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Combining Substance Abuse Treatment With Intermediate Sanctions for Adults in the Criminal Justice System
Treatment Improvement Protocol (TIP) Series 12

Appendix C -- Cultural Competence

The definitional material below was adapted from Towards a Culturally Competent System of Care, by T.L. Cross, B.J. Bazron, K.W. Dennis, and M.R. Isaacs, 1989 (available from the Georgetown University Child Development Center, Washington, D.C.). The Cultural Competence Checklist is adapted from a questionnaire by Drs. George Simons and Bob Abramms entitled Managing the Dominant Culture, which appears in The Questions of Diversity, 5th Edition, copyright 1992, ODT, Inc., Amherst, Massachusetts (all rights reserved; reproduced with permission). It is available from ODT.

Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals to work effectively in cross-cultural situations. Cultural competence acknowledges and incorporates, at all levels, the importance of culture, the assessment of cross-cultural relations, vigilance toward the dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation of services to meet culturally unique needs. It is born of commitment to provide quality services to all and a willingness to risk.

Continuum of Competence

Cultural destructiveness -- Attitudes, policies, and practices that are destructive to cultures and individuals within cultures. (Disenfranchisement, control, exploitation, destruction of cultural systems.)

Cultural incapacity -- The systems or agencies do not intentionally seek to be culturally destructive, but rather lack the capacity to help. (Discriminatory hiring, subtle messages regarding what values should be, lower expectations for minority clients.)

Cultural blindness -- Color or culture make no difference. All people are the same. Approaches are universal. Services are so ethnocentric as to be useless

to all but the most assimilated people of color. (Ignore cultural strengths, encourages assimilation, blames the victims, eligibility for services equals assimilation.)

Cultural precompetence -- Implies movement. Realizes weaknesses and makes attempts to improve. False sense of movement and accomplishment. One goal equals enough. Tokenism.

Cultural competence -- Acceptance, respect for differences. Attention to dynamics of differences. Continuous expansion of cultural knowledge. Groups are different with diverse subgroups. Seeks consultation from people of color. Hires those committed to their community. Provides support to staff to become comfortable working in cross-cultural situations. Understands interplay between policy and practice. Committed to policies that enhance diverse clientele and services.

Cultural proficiency -- Holds cultures in high esteem. Conducts research, develops new therapeutic approaches based on cultures. Publishes and distributes information. Hires staff who are specialists in culturally competent practice. Advocates for culturally competent practice. Advocates for cultural competence throughout the system and society.

Cultural Competence and Proficiency

  • Attitudes are less ethnocentric and biased.
  • Policies are more flexible and culturally impartial.
  • Practices are more congruent with the culture of client from initial contact to assessment.
  • The system:
    -Values diversity and respects its worth.
    -Culturally assesses itself.
    -Understands the dynamics of difference
    -Institutionalizes the value of both cultural competence and cultural proficiency.
    -Adapts to diversity.
    -Has a value base for both.
    -Incorporates valid research into the care process.

Cultural Competence Checklist

Check the items which are true of you.
Hint: The more true, the better! However, don't kid yourself about how well you see yourself perform in these areas. Get feedback from others as well as rating yourself.

When I belong to the dominant culture:
  • I am aware that I am part of a dominant culture, and know how its dynamics work. I listen to people of other cultures when they tell me how my culture affects them.
  • I have a philosophy of fairness and I let others in my culture know about my commitment.
  • I realize that people of other cultures have fresh ideas and different perspectives to bring to my life and my organization.
  • I work to make sure that members of other cultures are heard and are respected for their differences.
  • I coach others on how to succeed in my culture. I tell them the unwritten rules and show them what they need to do in order to function better.
  • I ensure that my subordinates and colleagues from other cultures are prepared for what they have to do to meet the demands of my culture.
  • When I train or coach others, I do not put them down or undermine the value of their differences.
  • I give others my personal support and loyalty even if they are rejected or criticized by members of my culture.
  • I am aware that outsiders to my culture recognize my cultural peculiarities better than I do and I go to them for information about the effect of things that I do and say.
  • I recognize how stress causes individuals to revert to older and narrower beliefs and the desire to make onself and one's culture right and others wrong.
  • I apologize when I have done something inappropriate that offends someone of a different background.
  • When answerable to or reporting to someone of a different culture, I deal directly with that person and avoid the tendency to "go over his or her head" to a person of my own culture.
  • I make others aware of unfair traditions, rules, and ways of behaving in my culture or organization that keep them out.
  • I acknowledge people for what they have accomplished in terms that make them feel recognized in their own right, not just because they have been useful to me.
  • I resist the temptation to make another group the scapegoat when something goes wrong.
  • I give others honest yet sensitive feedback about how they perform on the job. I have learned to give feedback to people of other cultures in a way that is sensitive yet clear and useful.
  • I distribute information, copies, results, etc., to whomever should get them regardless of cultural differences.
  • I go out of my way to recruit, select, train, and promote people from outside the dominant culture. Despite the fact that I may naturally feel less comfortable with them, I see this as one of my responsibilities as a manager.

When I don't belong to the dominant culture:
  • I realize that, because of my background, I have something distinctive to contribute to the place or organization in which I find myself.
  • Even when rejected, I take pride in my culture. I take steps to build by self-esteem and the self-esteem of others who, like me, do not belong to the dominant culture.
  • While I know that I do not have to lose my cultural distinctiveness to fit in, I realize that I may have to learn new information and skills that will enable me to succeed in the dominate culture.
  • I look for and cultivate relationships with members of the dominant culture who help me "read between the lines" to understand the unwritten rules about "how the system works."
  • When I succeed in the dominant culture, I am careful not to make myself an exception or separate myself from others of my background.
  • I share what I learn about the dominant culture with others like myself.
  • I recognize that when under pressure, I tend to revert to older and narrower beliefs and want to make myself and my culture right and others wrong.
  • I sympathize and collaborate with other nondominant groups to achieve common objectives in the dominant culture.
  • I resist the inclination to cluster exclusively with my own kind of people or exclusively with people from the dominant culture when I am in mixed company.
  • I resist blaming the dominant group for everything that goes wrong.
  • I know how to present distinctive features of my culture and its points of view in ways that others can hear and understand.
  • I can respect individuals of other cultures and treat them fairly even though I may be fiercely committed to conflicting political goals.
  • I know how to refresh myself from the wellsprings of my own culture when I am exhausted by trying to understand and work in the dominant culture.
  • I resist the temptation to make another group the scapegoat when something goes wrong.

 



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