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Chapter 12 Profiles of Culturally Competent Care with African American, Asian American and Native American Populations Multicultural Social Work Practice – Chapter (12) African Americans 12.3% of U.S. population is African American Poverty rate for AA’s 33.1%-Whites 12.2%

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Chapter 12 l.jpg
Chapter 12

Profiles of Culturally Competent Care with African American, Asian American and Native American Populations

Multicultural Social Work Practice – Chapter (12)


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African Americans

  • 12.3% of U.S. population is African American

  • Poverty rate for AA’s 33.1%-Whites 12.2%

  • AA’s live 5-7 years shorter than Whites

  • 40% of new AIDS cases are AA’s

Multicultural Social Work Practice – Chapter (12)


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African Americans

  • 70% of households headed by women

  • Extended family networks provide emotional support

  • Adaptability of family roles

  • Strong kinship bonds

  • Strong work and achievement ethic

  • Strong religious orientation

Multicultural Social Work Practice – Chapter (12)


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African Americans

  • Parents encourage children to develop career and educational goals early in life

  • Academic performance suffers due to racism

  • Homicide rates 10x’s—higher than White youth

  • “Healthy cultural paranoia”

  • Perceived racial discrimination leads to psychological distress

Multicultural Social Work Practice – Chapter (12)


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Social Work Implications—working with African Americans

  • Find out roles in the family—they can be flexible

  • Intervention strategies may involves systems, family, and communities

  • Churches should be considered as sources of support

  • Conflict with the individuals may relate to racial identity development

  • Address issues of mistrust

Multicultural Social Work Practice – Chapter (12)


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Asian Americans

  • Fastest growing group among all racial/ethnic groups

  • 4% of U.S. population—9% by 2050

  • Underutilize social services because of:

    • Cultural factors

    • Language difficulties

    • Expressions of psychological distress

    • Limited access to culturally competent services

Multicultural Social Work Practice – Chapter (12)


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Asian Americans

  • Collectivistic orientation

  • Societies are generally patriarchal

  • Emotional restraint is valued

  • Shame and guilt are invoked to control children due to self-discipline focus

  • Holistic view on mind and body

Multicultural Social Work Practice – Chapter (12)


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Asian Americans

  • Fear of academic failure in students

  • Racism and discrimination lead to high rates of depression

  • Refugee or immigrant issues (e.g. culture shock, language difficulties)

  • Shame/”saving face”

Multicultural Social Work Practice – Chapter (12)


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Social Work Implications—working with Asian Americans

  • Family work may be preferred

  • Assess extended social support networks

  • Do not impose egalitarian values

  • Address head of family first

  • Recognize emotional behavior in an indirect manner

  • Treat both somatic and psych issues

  • Protect the dignity of the family

Multicultural Social Work Practice – Chapter (12)


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Native Americans

  • Status was eroded by genocide, colonialism, and imperialism

  • Heterogeneous group—512 tribes

  • Young population-39% under age 29

  • Alcoholism is rampant

  • Native American identity based on blood quantum levels

Multicultural Social Work Practice – Chapter (12)


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Native Americans

  • Many see themselves as extensions of their respective tribes

  • Varied family structures

  • High fertility rates, out-of-wedlock births, strong roles for women

  • Extended family is the basic unit

Multicultural Social Work Practice – Chapter (12)


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Native Americans

  • Honor and respect are gained by sharing

  • Tribe and family take precedence over the individual

  • Rights of others are respected and noninterference is valued

  • Present time orientation

Multicultural Social Work Practice – Chapter (12)


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Native Americans

  • Spirit, mind, and body are one

  • Direct eye contact with an elder is disrespectful

  • Children do well academically early on but drop out after 4th grade

  • Bicultural conflicts

  • High rates of domestic violence

Multicultural Social Work Practice – Chapter (12)


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Social Work Implications—working with Native Americans

  • May need to assess relation to tribe

  • Determine roles of other family members to ensure appropriate interventions

  • Children may appear unmotivated because they are cooperative

  • Parents are more permissive—not necessarily neglectful

Multicultural Social Work Practice – Chapter (12)