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Cultural Competency in Disaster Mental Health Recovery. Cecilia Rivera-Casale Ph.D., Senior Project Officer 301-443-4735 CCasale@samhsa.gov Cathy Cave B.S., Cultural Competence Coordinator NYSOMH, 518-408-2026 firstname.lastname@example.org. We don’t see things as they are, we see them as we are.
Cecilia Rivera-Casale Ph.D., Senior Project Officer
Cathy Cave B.S., Cultural Competence Coordinator
NYSOMH, 518-408-2026 email@example.com
SAMHSA Matrix Priorities
Cultural Competency & Eliminating Barriers
Community and Faith-based Approaches
Financing Strategies and Cost Effectiveness
Rural and Other Specific Settings
Data and Evidence-Based Outcomes
Collaboration with Public and Private Partners
Recovery/reducing Stigma and Barriers to Services
Trauma and Violence
A Life in the Community for Everyone
Building Resilience and Facilitating Recovery
Substance Abuse Treatment Capacity
Seclusion and Restraint
Prevention and Early Intervention
Children and Families
New Freedom Initiative
HIV/AIDS and Hepatitis C
Cultural Adaptation of Outreach Approaches and Services
Equity in Service Benefit
“More often, culture bears upon whether people even seek help in the first place, what types of help they seek, what coping styles and social supports they have, and how much stigma they attach to mental illness.” (DHHS,2001)Cultural Competence Addresses:
Tailored Service Approaches
Marketing Programs (Public Education)Cultural Competence Definition
Knowledge, Information and Data from and aboutIndividuals and Groups
Integrated and Transformed
That match the individual’s culture and increase both the quality and appropriateness of health care and health outcomes. (King Davis, 1997)
Differences in expressions of distress, due to cultural variability in mourning, grief and ritual.
Our view of the world is the world.
Language and value differences.Challenges to Recovery: Stigma, Mistrust and Discrimination
Recognize and utilize indigenous healing networks and practices.
Emotional conditions are identified and counseling services are provided.Elements of Recovery for Individuals and Families
ReconstructionA New Beginning
(Coming to Terms) Working Through Grief
Trigger Events and Anniversary Reactions
InventoryTypical Phases of Disaster
1 to 3 Days -------------------TIME-------------------------------------------1 to 3 Years
Language and Dialects
Country of Origin
Prior Trauma Exposure
Education SystemsCultural Considerations
Meaning of “Sacred Place”, “Shrine”, “Burial Ground”
Personal and Family Rituals
Ritual Helps to Face Loss and Accept RealityGrief and Grieving
Maintain a current profile of the cultural composition of the community.
Recruit disaster workers who are representative of the community or service area.
Provide ongoing cultural competence training to disaster mental health staff.Guiding Principles for Cultural Competence in Disaster Recovery
Recognize the role of help-seeking behaviors, customs and traditions, and natural support networks.
Involve as “culture brokers” community leaders and organizations representing diverse cultural groups.Guiding Principles for Cultural Competence in Disaster Recovery
Assess and evaluate the program’s level of cultural competence.Guiding Principles for Cultural Competence in Disaster Recovery
Train Bilingual and Bicultural Staff
Disseminate Educational Material
Languages other than English
Adapt Printed MaterialsEnsure Cultural and Linguistic Competence in Service Delivery
Key Stakeholder Interviews
Involve Indigenous People as EvaluatorsAssessment