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Practicing Cultural H umility

Foundations For Community Health Workers. (2009) Editors: Berthold, T., Miller, J., and Avila-Esparza, A. San Francisco: Jossey-Bass. Practicing Cultural H umility. Chapter Seven. Community Health Workers (CHWs). CHWs have clients of many different cultural backgrounds and identities.

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Practicing Cultural H umility

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  1. Foundations For • Community Health Workers (2009) Editors: Berthold, T., Miller, J., and Avila-Esparza, A. San Francisco: Jossey-Bass Practicing Cultural Humility Chapter Seven

  2. Community Health Workers (CHWs) CHWs have clients of many different cultural backgrounds and identities. In the communities where CHWs work, many people do not have equal access to opportunities such as education, affordable housing, civil rights, and culturally competent health care.

  3. What you will learn • How the changing demographics in the U.S. affects the work of CHWs • Historical and institutional discrimination affects the health of targeted communities and influences their work with public health providers • Definition of cultural humility • The importance of life long learning and practicing cultural humility • The concepts of traditional health beliefs and practices and how they influence the deliver of services to clients • Words to know

  4. Cultural humility is important Truly understanding cultural diversity takes a personal journey. You must open you mind and heart in order to develop cultural humility. Cultural humility requires • Studying histories of oppression and discrimination • Looking at your assumptions & prejudices • Putting your assumptions aside when working with clients • Being respectfully to clients

  5. Defining cultural humility Cultural humility is a guide that emphasizes understanding power relationships and cultural identities. Cultural humility is being flexible enough to: • Engage in self-reflection and self-critique. • Understand that all cultures deserve our respect.

  6. Defining cultural humility • Admit when you don’t know the culture or social context of clients. • Use resources that broaden understanding of cultures in the communities you serve. • Recognize that the client is the expert of his/her own culture, values, and beliefs. • Put assumptions aside when working with clients. • Ask clients to share their own experiences, knowledge, and resources so that you can support their health and well-being.

  7. In the United States… • Cultures of the world crisscross on a everyday basis • There is a diverse demography and demographic population • This increase in diversity leads to one day the U.S. becoming a “no-majority” country

  8. Understanding culture • Culture includes beliefs, behaviors, attitudes, and practices that are learned, shared, and passed on by members of particular group. • Culture is not static… it is dynamic, constantly changing evolving with us. • Culture includes ethnic identity, immigration status and experience, sexual orientation, gender identity, religion or spirituality, social class, family background, language, physical ability, traditions, etc.

  9. Something to think about… • Have you had someone ask you, “Where are you from?” or “What are you?” • Have you ever had someone mistakenly assume one of your cultural identities? • How did this make you feel? • How did you react? • If not…put yourself in this person’s shoes.

  10. Take a few minutes to answer these questions… 1. What types of clients do you think has difficulties in accessing health or social services? Why? 2. What types of clients do you lack experience with and knowledge about? 3. What types of clients are you less comfortable working with? Why? 4. How can you keep personal attitudes and feelings from influencing your work with diverse clients? 5. What can you do to acknowledge your stereotypes and prejudices?

  11. Take a few minutes to answer these questions… 6. Is it okay to be uncomfortable at times with clients of a particular cultural identity, or does this make you an unskilled CHW? 7. Is it okay to talk with your colleagues when you find that you are challenged in working with a client? 8. How can you learn to accept critical feedback about your work with diverse clients? Being aware of your perceptions of others, your attitudes and behaviors, will help you to work and live in a more culturally appropriate and sensitive manner.

  12. Working with diverse clients The LEARN model is a guide to use with diverse clients: • L - Listen with sympathy and understanding to the client’s perception of the problem • E - Explain your perceptions of the problem • A - Acknowledge and discuss the differences and similarities between your perceptions and that of the client • R - Recommend resources • N - Negotiate agreement

  13. Words to know • Cross-cultural • Sexual orientation • Gender identity • Demography • Structural Racism • Demographic • Structural Discrimination

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