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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
Chapter 12

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

Multicultural Social Work Practice – Chapter (12)

african americans
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)

african americans3
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)

african americans4
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)

social work implications working with african americans
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)

asian americans
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)

asian americans7
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)

asian americans8
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)

social work implications working with asian americans
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)

native americans
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)

native americans11
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)

native americans12
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)

native americans13
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)

social work implications working with native americans
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)