Handout 5:
Cultural Competency and the SPF Steps 1-2-3
Resources and Research
Cultural Competency
Definition
Cultural and linguistic competence is a set of congruent behaviors, attitudes, and
policies that come together in a system, agency, or among professionals that enables
effective work in cross-cultural situations. 'Culture' refers to integrated patterns of
human behavior that include the language, thoughts, communications, actions,
customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups.
'Competence' implies having the capacity to function effectively as an individual and an
organization within the context of the cultural beliefs, behaviors, and needs presented
by consumers and their communities. (Adapted from Cross, 1989).
U.S Department of Human Services, Office of Minority Health (May 9, 2013). What is
Cultural Competency? Retrieved on line June 3, 2013 from:
http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlid=11
Resources
U.S Department of Human Services, Office of Minority Health (May 8, 2013).
Educational Materials/Guides/PTTS/Modules. Retrieved on line June 3, 2013 from:
http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlid=107
SAMHSA’s Center for the Application of Prevention Technologies (2012). Resources
Related to Cultural Competency. Retreived June 3, 2013 from:
http://captus.samhsa.gov/access-resources/resources-related-cultural-competence
Government Resources
Office of Minority Health and Health Disparities (OMHD) from Centers for Disease
Control and Prevention (CDC).
This training was developed under the Substance Abuse and Mental Health Services Administration’s
(SAMHSA) Center for the Application of Prevention Technologies contract. Reference #
HHSS277200800004C.
For training use only.
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Office of Minority Health from the Department of Health and Human Services: The
National Standards for Culturally and Linguistically Appropriate Services in Health and
Health Care (CLAS): https://www.thinkculturalhealth.hhs.gov/Content/clas.asp
Health Resources and Services Administration (HRSA) cultural competence site resources for health care providers.
Indian Health Service (IHS), see also the IHS pages on health promotion and disease
prevention.
National Center on Minority Health and Health Disparities.
Healthfinder a Federal website developed by multiple agencies.
Limited English Proficiency. Let Everyone Participate -- LEP.gov has information on
implementation of Executive Order 13166 regarding language access to federal and
federally assisted programs.
Setting the Agenda for Research on Cultural Competence in Health Care, from the
Agency for Healthcare Quality and Research.
Centers for Disease Control and Prevention, National Prevention Information Network.
National Center for Cultural Competence (NCCC). The mission of the NCCC is to
increase the capacity of health care and mental health care programs to design,
implement, and evaluate culturally and linguistically competent service delivery systems
to address growing diversity, persistent disparities, and to promote health and mental
health equity. The NCCC provides national leadership and contributes to the body of
knowledge on cultural and linguistic competency within systems and organizations.
Major emphasis is placed on translating evidence into policy and practice for programs
and personnel concerned with health and mental health care delivery, administration,
education and advocacy.
http://nccc.georgetown.edu/index.html
Health Equity in Michigan: A Toolkit for Action, Fact Sheet on Data. Available online
at: http://www.michigan.gov/documents/mdch/Data_Factsheet_410692_7.pdf
Michigan Health Equity Data Project, Michigan Health Equity Data Tables and
Related Technical Documents (2011) Available online at:
http://www.michigan.gov/documents/mdch/MI_Health_Equity_Data_Tables__May_2011_361868_7.pdf
This training was developed under the Substance Abuse and Mental Health Services Administration’s
(SAMHSA) Center for the Application of Prevention Technologies contract. Reference #
HHSS277200800004C.
For training use only.
2
SAMHSA Center for Behavioral Health Statistics and Quality, National Surveys on Drug
Use and Health (NSDUH), NSDUH Special Report (May 14, 2013). Need for and
Receipt of Substance Use Treatment among Asian Americans and Pacific Islanders.
Retrieved June 3, 2013 from: http://www.samhsa.gov/data/2k13/NSDUH125/sr125aapi-tx.htm
SAMHSA Center for Behavioral Health Statistics and Quality, National Surveys on Drug
Use and Health (NSDUH), NSDUH Special Report (February 21, 2013). Need for and
Receipt of Substance Use Treatment among Blacks. Retrieved June 3, 2013 from:
http://www.samhsa.gov/data/2k13/NSDUH124/sr124-african-american-treatment.htm
SAMHSA Center for Behavioral Health Statistics and Quality, National Surveys on Drug
Use and Health (NSDUH), NSDUH Special Report (November 2012). Need for and
Receipt of Substance Use Treatment among American Indians and Alaskan Natives.
Retrieved June 3, 2013 from: http://www.samhsa.gov/data/2k12/NSDUH120/SR120treatment-need-AIAN.htm
SAMHSA Center for Behavioral Health Statistics and Quality, National Surveys on Drug
Use and Health (NSDUH), NSDUH Special Report (April 14, 2011). Differences and
Similarities between Urban and Rural Outpatient Substance Abuse Treatment Facilities.
Retrieved June 3, 2013 from:
http://www.samhsa.gov/data/2k11/NSSATS242/sr242-treatment-facilities-urbanrural.htm
SAMHSA Center for Behavioral Health Statistics and Quality, National Surveys on Drug
Use and Health (NSDUH), NSDUH Special Report (October 4, 2011). Substance Use
among Hispanic Adolescents. Retrieved June 3, 2013 from:
http://www.samhsa.gov/data/2k11/WEB_SR_007/WEB_SR_007.htm
SAMHSA Center for Behavioral Health Statistics and Quality, Drug Awareness Network
(DAWN), DAWN Report (May 12, 2011). Trends in Emergency Department Visits for
Drug-Related Suicide Attempts among Females: 2005 and 2009. Reterieved June 3,
2013 from: http://www.samhsa.gov/data/2k11/DAWN011/DrugRelatedSuicide.htm
Substance Abuse & Mental Health Services Administration (March 2012). Publications
Ordering Top Health Issues for LGBT Populations; information and resource kit.
Retrieved May 30, 2013 from:
http://store.samhsa.gov/product/Top-Health-Issues-for-LGBT-Populations/SMA12-4684
Social Determinents of Health
This training was developed under the Substance Abuse and Mental Health Services Administration’s
(SAMHSA) Center for the Application of Prevention Technologies contract. Reference #
HHSS277200800004C.
For training use only.
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US Department of Health and Human Services, Office of Desease Prevention and
Health Promotion (October 26, 2010). Healthy People 2020: An Opportunity to Address
Societal Determinants of Health in the United States. Secretary’s Advisory Committee
on National Health Promotion and Disease Prevention Objectives for 2020: An
Opportunity to Address the Societal Determinants of Health in the United States,July 26,
2010. Retrieved June 3, 2013 from:
http://www.healthypeople.gov/2010/hp2020/advisory/societaldeterminantshealth.htm
World Health Organization, Commission on Social Determinants of Health. Closing the
Gap in a Generation: Health equity through action on the social determinants of health.
Available from: http://www.who.int/social_determinants/en
Cultural Competency Research
U.S Department of Human Services, Office of Minority Health (June 22, 2009).
Research. Retrieved on line June 3, 2013 from:
http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=1&lvlID=31
Adverse Childhood Experiences
Reducing Adverse Childhood Experiences Course – ACE Course
Family Policy Council (2012). Reducing Adverse Childhood Experiences Course.
Available on-line at:
http://www.fpc.wa.gov/acecourse.html
This online course will cover brain science, the Adverse Childhood Experiences (ACE)
Study, and resilience research. You will learn the prevalence and high cost lifelong
outcomes of ACEs, the vital role of culture and community to optimize wellbeing, and
how to use this emerging research to create transformative conversations. Preview the
course.
This course has been developed by the Washington State Family Policy Council and is
presented in partnership with the Washington State Department of Social and Health
Services. The content has been developed over the last decade with the research and
wisdom of many extraordinary partners from diverse disciplines including biopsychiatry,
clinical and community psychology, cultural anthropology, education, public health,
social work, and sociology. It is made possible by their collective passion, persistence
and vision.
This training was developed under the Substance Abuse and Mental Health Services Administration’s
(SAMHSA) Center for the Application of Prevention Technologies contract. Reference #
HHSS277200800004C.
For training use only.
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The full course takes a minimum of three and a half hours to complete. You will create
your own user name and password allowing you to move through the course at your
own pace. A certificate of completion is generated at the end of the course.
As of September 2012 individual registration is $39. There is an additional cost for clock hours
and CEUs.
Adverse Childhood Experiences (ACEs) Research
Morbidity and Mortality Weekly Report (MMWR) - Adverse Childhood Experiences
Reported by Adults -- Five States, 2009; Weekly, December 17, 2010 / 59(49);16091613. Retrieved May 9, 2013 from: www.acestudy.org
Koss, M., Polacca, M., Yuan N., et al “Adverse Childhood Exposures and Alcohol
Dependence Among Seven Tribes” American Journal of Preventative Medicine, 2003,
pp. 238‐244
This training was developed under the Substance Abuse and Mental Health Services Administration’s
(SAMHSA) Center for the Application of Prevention Technologies contract. Reference #
HHSS277200800004C.
For training use only.
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