TIP 59: Improving Cultural Competence

A TreATmenT ImprovemenT proTocol

Improving Cultural Competence

TIP 59

A TreATmenT ImprovemenT proTocol

Improving Cultural Competence

TIP 59

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 1 Choke Cherry Road Rockville, MD 20857

Improving Cultural Competence

Acknowledgments

This publication was produced by The CDM Group, Inc., under the Knowledge Application Program (KAP) contract numbers 270-99-7072, 270-04-7049, and 270-09-0307 with the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Andrea Kopstein, Ph.D., M.P.H., Karl D. White, Ed.D., and Christina Currier served as the Contracting Officer's Representatives.

Disclaimer

The views, opinions, and content expressed herein are those of the consensus panel and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. No official support of or endorsement by SAMHSA or HHS for these opinions or for particular instruments, software, or resources is intended or should be inferred.

Public Domain Notice

All materials appearing in this volume except those taken directly from copyrighted sources are in the public domain and may be reproduced or copied without permission from SAMHSA or the authors. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS.

Electronic Access and Copies of Publication

This publication may be ordered or downloaded from SAMHSA's Publications Ordering Web page at . Or, please call SAMHSA at 1-877-SAMHSA-7 (1-877-7264727) (English and Espa?ol).

Recommended Citation

Substance Abuse and Mental Health Services Administration. Improving Cultural Competence. Treatment Improvement Protocol (TIP) Series No. 59. HHS Publication No. (SMA) 14-4849. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

Originating Office

Quality Improvement and Workforce Development Branch, Division of Services Improvement, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD 20857.

HHS Publication No. (SMA) 14-4849 First Printed 2014

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Contents

Consensus Panel............................................................................................................. vii KAP Expert Panel and Federal Government Participants ...................................................ix What Is a TIP? .................................................................................................................xi Foreword....................................................................................................................... xiii Executive Summary .........................................................................................................xv Chapter 1--Introduction to Cultural Competence ............................................................. 1

Purpose and Objectives of the TIP........................................................................................... 2 Core Assumptions..................................................................................................................... 4 What Is Cultural Competence?................................................................................................ 5 Why Is Cultural Competence Important? .............................................................................. 7 How Is Cultural Competence Achieved? ................................................................................. 9 What Is Culture? .................................................................................................................... 11 What Is Race?......................................................................................................................... 13 What Is Ethnicity? ................................................................................................................. 15 What Is Cultural Identity? .................................................................................................... 16 What Are the Cross-Cutting Factors in Race, Ethnicity, and Culture? ................................ 16 As You Proceed ....................................................................................................................... 33 Chapter 2--Core Competencies for Counselors and Other Clinical Staff...........................35 Core Counselor Competencies ............................................................................................... 36 Self-Assessment for Individual Cultural Competence ........................................................... 55 Chapter 3--Culturally Responsive Evaluation and Treatment Planning.............................57 Step 1: Engage Clients............................................................................................................ 59 Step 2: Familiarize Clients and Their Families With Treatment and Evaluation Processes . 59 Step 3: Endorse Collaboration in Interviews, Assessments, and Treatment Planning........... 60 Step 4: Integrate Culturally Relevant Information and Themes............................................ 61 Step 5: Gather Culturally Relevant Collateral Information .................................................. 64 Step 6: Select Culturally Appropriate Screening and Assessment Tools................................ 65 Step 7: Determine Readiness and Motivation for Change .................................................... 69 Step 8: Provide Culturally Responsive Case Management .................................................... 70 Step 9: Integrate Cultural Factors Into Treatment Planning ................................................. 71

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