and
working with multicultural populations rests heavily upon the sensitivity,
respect, and understanding paid to racial and ethnic diversity (author). Available
From: National Rural Health Association, One West Armour Blvd., Suite
203, Kansas City, MO 64111, (816) 756-3140, www.nrharural.org
(COST: $60.00). |
|
|
Order #: 11856 |
|
Authors: |
Health
Care for the Homeless Clinician's Network.
|
|
Title: |
Crossing to Safety:
Transgender Health and Homelessness. |
|
Source: |
Healing Hands 6(4): 2002.
(Newsletter: 6 pages)
|
|
Abstract: |
This newsletter contains
articles written to enhance understanding of gender variance and to
illustrate ways in which clinicians can provide a safe and comfortable
"medical home" for transgender clients who are otherwise
homeless. Persons who identify with
a gender that differs from the sex assigned to them at birth are at high
risk for social isolation, physical and emotional trauma, chemical
dependency, infectious disease, and discrimination limiting their access to
employment, housing, and health care. Homelessness compounds these risks
(authors). Available From: National Health Care for the Homeless Council,
P.O. Box 60427, Nashville, TN 37206, (615) 226-2292, www.nhchc.org |
|
|
Order #: 11182 |
|
Authors: |
Health
Care for the Homeless Clinician's Network.
|
|
Title: |
Paso a Paso: Step by
Step Toward Cultural Competence. |
|
Source: |
Healing Hands 6(1): 2002.
(Newsletter: 4 pages)
|
|
Abstract: |
Achieving cultural
competence - the ability to communicate effectively across different
linguistic and cultural traditions - is necessarily a gradual process. For clinicians, this requires close
examination of health-related attitudes and beliefs - their clients' and
their own. The articles in this
issue suggest some steps that homeless health care providers can take to
begin the journey. To simplify this
task while illustrating its complexity, the authors have chosen to focus on
the clinical challenges presented by homeless persons whose primary
language is Spanish, and how experienced clinicians are meeting them. Many of the lessons learned from these
service providers are applicable to other cultural groups (authors). Available
From: National Health Care for the Homeless Council, P.O. Box 60427,
Nashville, TN 37206, (615) 226-2292, www.nhchc.org |
|
|
Order #: 13367 |
|
Authors: |
Jacobs,
E.
|
|
Title: |
Language Access
Services. |
|
Source: |
Washington, DC: Office of
Minority Health, 2002. (Concept Paper:
15 pages)
|
|
Abstract: |
This paper provides input
to the National Advisory Committee for the design and definition of
curriculum modules on culturally competent care based on the corresponding
subset of National Standards for Culturally and Linguistically Appropriate
Services in Health Care (CLAS) Standards. The author focuses on the core
knowledge and competencies of working with limited English proficient (LEP)
persons that family physicians should be able to demonstrate. The paper
outlines these competencies and the range of possible educational
approaches to teaching family physicians how to develop and maintain their
skills in addressing the needs of their LEP patients. The author also
includes references to research supporting the inclusion of this type of
curriculum into medical education and training (author). Available From: Office
of Minority Health, P.O. Box 37337, Washington, DC 20013, (800) 444-6472,
www.cultureandhealth.org/cccm/progress/jacobsfinal.pdf. |
|
|
Order #: 14189 |
|
Authors: |
Kraybill,
K.
|
|
Title: |
Outreach to People
Experiencing Homelessness: A Curriculum for Training Health Care for the
Homeless Outreach Workers. Module 2D: Cultural Competence in Outreach. |
|
Source: |
Nashville, TN: National
Health Care for the Homeless Council, 2002. (Module: 11 Pages)
|
|
Abstract: |
The purpose of this module
is to: help participants connect issues of diversity and cultural
competency with their own experience; gain a clearer understanding of the
cultural issue that cuts across every encounter with homeless people-what
it means to live in extreme poverty; to define cultural competence and
describe its key elements; to test personal knowledge about quality health
care and culture via a self-quiz; to explore issues relevant to cultural
competence for health care providers through an interactive web-based
medium; to learn about cultural competence in the provision of health care
for underserved and unserved populations; and to promote the development of
culturally competent practice in outreach. Available From: National Health
Care for the Homeless Council, P.O. Box 60427, Nashville, TN 37206, (615)
226-2292, www.nhchc.org/Curriculum/module2/module2D/module2d.htm |
|
|
Order #: 13347 |
|
Authors: |
Linkins,
K., McIntosh, S., Bell, J., Chong, U.
|
|
Title: |
Indicators of Cultural
Competence in Health Care Delivery Organizations: An Organizational
Cultural Competence Assessment Profile. |
|
Source: |
Falls Church, VA: The
Lewin Group, 2002. (Report: 19 pages)
|
|
Abstract: |
This report is an analytic
or organizing framework and set of specific indicators to be used as a tool
for examining, demonstrating, and documenting cultural competence in
organizations involved in the direct delivery of health care and services.
According to the authors, the report is most pertinent for organizations
that are community-oriented, and is designed to be adapted, modified, or
applied in ways that best fit within an organization’s context. This report is a first step along a continuum that
includes further refinement of the indicators, identification of particular
qualitative or quantitative measures for each indicator, identification or
development of data sources and data collection instruments, and formal
field testing. Available From: The Lewin Group, 3130 Fairview Park Drive,
Suite 800, Falls Church, VA 22042, (703) 269-5500,
www.hcbs.org/files/19/937/CulturalCompetenceReport.pdf. |
|
|
Order #: 10953 |
|
Authors: |
Oddone,
E.Z., Petersen, L.A., Weinberger, M., Freedman, J., Kressin, N.R.
|
|
Title: |
Contribution of the
Veterans Health Administration in Understanding Racial Disparities in
Access and Utilization of Health Care. |
|
Source: |
Medical Care 40 (1):
I-3-I-13, 2002. (Journal Article: 11 pages)
|
|
Abstract: |
The authors first
introduce the context and reasons for conducting racial variation research
with regard to health care disparities in the veterans population. They discuss four general paradigms for
explaining these disparities and continue with more specific factors. The section on clinical factors includes
a discussion of ischemic heart disease, cerebral vascular disease, and
mental health disorders. The section
on the role of the patient includes a discussion on patient perceptions of
health, patient preferences, patient trust and satisfaction, and
patient-physician interaction.
Finally, the section on the role of the provider includes a
discussion on provider education. |
|
|
Order #: 13376 |
|
Authors: |
Office of
Minority Health.
|
|
Title: |
A Practical Guide for
Implementing the Recommended National Standards for Culturally and
Linguistically Appropriate Services in Health Care. |
|
Source: |
Washington, DC: Office of
Minority Health, 2002. (Guide (DRAFT):
6 pages)
|
|
Abstract: |
This guide targets health
care organizations that provide patient care and evaluates how well the
organization meets national cultural competence guidelines; provides a
practical and easy, step-by-step guide to conduct and interpret a CLAS
audit; and provides guidance on implementation of the CLAS Standards. The assessment section consists of six
Institutional Audit Checklists arranged by topic areas, including: present
and future patient demographics; present staff demographics; assessment of
leadership; evaluation of current actions to enhance cultural and
linguistic competence; patient/community access to culturally and
linguistically appropriate care; and; community involvement, input and
support. The Institutional Audit
Checklists are one section of a multi-part guide, which includes the
following modules: rationale for CLAS; conducting and interpreting a
cultural self-audit; strategic planning; delivering effective,
understandable, and respectful care; promoting diversity throughout the
organization; providing language access services; ongoing staff training;
developing partnerships with community organizations; and, the annual
self-assessment and evaluation. Each
module includes checklists, forms, and syllabi with instructions for use
and interpretation of results (authors). Available From: Office of Minority
Health, P.O. Box 37337, Washington, D.C. 20013, (800) 444-6472,
www.omhrc.gov/clas/guide2a.asp. |
|
|
Order #: 11738 |
|
Authors: |
Saldana,
D.
|
|
Title: |
Cultural
Competency: A Practical Guide for
Mental Health Service Providers. |
|
Source: |
Austin, TX: The Hogg Foundation, 2002. (Guide: 23
pages)
|
|
Abstract: |
Cultural competency can be
defined as a set of congruent behaviors, attitudes, and policies that come
together in a system, agency, or among professionals that enable them to
work effectively in cross-cultural situations. The cultural appropriateness of mental
health services may be the most important factor in the accessibility of
services by people of color.
Developing culturally sensitive practices can help reduce barriers
to effective treatment utilization.
This guidebook provides recommendations on how providers can improve
the delivery of mental health services to culturally diverse groups using
appropriate assessments, translators and outreach. Available From: Hogg
Foundation for Mental Health, The University of Texas at Austin, P.O. Box
7998, Austin, TX 78713, (888) 404-4336, http://hogg1.lac.utexas.edu. |
|
|
Order #: 13371 |
|
Authors: |
Seah, E.,
Tilbury, F., Wright, B., Rooney, R., Jayasuriya, P.
|
|
Title: |
Cultural Awareness
Tool: Understanding Cultural
Diversity in Mental Health. |
|
Source: |
Parramatta, BC:
Multicultural Mental Health Australia, 2002. (Toolkit: 66 pages)
|
|
Abstract: |
The Cultural Awareness
Tool (CAT) aims to provide general guidance to health and mental health
practitioners in how to manage clients with a mental illness in a more
culturally aware way. The CAT is designed as a first step in developing
cultural competence. The authors assert that based on usage of this tool,
health and mental health practitioners will further develop their own
knowledge concerning culturally-sensitive care. The tool contains questions designed to elicit
the client’s explanatory model of their illness and medical encounter, and
how the patient’s cultural background affects their health beliefs and
behaviors. The tool also includes general information on how to interact
with a client from a different ethnic background, including the use of interpreters
(authors). Available From: Multicultural Mental Health Australia, Locked
Bag 7118, Parramatta BC 2150,
www.mmha.org.au/MMHAPublications/Store/cat.pdf. |
|
|
Order #: 11702 |
|
Authors: |
Sherer,
R.A.
|
|
Title: |
Surgeon General's
Report Highlights Mental Health Problems Among Minorities. |
|
Source: |
Psychiatric Times 19(3):
1-4, 2002 (Journal Article: 4 pages)
|
|
Abstract: |
In this article, the
author uses historical and sociocultural factors to analyze the particular
mental health care needs of each minority group. Specific mental health care needs for
both adults and children are discussed and attention is given to high-speed
populations and culturally-influenced syndromes within the group. The article also includes a discussion of
the availability of care, the appropriateness of available treatments,
diagnostic issues and best practices related to the group. The author provides bulleted listings of
findings contained in the report on African Americans, American Indians,
and Alaskan Natives, Hispanic Americans, Asian Americans and Pacific
Islanders (author). |
|
|
Order #: 11852 |
|
Authors: |
Siegel,
C., Haugland, G., Chambers, E.D.
|
|
Title: |
Cultural Competency
Methodological and Data Strategies to Assess the Quality of Services in
Mental Health Systems of Care: A Project to Select and Benchmark
Performance Measures of Cultural Competency. |
|
Source: |
Orangeburg, NY: Center for
the Study of Issues in Public Mental Health, 2002. (Report: 89 pages)
|
|
Abstract: |
This study used an
implementation logic model which was developed related to the stages of
implementation of cultural competency (CC) procedures within a mental
health care organization. Measures
were identified related to each of these stages for three organizational
levels: administrative, provider and individual. An expert panel of multicultural
stakeholders reduced the set to a feasible list and made an assessment of
the earliest stage in the implementation process in which a measure could
be applied . Twenty good practice sites were identified by the Expert
Panel, and a telephone survey was used to query key informants in these
sites on the valuation of these measures in their organizations. The Panel
used the survey responses to set benchmarks, but set them at the highest
levels that they deemed could be achieved by an organization, rather than
on the norms of the survey data, so that the benchmarks would serve to
signal the directions in which organizations must move in order to achieve
higher levels of CC. Benchmarks were
set for the administrative and service entities levels. It was recognized that CC had to be in
place at the organizational levels before individual caregivers and support
staff could be evaluated for their cultural competence. Problematic issues
related to financial implications were identified around definitions of
cultural groups, threshold levels, and service coverage areas. The selected
measures were re-reviewed to insure that they could be used to guide an
implementation process and to support the integration of CC throughout the
organizational levels of an organization.
The selected list speaks to the structures that should exist, the
processes that should take place and the outcomes that should be achieved
to indicate that CC is in place. Available From: Center for the Study of
Issues in Public Mental Health, Nathan S. Kline Institute, 140 Old
Orangeburg Road, Orangeburg NY 10962, (845) 398-6582,
www.rfmh.org/csipmh/other_cc.pdf |
|
|
Order #: 11482 |
|
Authors: |
Smedley,
B., Stith, A.Y., Nelson, A.R.
|
|
Title: |
Unequal Treatment:
Confronting Racial and Ethnic Disparities in Health Care. |
|
Source: |
Washington, DC: National
Academy Press, 2002. (Report: 586 pages)
|
|
Abstract: |
Racial and ethnic
minorities tend to receive a lower quality of healthcare than non-minorities,
even when access-related factors, such as patients' insurance status and
income, are controlled. The sources
of these disparities are complex, are rooted in historic and contemporary
inequities, and involve many participants at several levels, including
health systems, their administrative and bureaucratic processes,
utilization managers, healthcare professionals, and patients. Consistent with the charge, the study
committee focused part of its analysis on the clinical encounter itself,
and found evidence that stereotyping, biases, and uncertainty on the part
of healthcare providers can all contribute to unequal treatment. The conditions in which many clinical
encounters take place - characterized by high time pressure, cognitive
complexity, and pressures for cost-containment - may enhance the likelihood
that these processes will result in care poorly matched to minority
patients' needs. Minorities may
experience a range of other barriers to accessing care, even when insured
at the same level as whites, including barriers of language, geography, and
cultural familiarity. Further,
financial and institutional arrangements of health systems, as well as the
legal, regulatory, and policy environment in which they operate, may have
disparate and negative effects on minorities' ability to attain quality
care. Available From: National Academy Press, 2101 Constitution Avenue,
N.W., Box 285, Washington, DC, 20055, 800-624-6242, www.nap.edu. |
|
|
Order #: 13373 |
|
Authors: |
University
of California at San Francisco Center for the Health Professions.
|
|
Title: |
Cultural Competency
Training Template. |
|
Source: |
San Francisco, CA:
University of California at San Francisco, Center for the Health
Professions, 2002. (Curriculum: 2 pages)
|
|
Abstract: |
This template is a
suggested outline for a half-day training that teaches the basics about
cultural competency to health professionals, whether they are students or
experienced clinicians. The authors designed the session to incorporate the
domains of knowledge, awareness and communication skills that relate to
health disparities and cultural competency in a half-day workshop. This template identifies the overall
learning objectives for this training, the domains (knowledge, awareness,
skills) included in the training and corresponding exercises and content
(authors). Available From: University of California at San Francisco,
Center for the Health Professions, 3333 California Street, Suite 410, San
Francisco, CA 94118, http://futurehealth.ucsf.edu/pdf_files/Halfdaytemplate-network.pdf. |
|
|
Order #: 13368 |
|
Authors: |
Weech-Maldonado,
R.
|
|
Title: |
Organizational Support
Standards for Culturally and Linguistically Appropriate Services (CLAS):
Core Concepts, Content Knowledge, and Core Skills. |
|
Source: |
Washington, DC: Office of
Minority Health, 2002. (Concept Paper:
16 pages)
|
|
Abstract: |
This paper proposes the
administrative competencies needed to implement the policies and programs
standards 8-14, set forth by the national standards for culturally and
linguistically appropriate services (CLAS).
The proposed administrative competencies are classified into four
core areas: managerial epidemiology; strategic planning; quality
improvement; and marketing. The
author asserts that these competencies need to be supported by the
organizational context that includes leadership, organizational culture,
and control systems (author). Available From: Office of Minority Health,
P.O. Box 37337, Washington, DC 20013, (800) 444-6472,
www.cultureandhealth.org/cccm/progress/weech.pdf. |
|
|
Order #: 13366 |
|
Authors: |
Welch, M.
|
|
Title: |
Culturally Competent
Care. |
|
Source: |
Washington, DC: Office of
Minority Health, 2002. (Concept Paper:
19 pages)
|
|
Abstract: |
This paper provides input
to the National Advisory Committee (NAC) for the design and definition of
curriculum modules on culturally competent care based on the corresponding
subset of National Standards for Culturally and Linguistically Appropriate
Services in Health Care (CLAS). The
author was commissioned to write on one of the three main areas of the CLAS
Standards: culturally competent care, and asserts that to communicate with
and treat patients of varying backgrounds, preferences and cultures health
care providers must have a solid understanding of and respect for patients'
differing health beliefs and practices (author). Available From: Office of
Minority Health, P.O. Box 37337, Washington, DC 20013, (800) 444-6472,
www.cultureandhealth.org/cccm/Resources/concept_papers.asp |
|
|
Order #: 11471 |
|
Authors: |
Amaro,
H., Raj, A., Vega, R.R., Mangione, T.W., Perez, L.N.
|
|
Title: |
Racial/Ethnic
Disparities in the HIV and Substance Abuse Epidemics: Communities
Responding to the Need. |
|
Source: |
Public Health Reports
116(5): 434-448, 2001. (Journal Article:
15 pages)
|
|
Abstract: |
In 1998, community leaders
prompted members of the Black and Hispanic Congressional Caucuses to urge
President Clinton to declare HIV/AIDS a crisis in the African American and
Latino communities; their advocacy resulted in the formation of the
Minority AIDS Initiative. As part of
this initiative, the Center for Substance Abuse Prevention (CSAP) of the
Substance Abuse and Mental Health Services Agency funded the Substance
Abuse and HIV Prevention Youth and Women of Color Initiative (CSAP
Initiative). The CSAP Initiative is the
first major federal effort to develop community-based integrated HIV and
substance abuse prevention approaches targeting racial/ethnic populations
that have been disproportionately impacted by HIV/AIDS. This article describes the current state
of HIV prevention research involving racial/ethnic minority populations and
the current status of the CSAP Initiative.
The data collected through the CSAP Initiative, implemented by 47
community organizations, will help to fill the existing knowledge gap about
how to best prevent HIV in these communities. This data collection effort is an
unparalleled opportunity to learn about risk and protective factors,
including contextual factors, that are critical to the prevention of
HIV/AIDS in the African-American, Latino, and other racial/ethnic minority
communities but that are often not investigated (authors). |
|
|
Order #: 13247 |
|
Authors: |
Goode, T.
|
|
Title: |
Engaging Communities to
Realize the Vision of One Hundred Percent Access and Zero Health
Disparities: A Culturally Competent Approach. |
|
Source: |
Washington, DC: National
Center for Cultural Competence, 2001. (Policy
Brief: 10 pages)
|
|
Abstract: |
This brief discusses the
systematic incorporation of cultural and linguistic competence into
organizational policy and structures, and provides health care organizations
with the rationale for engaging communities in a culturally and
linguistically competent manner.
This brief also provides guidance on prerequisite policies that
serve as a foundation for infusing cultural and linguistic competence into
community engagement (author). Available From: National Center for Cultural
Competence, Georgetown University Child Development Center, 3307 M Street
NW, Suite 401, Washington, DC 20007, (800) 788-2066,
http://gucdc.georgetown.edu. |
|
|
Order #: 13245 |
|
Authors: |
Goode,
T., Sockalingam, S., Brown, M, Jones, W.
|
|
Title: |
Linguistic Competence
in Primary Health Care Delivery Systems: Implications for Policy Makers. |
|
Source: |
Washington, DC: National
Center for Cultural Competence, 2001. (Policy
Brief: 7 pages)
|
|
Abstract: |
In this brief, the authors
discuss the challenges linguistic diversity creates for health care
delivery systems. Facts and
statistics regarding the rationale for linguistic competence in public
health care delivery are given, along with a listing of federal laws and
regulations that mandate linguistic competence (authors). Available From: National
Center for Cultural Competence, Georgetown University Child Development
Center, 3307 M Street NW, Suite 401, Washington, DC 20007, (800) 788-2066,
http://gucdc.georgetown.edu. |
|
|
Order #: 8864 |
|
Authors: |
Goode,
T.D.
|
|
Title: |
Getting Started:
Planning, Implementing and Evaluating Culturally Competent Service Delivery
Systems in Primary Health Care Settings. |
|
Source: |
Washington, DC: National
Center for Cultural Competence, 2001. (Instrument:
5 pages)
|
|
Abstract: |
This checklist was
developed by the National Center for Cultural Competence. It is designed to assist programs and
organizations which are concerned with the delivery of primary and
community-based health care, to begin strategic development of policies,
structures, procedures and practices that support cultural and linguistic
competence. It is also designed to
support the campaign launched by the Bureau of Primary Health Care,
"Zero Disparities and One Hundred Percent Access" (author). Available
From: National Center for Cultural Competence, Georgetown University Center
for Children and Human Development, 3307 M Street, NW, Suite 401,
Washington, DC 20007, (800)
788-2066, www.georgetown.edu/research/gucdc/nccc/nccc8.html |
|
|
Order #: 13349 |
|
Authors: |
Health
Resources and Services Administration.
|
|
Title: |
Cultural Competence
Works. |
|
Source: |
Merrifield, VA: HRSA
Information Center, 2001. (Report: 75 pages)
|
|
Abstract: |
This report can be used as
a tool to help health care professionals become more culturally and
linguistically competent in delivering health care to individuals and
families from diverse backgrounds.
The authors profile the practices used to provide culturally
competent care and describes an approach to cultural competency that is
based on the following eight principles: define culture broadly; value
clients’ cultural beliefs; recognize complexity in language interpretation;
facilitate learning between providers and communities; involve the
community in defining and addressing service needs; collaborate with other
agencies; professionalize staff hiring and training; and, institutionalize
cultural competence (authors). Available From: HRSA Information Center,
P.O. Box 2910, Merrifield, VA 22116, (888) ASK-HRSA,
www.hrsa.gov/financeMC/ftp/cultural-competence.pdf. |
|
|
Order #: 14188 |
|
Authors: |
Health
Resources and Services Administration.
|
|
Title: |
HCH Conference
Highlights Cultural Competence. |
|
Source: |
Opening Doors 9(3): 2001.
(Newsletter: 8 Pages)
|
|
Abstract: |
This issue presents
information on cultural competence, resources, and highlights from the 2001
National HCH Conference. Given the diversity among people who are homeless,
cultural and linguistic competence in the delivery of health care is
increasingly important. Homeless itself requires a culturally competent
approach to health care, and within this population, there are further
distinctions. |
|
|
Order #: 9903 |
|
Authors: |
Health
Resources and Services Administrations' Bureau of Primary Health Care.
|
|
Title: |
Cultural Competence: A
Journey. |
|
Source: |
Rockville, MD: Health
Resources and Services Administrations' Bureau of Primary Health Care,
2001. (Resource Guide: 21 pages)
|
|
Abstract: |
This publication is
designed for clinicians, policymakers, administrators and people of
influence at the community, county, State, regional and national levels. It
features a comprehensive definition of cultural competence that focuses on
organizational, provider, and community systems and socioeconomic,
epidemiologic and outcome perspectives. It describes a sampling of
experiences of community programs, supported through the Health Resources
and Services Administrations' Bureau of Primary Health Care, providing
services to culturally and linguistically diverse populations. It describes
some of the successes and challenges all to serve diverse consumers in a
new way. Some suggestions of resources for expanding organizational and
clinical cultural competence are provided. Available From: Health Resources
and Services Administrations' Bureau of Primary Health Care, Rockville, MD
20857, www.bphc.hrsa.gov, (800) 400-2742. |
|
|
Order #: 12802 |
|
Authors: |
National
Alliance for Hispanic Health.
|
|
Title: |
Quality Health Services
for Hispanics: The Cultural Competency Component. |
|
Source: |
Washington, DC: The U.S.
Department of Health and Human Services, 2001. (Guide: 116 pages)
|
|
Abstract: |
This guide is the product
of a unique collaboration between the Health Resources and Services
Administration (HRSA), Bureau of Primary Health Care (BPHC), the Substance
Abuse and Mental Health Services Administration (SAMHSA), the Office of
Minority Health (OMH), and the National Alliance for Hispanic Health. The authors aim to popularize the concept
of cultural competency in the provision of care. This book reflects the
cumulative experience of each organization's respective community programs
with the art and science of cultural competence, and provides a framework
which can be used by providers either at the individual level or
organizational level (authors). Available From: U.S. Department of Health
and Human Services, 200 Independence Avenue, SW, Washington, D.C. 20201,
(202) 619-0257, www.hhs.gov. |
|
|
Order #: 11215 |
|
Authors: |
National
Consumer Supporter Technical Assistance Center.
|
|
Title: |
A Cultural Competency
Toolkit: Ten Grant Sites Share Lessons Learned. |
|
Source: |
Alexandria, VA: National
Consumer Supporter Technical Assistance Center, 2001. (Toolkit: 88
pages)
|
|
Abstract: |
For organizations
providing support to mental health consumers, cultural competency, the
ability to reach out effectively and appropriately to individuals of
different cultural backgrounds, is central to meeting the needs of a
diverse community. The Cultural Competency Initiative, which was launched
in 2000, assisted consumer supporter organizations by providing funding and
technical assistance as well as by disseminating information about
innovative minority outreach programs. Each chapter of the toolkit provides
an overview of one of ten model programs. Project goals and implementation
plans are shared, project leaders share their expertise, and program
materials are included in each chapter's appendices. NCSTAC hopes that this
information will assist other consumer supporter organizations in their
efforts to launch similar outreach programs. Available From: National
Mental Health Association, 2001 N. Beauregad Street, 12th Floor,
Alexandria, Virginia 22311, (800) 969-NMHA, www.ncstac.org/content/culturalcompetency/index.htm. |
|
|
Order #: 13928 |
|
Authors: |
National
Institute on Alcohol Abuse and Alcoholism.
|
|
Title: |
Forecast for the Future
Strategic Plan to Address Health Disparities. |
|
Source: |
Bethesda, MD: National
Institute on Alcohol Abuse and Alcoholism, 2001. (Strategic Plan: 21 pages)
|
|
Abstract: |
This plan, outlined by the
National Institute on Alcohol Abuse and Alcoholism (NIAAA), focuses on
three major areas for consideration in developing a strategic plan;
research initiatives, research infrastructure, and information and
outreach. The research section of
the plan identifies goals and proposed action plans for such vital concerns
as fetal alcohol syndrome, the toxic effects of alcohol, the impact of
genetics, and treatment and prevention.
The research initiatives section discusses the key roles of minority
researchers in promoting interest in health disparities research, and in
compiling the information needed to understand the interplay among those
cultural, social, and biologic factors that influence differing responses
to alcohol consumption. The
information and outreach section considers the strategies important to
improving information and outreach to minority populations. Increasing public awareness, engaging
health care professionals, and expanding efforts in science education are
among the key issues raised (authors). Available From: National Institute
on Alcohol Abuse and Alcoholism (NIAAA), 5635 Fishers Lane, MSC 9304,
Bethesda, MD 20892, www.niaaa.nih.gov/about/health.PDF. |
|
|
Order #: 12614 |
|
Authors: |
Office of
Minority Health Resource Center.
|
|
Title: |
National Standards for
Culturally and Linguistically Appropriate Services in Health Care. |
|
Source: |
Washington, DC: Office of
Minority Health Resource Center, 2001. (Report:
139 pages)
|
|
Abstract: |
This report recommends
national standards for culturally and linguistically appropriate services
(CLAS) in health care. Based on an analytical review of key laws,
regulations, contracts, and standards currently in use by federal and state
agencies and other national organizations, these recommended standards were
developed with input from a national advisory committee of policymakers,
health care providers, and researchers. Each standard is accompanied by
commentary that addresses the proposed guideline’s relationship to existing
laws and standards, and offers recommendations for implementation and
oversight to providers, policymakers, and advocates. Available From: Office
of Minority Health Resource Center, P.O. Box 37337, Washington, DC
20013-7337, (800) 444-6472,
www.omhrc.gov/omh/programs/2pgprograms/finalreport.pdf |
|
|
Order #: 10067 |
|
Authors: |
Thomas,
S.
|
|
Title: |
The Color Line: Race
Matters in the Elimination of Health Disparities. |
|
Source: |
American Journal of Public
Health 91(7): 1046-1048, 2001. (Journal
Article: 2 pages)
|
|
Abstract: |
This article responds to
concepts of race and ethnicity discussed in an article by G.M. Oppenheimer
entitled "Paradigm Lost: Race, Ethnicity, and the Search for a New
Population Taxonomy", and relates these concepts to health
disparity. One consequence of
persistent discrimination based on race and ethnicity is an unequal burden
of illness and premature death experienced by minority populations. The author suggests that a shift away
from "race" to "ethnic group" only may minimize the
health impact of racism, especially for populations subjected to social
prejudice because of their dark skin and facial features. Rather than
removing race as a scientific variable, a better job needs to be done at
understanding how to measure race, racism, and social inequality in medical
care and public health practice. To
focus exclusively on ethnicity moves away from the political and economic
factors that are more central when the focus is on race. By taking away the ability to link health
status and race, we remove one of the most powerful tools used by
disenfranchised people to fight for social justice, not only in medical
care and public health, but also in our development of one nation, and one
human race (authors). |
|
|
Order #: 13346 |
|
Authors: |
Thompson,
V.L.
|
|
Title: |
Cultural Competency in
the Delivery of Mental Health Services: Implementation Issues. |
|
Source: |
St. Louis, MO: Public
Policy Research Center, 2001. (Brief:
3 pages)
|
|
Abstract: |
This brief discusses the
increased attention given to multicultural issues such as minority
utilization, language barriers, and provider diversity in mental health
service delivery. The author
discusses recent trends in demographic projections regarding the make up
the U.S. population, as well as treatment outcomes, and implementation
strategies (author). Available From: Public Policy Research Center, 8001
Natural Bridge Road, St. Louis, MO 63121, (314) 516-5273,
www.umsl.edu/services/pprc/data/pbrief_006_cultural_competency.pdf. |
|
|
Order #: 10320 |
|
Authors: |
United
States Department of Health and Human Services.
|
|
Title: |
Culture, Race, and
Ethnicity: A Supplement to Mental Health:
A Report of the Surgeon General. |
|
Source: |
Washington, DC: U.S.
Department of Health and Human Services, 2001. (Fact Sheet: 11 pages)
|
|
Abstract: |
This fact sheet addresses
the challenges faced by youth of color who are in need of mental health
care. Issues such as availability
and access to services are discussed, as well as appropriateness and
outcomes. Populations include:
African-Americans, Latino/Hispanic Americans, Asian American/Pacific
Islanders, and Native American Indians. Available From: U.S. Department of
Health and Human Services, 200 Independence Avenue, SW, Washington, D.C.
20201, (202) 619-0257, www.mentalhealth.org/cre/factsheet.asp |
|
|
Order #: 9927 |
|
Authors: |
United
States Department of Health and Human Services.
|
|
Title: |
Mental Health: Culture,
Race, and Ethnicity. A Report of the
Surgeon General. |
|
Source: |
Washington, DC: U.S.
Department of Health and Human Services, 2001. (Report: 203 pages)
|
|
Abstract: |
This supplement to Mental
Health: A Report of the Surgeon General, documents the existence of
striking disparities for minorities in mental health services and the
underlying knowledge base. Racial
and ethnic minorities have less access to mental health services than do
whites. They are less likely to
receive needed care. When they do receive care, it is more likely to be
poor in quality. These disparities
have powerful significance for minority groups and for society as a
whole. A major finding of this
Supplement is that racial and ethnic minorities bear a greater burden from
unmet mental health needs and thus suffer a greater loss to their overall
health and productivity. Ethnic and
racial minorities do not yet completely share in the hope afforded by
remarkable scientific advances in understanding and treating mental
disorders. Because of preventable
disparities in mental health services, a disproportionate number of
minorities are not fully benefiting from , or contributing to, the
opportunities and prosperity of our society (authors). Available From: U.S.
Department of Health and Human Services, 200 Independence Avenue, SW,
Washington, DC 20201, (202) 619-0257, www.os.dhhs.gov. |
|
|
Order #: 9928 |
|
Authors: |
United
States Department of Health and Human Services.
|
|
Title: |
Mental Health: Culture,
Race, and Ethnicity: A Report of the Surgeon General. Executive Summary. |
|
Source: |
Washington, DC: U.S.
Department of Health and Human Services, 2001. (Executive Summary: 13 pages)
|
|
Abstract: |
This is the executive
summary of the United States Department of Health and Human Services report
titled Mental Health: Culture, Race, and Ethnicity. Main findings are summarized and broken
down, a Main Message and Recommendations are given, and the chapters are
summarized with conclusions. The full report, a supplement to Mental
Health: A Report of the Surgeon General, documents the existence of striking
disparities for minorities in mental health services and the underlying
knowledge base. Racial and ethnic
minorities have less access to mental health services than do whites. They are less likely to receive needed
care. When they do receive care, it is more likely to be poor in
quality. These disparities have
powerful significance for minority groups and for society as a whole. A major finding of this Supplement is that
racial and ethnic minorities bear a greater burden from unmet mental health
needs and thus suffer a greater loss to their overall health and
productivity. Ethnic and racial
minorities do not yet completely share in the hope afforded by remarkable
scientific advances in understanding and treating mental disorders. Because of preventable disparities in
mental health services, a disproportionate number of minorities are not
fully benefiting from, or contributing to, the opportunities and prosperity
of our society (authors). Available From: U.S. Department of Health and
Human Services, 200 Independence Avenue, SW, Washington, DC 20201, (202)
619-0257, www.mentalhealth.org/cre/execsummary.asp |
|
|
Order #: 12611 |
|
Authors: |
Wells,
K., Klap, R., Koike, A., Sherbourne,C.
|
|
Title: |
Ethnic Disparities in
Unmet Need for Alcoholism, Drug Abuse, and Mental Health Care. |
|
Source: |
American Journal of
Psychiatry 158(12): 2027-2032, 2001. (Journal
Article: 6 pages)
|
|
Abstract: |
This study examined
differences by ethnic status in unmet need for alcoholism, drug abuse, and
mental health treatment. Recent policy has focused on documenting and
reducing ethnic disparities in availability and quality of health care.
Data were from a follow-up survey of adult respondents to a 1996-1997
national survey. Non-Hispanic whites, African Americans, and Hispanics were
compared in access to alcoholism and drug abuse treatment and mental health
care (primary or specialty), unmet need for care, satisfaction with care,
and use of active treatment for alcoholism, drug abuse, and mental health
problems in the prior 12 months. The authors document greater unmet need
for alcoholism and drug abuse treatment and mental health care among
African American and Hispanics relative to whites. New policies are needed
to improve access to and quality of alcoholism, drug abuse, and mental
health treatment across diverse populations (authors). |
|
|
Order #: 8715 |
|
Authors: |
American
Public Health Association.
|
|
Title: |
American Journal of
Public Health. |
|
Source: |
American Journal of Public
Health, 90(11): 2000. (Journal:Entire Issue:
143 pages)
|
|
Abstract: |
This issue of the American
Journal of Public Health contains multiple articles that discuss
Race/Ethnicity and the 2000 Census and its implications for Public
Health. It includes Implications for
American Indians and Alaska Natives, the US Hispanic/Latino population,
recommendations for African American and other Black populations in the US,
disaggregating Asian American and Native Hawaiian/Pacific Islander Data and
immigration and intermarriage and the challenges of measuring Racial/Ethnic
Identities. It also addresses
Racial/Ethnic differences in children's access to care. |
|
|
Order #: 9897 |
|
Authors: |
Brach,
C., Fraser, I.
|
|
Title: |
Can Cultural Competency
Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model. |
|
Source: |
Medical Care Research and
Review 57: 181-217, 2000. (Journal Article:
35 pages)
|
|
Abstract: |
This article develops a
conceptual model of cultural competency's potential to reduce racial and
ethnic health disparities, using the cultural competency and disparities
literature to lay the foundation for the model and inform assessments of
its validity. The authors identify nine major cultural competency
techniques: interpreter services, recruitment and retention policies,
training, coordination with traditional healers, use of community health
workers, culturally competent health promotion, including family/community
members, immersion into another culture, and administrative and
organizational accommodations. The conceptual model shows how these
techniques could theoretically improve the ability of health systems and
their clinicians to deliver appropriate services to diverse populations,
thereby improving outcomes and reducing disparities. The authors conclude
that while there is substantial research evidence to suggest that cultural
competency should in fact work, health systems have little evidence about
which cultural competency techniques are effective and less evidence on
when and how to implement them properly (authors). |
|
|
Order #: 13246 |
|
Authors: |
Goode,
T., Harrisone, S.
|
|
Title: |
Cultural Competence in
Primary Health Care: Partnerships for a Research Agenda. |
|
Source: |
Washington, DC: National
Center for Cultural Competence, 2000. (Policy
Brief: 11 pages)
|
|
Abstract: |
This brief discusses
disparities in health care outcomes and utilization, focusing on the
incidence of illness among ethnically and racially diverse groups. The authors discuss several reasons why
cultural competence is necessary within primary health care, including
addressing the history of mistrust of research; mitigating long-standing
exclusionary research methodologies, and ensuring reciprocity within
diverse communities. The need for
racial/ethnic health data, research that documents ethnic variations in
response to treatment and validates the efficacy of culturally and
linguistically competent approaches to health care delivery is also
discussed. Guidelines to facilitate
these methods are outlined (authors). Available From: National Center for
Cultural Competence, Georgetown University Child Development Center, 3307 M
Street NW, Suite 401, Washington, DC 20007, (800) 788-2066,
http://gucdc.georgetown.edu. |
|
|
Order #: 13365 |
|
Authors: |
Health
Resources and Services Administration.
|
|
Title: |
Eliminating Health
Disparities in the United States. |
|
Source: |
Rockville, MD: Health
Resources and Services Administration, 2000. (Report: 66 pages)
|
|
Abstract: |
This publication includes
information on targeted health issues, and also describes various HRSA
initiatives. This publication is
intended for a variety of audiences and serves to increase the readers'
understanding and awareness of "health disparities" and the
strategies that HRSA is utilizing to eliminate the unequal burden of
disease experienced by many populations (authors). Available From: Health
Resources and Services Administration, 5600 Fishers Lane, Rockville, MD
20857, www.hrsa.gov/OMH/OMH/disparities/default.htm |
|
|
Order #: 13375 |
|
Authors: |
McCullough-Zander,
K.
|
|
Title: |
Caring Across Cultures:
The Provider's Guide to Cross-Cultural Health Care. 2nd Edition. |
|
Source: |
Minneapolis, MN: The
Center for Cross-Cultural Health, 2000. (Guide:
70 pages)
|
|
Abstract: |
This resource guide was
developed for providers concerned about cultural competence; and for use by
health care and human service professionals. The authors include chapters on
developing cultural competence, communication across cultures, issues in
interpreting, cross cultural mental health, and spirituality and health across
cultures, as well as an expanded reference section with suggestions for
further reading, and recommendations for additional tools and cross
cultural health models (authors). Available From: Center for Cross-Cultural
Health, 1313 SE 5th Street, Suite 100B, Minneapolis, MN 55414, (612) 379-3573,
www.crosshealth.com/provider.htm (COST: $27.50). |
|
|
Order #: 9466 |
|
Authors: |
National
Advisory Council on Nursing Education and Practice.
|
|
Title: |
A National Agenda for
Nursing Workforce: Racial/Ethnic Diversity. |
|
Source: |
Washington, DC: Health
Resources and Services Administration, 2000. (Report: 35 pages)
|
|
Abstract: |
The health of the Nation
depends on an adequate supply of nurses and a nursing workforce that
reflects the racial and ethnic diversity of the population. Racial and
ethnic minorities currently comprise more than one-fourth of the Nation's
population and will comprise nearly 40 percent by the year 2020. The most
recent nursing workforce data available document that less than 10 percent
of all RNs are minority nurses. This report is intended to serve as a
starting point for the many agencies and organizations that are involved in
nursing education and practice to operationalize the recommended items in
order to remedy this longstanding and growing challenge to the profession.
This report presents issues related to racial/ethnic diversity in nursing
education and practice and recommends goals and actions, which include the
following; increase the use of
mentors for students and those nurses that are young in their careers,
develop practice environments that promote diversity, create and maintain
workplace environments and employee support programs that promote and
document recruitment, retention and advancement of minority nurses, promote
the preparation of all nurses to provide culturally competent care, establish cultural competence standards
in education and practice, document the effects and benefits of a
culturally diverse and competent nursing workforce in regards to access to
care, outcomes of care and cost. |
|
|
Order #: 9614 |
|
Authors: |
National
Technical Assistance Center for State Mental Heath Planning.
|
|
Title: |
Examples From the
Field: Programmatic Efforts to Improve Cultural Competence in Mental Health
Services. |
|
Source: |
Alexandria, VA: NTAC,
2000. (Report: 137 pages)
|
|
Abstract: |
This report is a
collection of descriptions of mental health programs working to improve
service delivery to a variety of underserved populations. This grew out of a desire to scan the
public mental health environment to see how cultural competence is being
understood and implemented and to understand what efforts are being made in
various states to improve mental health services to underserved
groups. This report represents the
results of a survey of state mental health authorities conducted in late
spring 1999 (authors). Available From: National Technical Assistance Center
for State Mental Health Planning, 66 Canal Center Plaza, Suite 302,
Alexandria, VA 22314, (703) 739-9333, ntac@nasmhpd.org,
www.nasmhpd.org/ntac. |
|
|
Order #: 12609 |
|
Authors: |
Office of
Minority Health.
|
|
Title: |
National Standards for
Culturally and Linguistically Appropriate Services (CLAS): At a Glance. |
|
Source: |
Washington, DC: Office of
Minority Health, 2000. (Guide: 2 pages)
|
|
Abstract: |
These proposed standards
are presented as guidelines for accreditation and credentialing agencies,
to assess and compare providers who say they provide culturally competent
services, and to assure quality for diverse populations. The standards are
intended to be inclusive of all cultures and not limited to any particular
population group or sets of groups; however, they are especially designed
to address the needs of racial, ethnic, and linguistic population groups
that experience unequal access to health services. Cultural and linguistic
competence is the ability of health care providers and health care
organizations to understand and respond effectively to the cultural and
linguistic needs brought by patients to the health care encounter. As
health providers begin to treat a more diverse clientele as a result of
demographic shifts and changes in insurance program participation, interest
is increasing in culturally and linguistically appropriate services that
lead to improved outcomes, efficiency, and satisfaction. The provision of
culturally and linguistically appropriate services is in the interest of
providers, policymakers, accreditation and credentialing agencies,
purchasers, patients, advocates, educators and the general health care
community (authors). Available From: Office of Minority Health Resource
Center, P.O. Box 37337, Washington, DC 20013-7337, (800) 444-6472,
www.omhrc.gov/CLAS, or
http://www.marcconline.org/magazine/pdf/office_minority_h.PDF. |
|
|
Order #: 8895 |
|
Authors: |
United
States Department of Health and Human Services.
|
|
Title: |
Assuring Cultural
Competence in Health Care: Recommendations for National Standards and
Outcomes-Focused Research Agenda. |
|
Source: |
Federal Register 65(247): 80865-80879, 2000. (Report: 12
pages)
|
|
Abstract: |
The national standards
issued by the U.S. Department of Health and Human Services' (HHS) Office of
Minority Health (OMH) respond to the need to ensure that all people
entering the health care system receive equitable and effective treatment
in a culturally and linguistically appropriate manner. Available From: U.S.
Department of Health and Human Services, 200 Independence Avenue, SW,
Washington, D.C. 20201, (202) 619-0257, Office of Minority Health,
www.omhrc.gov/CLAS. |
|
|
Order #: 13372 |
|
Authors: |
Carrillo,
J., Green, A., Betancourt, J.
|
|
Title: |
Cross-Cultural Primary
Care: A Patient-Based Approach. |
|
Source: |
Annals of Internal
Medicine 130(10): 829-834, 1999. (Journal
Article: 6 pages)
|
|
Abstract: |
This article discusses a
patient-based cross-cultural curriculum for residents and medical students
that teaches a framework for analysis of the individual patient’s social
context and cultural health beliefs and behaviors. The authors discuss a curriculum which
consists of five thematic units: basic concepts, core cultural issues,
understanding the meaning of the illness, determining the patient's social
context, and negotiating across cultures.
The authors suggest this curriculum be taught in four 2-hour
sessions. The goal of this article
is to help physicians avoid cultural generalizations while improving their
ability to understand, communicate with, and care for patients from diverse
backgrounds (authors). |
|
|
Order #: 8253 |
|
Authors: |
Center
for Substance Abuse Treatment.
|
|
Title: |
Cultural Issues in
Substance Abuse Treatment. |
|
Source: |
Rockville, MD: Center for
Substance Abuse Treatment, 1999. (Monograph:
68 pages)
|
|
Abstract: |
It is critically important
that substance abuse services acknowledge the patient's cultural strengths,
values, and experiences while encouraging behavioral and attitudinal
change. The provision of culturally
competent service systems starts with an organizational, mission-oriented
approach and is aided by documents such as this one. The intent of this monograph is to
provide a tool to help providers and other substance abuse treatment
professionals gain a greater understanding of the cultural, social,
political, and economic forces affecting substance abuse treatment among
the targeted populations. Available From: National Clearinghouse for
Alcohol and Drug Information, P.O. Box 2345, Rockville, MD 20847-2345,
(800) 729-6686. |
|
|
Order #: 8240 |
|
Authors: |
Cohen,
E., Goode, T.
|
|
Title: |
Rationale for Cultural
Competence in Primary Health Care. Policy Brief 1. |
|
Source: |
Washington, DC: Georgetown
University, National Center for Cultural Competence, 1999. (Policy Brief: 10 pages)
|
|
Abstract: |
This is the first in a
series of five policy briefs that addresses efforts to effect systems
change, assure long-term impact of cultural competence and improve health
care access and disparities among racially, ethnically, culturally and
linguistically competent primary care. The brief begins by justifying the
need for cultural competence in health care from the patient-provider
level, then builds upon these issues to substantiate the need for primary
health care organizations to develop policies, structures, practices, and
procedures supporting the delivery of culturally and linguistically
competent services. Six reasons reviewed in this policy brief are: to
respond to current and projected demographic changes in the U.S; to eliminate long-standing disparities in
the health status of people of diverse racial, ethnic, and cultural
backgrounds; to improve the quality of services and health outcomes; to
meet legislative, regulatory, and accreditation mandates; to gain a
competitive edge in the marketplace; and to decrease the likelihood of
liability/malpractice claims. Available From: National Center for Cultural
Competence, 3307 M Street, Suite 401, Washington, DC 20007, (202) 687-5387. |
|
|
Order #: 13348 |
|
Authors: |
Phillips,
D., Leff, S.
|
|
Title: |
What Do We Know About
Measuring Cultural Competence in Mental Health Systems? |
|
Source: |
Cambridge, MA: The
Evaluation Center@HSRI, 1999. (Unpublished
Paper: 12 pages)
|
|
Abstract: |
In this paper, which was
presented at the National Association for Welfare Research and Statistics
39th annual conference, the authors introduce the concept of cultural
competence evaluation as discussed in the mental health field, and consider
the relevancy of mental health cultural competence evaluation to welfare
systems evaluation. The paper
describes resources available from the Evaluation Center at HSRI, which is
a national technical assistance center for the evaluation of adult mental
health systems change. The authors also discuss collaboration between
mental health systems evaluation and welfare systems evaluation (authors). Available
From: The Evaluation Center@HSRI, 2269 Massachusetts Avenue, Cambridge, MA
02140, (617) 876-0426, www.nawrs.org/ClevelandPDF/phillips.pdf. |
|
|
Order #: 9900 |
|
Authors: |
Poss,
J.E.
|
|
Title: |
Providing Culturally
Competent Care: Is There a Role for Health Promoters? |
|
Source: |
Nursing Outlook, 47(1):
1999. (Journal Article: 7 pages)
|
|
Abstract: |
To bridge the widening gap
between clients of varied cultural backgrounds and the biomedical system in
which nurses practice, nurses should foster the inclusion of health
promoters in selected health care settings. Health promoters, who are
persons of the same racial or ethnic background as the clients they serve,
can help form a link between their community and the dominant health care
system. This article introduces a model that may be useful in health care
delivery by the use of health promoters. It urges nurses to foster the
inclusion of health promoters in selected health care settings. Health promoters should be viewed as
workers who assist clients to understand and negotiate the health care
system and help health care providers to work more effectively with clients
from different cultural backgrounds. In return the nursing profession,
which makes up the vast majority of health care providers, must search for
new ways to ensure that culturally competent care is provided to a
multicultural society. |
|
|
Order #: 8865 |
|
Authors: |
Dana,
R.H.
|
|
Title: |
Cultural Competence in
Three Human Service Agencies. |
|
Source: |
Psychological Reports 83:
107-112, 1998. (Journal Article: 6 pages)
|
|
Abstract: |
This article summarizes
findings from applications of the Agency Cultural Competence Checklist in
three human service agencies. This
checklist was developed on the basis of published literature and
culture-specific agencies were chosen to document checklist findings in
settings known to be culturally competent.
As anticipated, all three agencies were culturally competent in
attitudes, although the range of mainstream agencies in which predominantly
Euro-American providers serve minority populations (author). |
|
|
Order #: 13382 |
|
Authors: |
Paniagua,
A.
|
|
Title: |
Assessing and Treating
Culturally Diverse Clients: A Practical Guide. |
|
Source: |
Thousand Oaks, CA: Sage
Publications, 1998. (Book: 161 pages)
|
|
Abstract: |
The author summarizes current
literature on cross-cultural mental health and provides helpful clinical
suggestions for practitioners with a multicultural clientele. Among the
topics explored are: cultural variables which may affect assessment and
treatment across groups; epidemiological mental health data across groups;
application of data from culture-specific, biased measures; and factors to
consider during delivery of treatment.
The second edition of this concise guide also includes a new chapter
on cultural variables in the DSM-IV. Available From: Sage Publications,
2455 Teller Road, Thousand Oaks, CA 91320, (800) 818-7243, www.sagepub.com
(COST: $43.95). |
|
|
Order #: 14833 |
|
Authors: |
Rosenheck,
R., Seibyl, C.L.
|
|
Title: |
Participation and
Outcome in a Residential Treatment and Work Therapy Program for Addictive
Disorders: The Effects of Race. |
|
Source: |
American Journal of
Psychiatry 155(8): 1029-1034, 1998. (Journal
Article: 5 Pages)
|
|
Abstract: |
This study examined
differences in program participation and outcome between black and white
veterans with addictive disorders who participated in an intensive
Department of Veterans Affairs (VA) residential work therapy program. Data
on 962 veterans treated in the VA Compensated Work Therapy/Transitional
Residence Program were gathered. Multivariate analyses were used to compare
black and white veterans on admission characteristics, program
participation, and 3-month outcome. The black subjects were younger than
the white veterans and had more severe drug abuse problems, less severe
alcohol and psychiatric problems, and more extensive social support
networks. There were no differences between groups in 11 of 13 measures of
program participation, although the blacks felt more positively about the
therapeutic milieu and worked more hours per month in the work therapy
program than the whites. The black veterans also showed more improvement in
alcohol use and housing. The proportion of black participants at the site
level had no impact on measures of program participation or outcome among
black participants with one exception: blacks were more likely to achieve
sobriety at 3 months when treated in programs with higher proportions of
black participants. Detailed data on program participation and outcome in a
large study group showed no evidence of less program participation or worse
outcome among black patients (authors).
|
|
|
Order #: 7145 |
|
Authors: |
Goicoechea-Balbona,
A.
|
|
Title: |
Culturally Specific
Health Care Model for Ensuring Health Care Use by Rural, Ethnically Diverse
Families Affected by HIV/AIDS. |
|
Source: |
Health & Social Work
22(3): 172-180, 1997. (Journal Article:
9 pages)
|
|
Abstract: |
This article describes the
culturally specific health care model (CSHCM). The CSHCM can guide health social workers
in assessing and intervening with rural, ethnically diverse families. Such families require specialized and
regular health care, but generally face many barriers in obtaining that
care. The model relies on a
culturally specific description of the target community, a culturally
sensitive approach to assessment and intervention, the use of key indigenous
providers, and interdisciplinary collaboration among providers. The author describes the use of the CSHCM
as an emergency intervention with eight hard-to-reach families with
HIV/AIDS in a rural region with an unusually high prevalence of HIV/AIDS. |
|
|
Order #: 7342 |
|
Authors: |
National
Technical Assistance Center for State Mental Health Planning.
|
|
Title: |
Exploring the
Intersection Between Cultural Competency and Managed Behavioral Health Care
Policy: Implications for State and County Mental Health Agencies. |
|
Source: |
Alexandria, VA: National
Technical Assistance Center for State Mental Health Planning, 1997. (Report: 62
pages)
|
|
Abstract: |
This report is based on
discussions that occurred during the National Mental Health Policy
Institute on Cultural Competency in February 1997. Topics covered include development of an
operational definition of cultural competency, a vision for the future, and
recommendations for additional steps to promote increased acceptance of
culturally competent principles and practices by public mental health
systems in the era of managed care.
The report states that the clear task for state and local mental
health authorities, managed care organizations, consumers, families, providers,
and university faculty is to better understand the linkage among culture,
illness, and health and to use that knowledge to design and redesign
service systems, policies, training curricula, and standards of care
(authors). Available From: National Technical Assistance Center, 66 Canal
Center Plaza, Suite 302, Alexandria, VA 22314; (703) 739-9333,
www.nasmhpd.org/ntac, (COST: $10.00) |
|
|
Order #: 7143 |
|
Authors: |
Zambrana,
R.E., Scrimshaw, S.C.M., Collins, N., Dunkel-Schetter, C.
|
|
Title: |
Prenatal Health
Behaviors and Psychosocial Risk Factors in Pregnant Women of Mexican
Origin: The Role of Acculturation. |
|
Source: |
American Journal of Public
Health 87(6): 1022-1026, 1997. (Journal
Article: 5 pages)
|
|
Abstract: |
This study examined the
association between acculturation of Mexican-origin women and factors in
low birthweight and preterm delivery.
Interviews were conducted with 911 Mexican-origin respondents in Los
Angeles prenatal care clinics.
Infant outcome data were retrieved from delivery records. Mexican-American women had generally more
undesirable prenatal behaviors and risk factors than Mexican-immigrant
women. Although higher acculturation
was significantly associated with behavioral risk factors, there were no
direct effects of acculturation on infant gestational age or
birthweight. The study concluded
that future research needs to measure multiple factors to assess their
effects on culture-specific protective factors. |
|
| | | |