Core Course 4B: Cultural Competency: Impacts on Innovations and Model Development University of Massachusetts Boston School for Global Inclusion and Social Development (Class Meeting Time and Location) Fall 2013 Instructor: Office: Office Hours: Phone: Email: Instructor website: Course website: COURSE DESCRIPTION “Cultural competence is a set of congruent behaviors, attitudes and policies that come together in a system, agency or among professionals; enabling that system, agency or those professionals to work effectively in cross-cultural situations” (Cross et al., 1989). This course introduces students to the concepts of culture and cultural competency and examines the impact of cultural differences – due to age, gender, class, race, ethnicity, disability, religion, occupation, sexual orientation and other factors – on access to programs, services and resources. The course teaches students models for cultural competency as well as strategies for cross-cultural communication, conflict resolution and organizational capacity building – essential knowledge and skills for future leaders in global inclusion and social development. Through a combination of lectures, guest speakers, assigned readings, and group discussions, students learn about cultural competency and its application to policy, practice, research and professional training with a particular focus on healthcare, disability and rehabilitation, as well as the global context. Master’s and doctoral students in global inclusion and social development can choose to take this course or the Ethics and Professionalism in Global Inclusion and Social Development course. COURSE OBJECTIVES Upon completion of this course students will be able to: ● Assess one’s own leadership style and cultural competency including strengths and weaknesses and develop an action plan for personal development; ● Understand the concepts of culture, cultural differences and cultural groups, as well as cultural awareness and cultural competency; ● Explain the impact of globalization on culture or cross-cultural aspects of globalization and implications for leaders in global inclusion and social development; ● Describe various theoretical framework and models for cultural competency, including their strengths and weaknesses, and application to policy, programs, and services; ● Demonstrate familiarity with strategies for cross-cultural communication, conflict resolution and organizational capacity building including issues and challenges in their application; ● Critically assess policy, programs, and services – particularly related to health care, disability and rehabilitation – from a cultural competency perspective and the impact at the individual, program, and organizational levels; ● Understand the role of research in evaluating culturally competent interventions (policy, programs, and services) and the challenges in measuring effectiveness and impact; and 1 ● Demonstrate competence in applying knowledge and skills gained throughout the course in a white paper. STUDENT PERFORMANCE EVALUATION Activity / Assignment Deadline Active and prepared class participation Personal reflections journal Each class 20% Collected during Sessions 4, 8, and 12. Final presentation of experiences and personal growth during Session 14. 10% Group case study analysis and presentation Group case study write up Due in class during Session 5 10% Due in class during Session 6 10% White paper Due via email by the end of finals week Due in class during Session 13 30% Individual presentation Percent of Final Grade 20% DIRECTIONS FOR ASSIGNMENTS Active and Prepared Participation Participation is a must during this course. The knowledge you gain from the sessions and assignments is dependent on your willingness to be actively involved in the sharing of your ideas, reactions, self-exploration and personal learning. Students are expected to come to class prepared each week ready to participate. Personal Reflections Journal Each student is to keep a journal during the semester. Personal reflections, feelings, and reactions to class readings, activities, and issues addressed in class are to be recorded at least weekly. A required component of the journal is to provide your thoughts and reactions to the experiential aspects of the course, including self-assessments, class discussions, and guest speakers. The journals will be collected three times during the semester. During the last class (Session 14) every student will give a 5-minute (informal) final ‘presentation’ on their experiences and personal growth during the course. Group Case Study Analysis, Presentation and Write Up Throughout the first part of the semester, students will work together in small groups (3 – 4 people) more closely investigate the role of cultural competency in regards to a specific cultural group. Specifically, groups will identify a local organization that serves a particular cultural group (Examples of organizations: Haitian-American Public Health Initiative [HAPHI], The 2 Greater Boston Food Bank, Latino STEM Alliance, Cross Cultural Collaborative Inc.). Groups will be asked to collect background information about the organization and conduct 3 – 5 key informant interviews with staff / stakeholders of their chosen organization. At the beginning of Session 3, groups will provide a brief update (5 minutes per group) on their progress with developing the case study and applying key concepts learned in this course. Groups will give a final presentation on their organizational case study (20 minutes per group) during Session 5. Each group will provide a written case study to accompany their case study presentation. White Paper Each student will develop a white paper that is targeted to a selected group or audience and introduces an issue with a proposed course of action. Students will select a particular cultural issue to focus on for this paper, and will propose a strategy to addressing this issue. Topics will need to be reviewed and approved by the instructor no later than Session 7. Students are expected to review relevant literature (both literature provided in the course as well as additional literature and materials collected for this assignment) and incorporate evidence for the seriousness of the issue as well as their reason for proposing the selected course of action (e.g., why it is believed to be the most effective). This paper will be due at the end of finals week, and students will be provided with feedback of their verbal presentation of this work before submitting their final draft. For master’s level students: papers will be 10 pages in length, with 10 – 15 references. For doctoral students: papers will be 20 pages in length with 20 – 25 references. Individual Presentation During the Session 13 each student will give a verbal presentation of his/her white paper to the class. Use of PowerPoint or other media is optional. Critical aspects of this presentation are conveying the intended audience and rationale, the cultural group and issue, and proposed course of action. Students should incorporate supporting evidence from the literature in the presentation. Presentations should be no more than 15 minutes (per student) in length. Students will receive feedback on this presentation that they may use to finalize their written draft of the white paper to be submitted during finals week. COURSE OUTLINE Session / Date Session 1: Course introduction and overview and key concepts Topic / Activity Readings Session Goals: Introduce students to the course objectives, review syllabus and course assignments including group case study project, and discuss overall concepts central to the course. Activity: Group discussion: What does cultural competency mean to you – personally and professionally? 3 ● National Center for Cultural Competence [NCCC] (n.d.). Definitions of cultural competence. (website) ● US Department of Health and Human Services, Office of Minority Health (n.d.). What is cultural competency? (website) ● Cross et al. (1989). Towards a culturally competent system of care, Volume 1. ● Leavitt (Ed.) (2010). Cultural competence: A lifelong journey to cultural proficiency. Ch. 1: Introduction to cultural competence. ● Norman-Major & Gooden (Ed.) (2012). Cultural competency for public administrators. Ch. 1: Cultural competency and public administration. ● Yin (1994). Case study research: Design and methodology. Session 2: Introduction to culture, cultural differences and cultural groups Session Goals: Introduce students to the concept of culture and variations in definitions and meanings of culture. Focus on different cultural groups based on age, gender, class, race, ethnicity, disability, religion, occupation, sexual orientation, identity and other dimensions. Activity: Take the NCCC online module on cultural awareness and come prepared to class to discuss the importance of cultural awareness for leadership in global inclusion and social development. Session 3: Culture and personal identity Session Goals: Introduce students to the concept of social identity formation / development and the role and impact of culture, bi- and multiculturalism, and cultural clustering in communities and organizations and implications for policymakers and practitioners. Activity: Take the NCCC online 4 ● NCCC (n.d.). Curriculum enhancement module series. Module on cultural awareness. Focus particularly on sections 3. What is culture, 4. How do human being acquire culture, and 5. What culture is not. ● Magala (2005). Cross-cultural competence. Ch. 1: The ends, means and meanings of culture: the language connection ● Leavitt (Ed.) (2010). Cultural competence: A lifelong journey to cultural proficiency. Ch. 2: Understanding the nature of culture, Ch. 5: Disability across cultures, Ch. 6: Racial and ethnic disparities in health status, health care and physical therapy, and Ch. 7: Poverty and health: Social status differences in leading health indicators. ● NCCC (n.d.). Curriculum enhancement module series. Module on cultural awareness. Focus particularly on sections 7. Culture and personal identity and 8. Cultural identity and cultural clustering. ● Josselson & Harway (Ed.) (2012). Navigating multiple identities. Race, gender, culture, nationality module on cultural self-assessment and come prepared to discuss the experience of assessing your own cultural competency with the class. Group case study -- progress updates Session 4: Cultural competency models Session Goals: Review the concept of cultural competency from Session 1; introduce students to different models of cultural competence and their application in policy, practice, research and professional training. and other roles. Ch. 1: The challenges of multiple identities. ● NCCC (n.d.). Curriculum enhancement module series. Module on cultural selfassessment. ● Norman-Major & Gooden (Ed.) (2012). Cultural competency for public administrators. Ch. 2: A new kind of public service professional: Possessing cultural competency. ● ● ● Activity: Group discussion of the cultural competency models, their strengths and weaknesses, application ● to different settings, and implications for practitioners in global inclusion and social development. NCCC (n.d.). Conceptual frameworks/models, guiding values and principles. (website) Purnell (2000). A description of the Purnell model for cultural competence. Schyve, (2006). In search of actionable models of culturally competent care. Betancourt et al. (2003). Defining cultural competence: A practical framework for addressing racial / ethnic disparities in health and health care. Johnson et al. (2006). Crosscultural competence in international business: toward a definition and a model. Personal reflections journal collected ● Session 5: Group case study presentations on particular cultural groups Activity: Groups will give short presentations (10 minutes per group) about their chosen cultural groups. ● Power point slides of all group presentations will be circulated before the presentations, all students are asked to review those presentations and prepare questions for the groups/group discussion. Session 6: Cross-cultural communication: strategies and Session Goals: Introduce students to various strategies in cross-cultural communication, considering varying perspectives based on values, beliefs, and traditions across global contexts. ● Gudykunst (Ed.) (2003). Crosscultural and intercultural communication. Section on Crosscultural communication: Introduction. 5 their application Activity: Discussion of issues and challenges in communicating crossculturally including stereotyping, language, ethnocentrism, etc., and implications for practitioners in global inclusion and social development. Group case study write up due ● Leavitt (Ed.) (2010). Cultural competence: A lifelong journey to cultural proficiency. Ch. 9: Crosscultural communication. ● Moodian (Ed.) (2009). Contemporary leadership and intercultural competence: Exploring the cross-cultural dynamics within organizations. Ch. 11: The stress dynamic and its intersection with intercultural communication competence. ● US Department of Health and Human Services, Health Resources and Services Administration (n.d.). Culture, language and health literacy. (website) Session 7: Cross-cultural conflict resolution: strategies and their application Session Goals: Review key concepts ● Magala (2005). Cross-cultural and cross-cultural communication competence. Ch. 1: The ends, strategies from Session 6, introduce means and meanings of culture: students to various strategies in crossthe language connection, and Ch. cultural conflict resolution and 4: Creative communication: the related approaches and strategies. multimedia connection. ● Gudykunst (Ed.) (2003). CrossActivity: Discussion of issues and cultural and intercultural challenges in managing conflict communication. Ch. 7: Crossacross cultures through cultural face concerns and conflict communication, and implications for styles: Current status and future practitioners in global inclusion and directions. social development. ● Ramsbotham (2011). Contemporary conflict resolution. White paper topics due Ch. 15: Culture, religion and conflict resolution. Session 8: Culture, globalization and leadership Session Goals: Review the concept ● Magala (2005). Cross-cultural of globalization from Session 1, then competence. Ch. 2: Clashing introduce students to the various civilizations: The global cross-cultural aspects of globalization connection, Ch. 3: Networking and their impact on individuals, organizations: The management groups and communities in the US connection, and Conclusion: and abroad. Discuss the implications Managing cross-cultural for leadership (individual and competence. organizational) in global inclusion ● Moodian (Ed.) (2009). and social development. Contemporary leadership and intercultural competence: 6 Activity: Guest speaker – TBD; discussion of challenges of working in a cross-cultural/diverse environment and implications for cross-cultural leadership. Personal reflections journal collected Session 9: Cultural competency in health care Session Goals: Discuss the application of cultural competency in the context of health and wellness; introduce students to the concept of ‘cultural brokering’ in health care settings and related best practices. Activity: Guest speaker – Dr. Judith Palfrey of the ICI / UMB & Children’s Hospital Boston; discussion of challenges of implementing a cultural brokering model in health care settings in the US (NCCC, 2004, Appendix A) and implications for application abroad. ● ● ● ● ● Session 10: Cultural competency in disability and rehabilitation Session Goals: Discuss the application of cultural competency in the context of disability and rehabilitation; introduce students to the concept of ‘cultural brokering’ in disability and rehabilitation settings and related best practices. Activity: Guest speaker – Ms. Paula Sotnik of the ICI / UMB; discussion of challenges of implementing a 7 ● Exploring the cross-cultural dynamics within organizations. Ch. 12: Beyond borders: Leading in today’s multicultural world. Norman-Major & Gooden (Ed.) (2012). Cultural competency for public administrators. Ch. 2: A new kind of public service professional: Possessing cultural competency awareness, knowledge and skills. US Department of Health and Human Services, Office of Minority Health (n.d.). What is cultural competency? (website) NCCC (n.d.). Engaging communities to realize the vision: One hundred percent access and zero health disparities: A culturally competent approach. NCCC (2004). Bridging the cultural divide in health care settings: The essential role of cultural broker programs. Norman-Major & Gooden (Ed.) (2012). Cultural competency for public administrators. Ch. 11: Cultural competence in health care. Goode, Dunne, & Bronheim (2006). The evidence base for cultural and linguistic competency in health care. Sotnik & Jezewski (2005). Culture and disability. ● Leavitt (Ed.) (2010). Cultural competence: A lifelong journey to cultural proficiency. Ch. 5: Disability across cultures. ● Jezewski & Sotnik (2005). Disability service providers as culture brokers. ● Norman-Major & Gooden (Ed.) (2012). Cultural competency for Session 11: Cultural competency and capacity building cultural brokering model in disability and rehabilitation settings in the US and implications for application abroad. public administrators. Ch. 10: Partnership for people with disabilities. ● Hasnain et al. (2011). Do cultural competency interventions work? A systematic review on improving rehabilitation outcomes for ethnically and linguistically diverse individuals with disabilities. Session Goals: Focus on approaches and strategies to increase capacity of governmental agencies (such as state Vocational Rehabilitation agencies) and community-based organizations (such as Independent Living Centers) to develop culturally competent programs and services. ● Activity: We will watch and discuss the NCDDR webcast on “Capacity building and cultural competence when working with minority populations” including implications for practitioners in global inclusion and social development. Session 12: Cultural competent interventions: effectiveness evidence and issues of measurement Session Goals: Review existing research evidence on the effectiveness of culturally competent interventions (policy, programs, and services) and discuss methods for evaluating such interventions including challenges of measuring effectiveness and impact. National Center for Dissemination of Disability Research (n.d.) webcast. ● Hasnain et al. (2011). Do cultural competency interventions work? A systematic review on improving rehabilitation outcomes for ethnically and linguistically diverse individuals with disabilities. ● Omowale Satterwhite et al. (2007). Cultural competency in capacity building. ● Mayeno (2007). Multicultural organizational development. A resource for health equity. ● Hasnain et al. (2011). Do cultural competency interventions work? A systematic review on improving rehabilitation outcomes for ethnically and linguistically diverse individuals with disabilities. ● Price et al. (2005). A systematic review of the methodological rigor Activity: Guest speaker – Dr. of studies evaluating cultural Rooshey Hasnain of the University of competence training of health Illinois at Chicago; discussion of professionals. challenges in evaluating culturally ● Kumas-Tan et al. (2007). Measures competent interventions and of cultural competence: Examining implications for practitioners in hidden assumptions. global inclusion and social development. Personal reflections journal 8 collected Sessions 13 and 14: Individual presentations; personal reflections on journaling Activity: Students present on their White papers in Session 13 and on their personal reflection journals in Session 14. ACCOMODATIONS UMass Boston is committed to providing reasonable academic accommodations for all students with disabilities. This syllabus is available in alternate format upon request. If you have a disability and feel you will need accommodations in this course, please contact the Ross Center for Disability Services, Campus Center, Upper Level, Room 211 at 617-287-7430. After registration with the Ross Center, you should present and discuss the accommodations with the instructor. Although a student can request accommodations at any time, it is recommended that students inform the instructor of their need for accommodations by the end of the Drop / Add period to ensure that accommodations are available for the entirety of the course. CODE OF CONDUCT AND ACADEMIC INTEGRITY It is the expressed policy of UMass Boston that every aspect of academic life − not only formal coursework situations, but all relationships and interactions connected to the educational process − shall be conducted in an absolutely and uncompromisingly honest manner. UMass Boston presupposes that any submission of work for academic credit is the student’s own and is in compliance with University policies, including its policies on appropriate citation and plagiarism. These policies are spelled out in the Code of Student Conduct. Students are required to adhere to the Code of Student Conduct, including requirements for academic honesty, as delineated in the UMass Boston Graduate Catalogue and relevant program student handbook(s). REQUIRED COURSE READINGS AND REFERENCES Betancourt, J. R., Green, A. R., Carrillo, J. E., Ananeh-Firempong, O. (2003). Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118, 293 – 302. Cross, T., Bazron, B., Dennis, K., & Isaacs, M. (1989). Towards a culturally competent system of care, Volume 1. Washington, DC: CASSP Technical Assistance Center, Center for Child Health and Mental Health Policy, Georgetown University Child Development Center. Goode, T.D., Dunne, C., & Bronheim, S.M. (2006). The evidence base for cultural and linguistic competency in heath care. New York, NY: The Commonwealth Fund. Retrieved from: http://www.commonwealthfund.org/Publications/Fund-Reports/2006/Oct/The-EvidenceBase-for-Cultural-and-Linguistic-Competency-in-Health-Care.aspx 9 Gudykunst, W.B. (Ed.) (2003). Cross-cultural and intercultural communication. Thousand Oaks, CA: Sage. Hasnain, R., Kondratowicz, D. M., Borokhovski, E., Nye, C., Balcazar, F., Portillo, N., Hanz, K., Johnson, T., & Gould, R. (2011). Do cultural competency interventions work? A systematic review on improving rehabilitation outcomes for ethnically and linguistically diverse individuals with disabilities. FOCUS Technical Brief, (31). Austin, TX: SEDL, National Center for the Dissemination of Disability Research. Retrieved from http://www.ncddr.org/kt/products/focus/focus31/Focus31.pdf Jezewski, M.A., & Sotnik, P. (2005). Disability service providers as culture brokers. In J.H. Stone (Eds). Culture and disability: Providing culturally competent services. Thousand Oaks, CA: Sage. Johnson, J.P., Lenartowicz, T., & Apud, S. (2006). Cross-cultural competence in international business: toward a definition and a model. Journal of International Business Studies 37, 525 – 543. Josselson, R., & Harway, M. (Ed.) (2012). Navigating multiple identities. Race, gender, culture, nationality and other roles. New York, NY: Oxford University Press. Kumas-Tan, Z., Beagan, B., Loppie, C., MacLeod, A., Frank, B. (2007). Measures of cultural competence: Examining hidden assumptions. Academic Medicine, 82, 548 – 557. Leavitt, R. (ed.) (2010). Cultural competence: A lifelong journey to cultural proficiency. Thorofare, NY: SLACK Inc. Magala, S. (2005). Cross-cultural competence. New York, NY: Routledge. Mayeno, L.Y. (2007). Multicultural organizational development. A resource for health equity. . (Monograph). San Francisco, CA; CompassPoint Nonprofit Services. Moodian, M. A. (Ed.) (2009). Contemporary leadership and intercultural competence: Exploring the cross-cultural dynamics within organizations. Los Angeles, CA: Sage. National Center for Cultural Competence [NCCC] (n.d.). Curriculum enhancement module series. Washington, DC: Author. Retrieved from http://www.nccccurricula.info/awareness/index.html National Center for Cultural Competence [NCCC] (n.d.). Conceptual frameworks/models, guiding values and principles. (website) Retrieved from http://www11.georgetown.edu/research/gucchd/nccc/foundations/frameworks.html#ccdef inition National Center for Cultural Competence [NCCC] (n.d.). Definitions of cultural competence. (website) Retrieved from http://www.nccccurricula.info/culturalcompetence.html 10 National Center for Cultural Competence [NCCC] (n.d.). Engaging communities to realize the vision: One hundred percent access and zero health disparities: A culturally competent approach. Policy Brief 4. Washington D.C.: Author. Retrieved from http://nccc.georgetown.edu/documents/ncccpolicy4.pdf National Center for Cultural Competence [NCCC] (2004). Bridging the cultural divide in health care settings: The essential role of cultural broker programs. Washington, D.C.: Author. Retrieved from http://nccc.georgetown.edu/documents/Cultural_Broker_Guide_English.pdf National Center for Dissemination of Disability Research [NCDDR] (n.d.) Capacity building and cultural competence when working with minority populations. (webcast) Retrieved from http://www.ncddr.org/webcasts/webcast4.html Norman-Major, K.A., & Gooden, S. T. (Ed.) (2012). Cultural competency for public administrators. Armonk, NY: M.E. Sharpe. Omowale Satterwhite, F.J, Teng, S., & Fernandopulle, A. (2007). Cultural competency in capacity building. (Monograph). San Francisco, CA; CompassPoint Nonprofit Services. Price, E. G. et al. (2005). A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals. Academic Medicine, 80, 578 – 586. Purnell, L. (2000). A description of the Purnell model for cultural competence. Journal of Transcultural Nursing, 11, 40 -46. Ramsbotham, O. (2011). Contemporary conflict resolution (3rd Ed.). Cambridge, UK: Polity Press. Schyve, P. (2006). In search of actionable models of culturally competent care. New York, NY: Commonwealth Fund. Sotnik, P., &, Jezewski, M.A. (2005). Culture and Disability. In J.H. Stone (Eds). Culture and disability: Providing culturally competent services. Thousand Oaks, CA: Sage. US Department of Health and Human Services, Office of Minority Health (n.d.). What is cultural competency? (website) Retrieved from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=11 US Department of Health and Human Services, Health Resources and Services Administration (n.d.). Culture, language and health literacy. (website) Retrieved from http://www.hrsa.gov/culturalcompetence/index.html Yin, R. (1994) Case study research: Design and methodology. Beverly Hills, CA: Sage. 11 ADDITIONAL READINGS Bronheim, S. (n.d.). Cultural competence: It all starts at the front desk. Washington DC: National Center for Cultural Competence. Retrieved from http://nccc.georgetown.edu/documents/FrontDeskArticle.pdf Botcheva, L., Shih, J., & Huffman, L.C. (2009). Emphasizing cultural competence in evaluation: A process-oriented approach. American Journal of Evaluation, 30(2), 176 – 188. Cabbil, L. & Gold, M. E. (2008). African Americans with Visual Impairments. In M. Milian & J. Erin, Diversity and visual impairments: The influence of race, gender, religion, and ethnicity on the individual, (pp. 57 – 77). New York, NY: American Foundation for the Blind. Carrillo, J.E., Carrillo, V.A., Perez, H.R., Salas-Lopez, D., Natale-Pereira, A.,& Byron, A.T. (2011). Defining and targeting health care access barriers. Journal of Health Care for the Poor and Underserved, 22(2), 562 – 575. Jackson, K.F. (2009). Building cultural competence: A systematic evaluation of the effectiveness of culturally sensitive interventions with ethnic minority youth. Children and Youth Services Review, 31(11), 1192 – 1198. Kale, D.W. (1997). Peace an ethic for intercultural communication. In L.A. Samovar, R.E. Porter (Eds.), Intercultural communication (pp. 448 – 452). Belmont, MA: Wadsworth Publishing Company. Kim, Y.Y. (1997). Intercultural personhood: An integration of Eastern and Western perspectives. In L.A. Samovar and R.E. Porter (Eds.), Intercultural Communication (pp. 434 – 446). Belmont, MA: Wadsworth Press. LeBlanc, S.. Wilson, K.B., & Juchau, K. (2008). White privilege: A primer for the vocational rehabilitation counselor. Journal of Applied Rehabilitation Counseling, 39(3), 10 – 18. Lum, D. (Ed.) (2005). Cultural competence, practice stages, and client systems: A case study approach (pp. 1 – 31). Belmont, CA: Brooks/Cole Cengage Learning. Mor-Barak, M.E. (2005). Managing diversity: Toward a globally inclusive workplace. New York, NY: Sage. Rogers-Adkinson, D. L., Ochoa, T. A., & Delgado, B. (2003). Developing cross-cultural competence serving families of children with significant developmental needs. Focus on Autism and Other Developmental Disabilities, 18, 4 – 8. Samovar, L.A. & Porter, R.E. (1997). An introduction to intercultural communication. In L.A. Samovar and R.E. Porter (Eds.) Intercultural communication (8th Ed. pp.4 – 25). New York, NY: Wadsworth Press. 12 Stone, J.H. (Eds). Culture and disability: Providing culturally competent services. Thousand Oaks, CA: Sage. Toper, I. (2008). Native Americans with visual impairments. In M. Milian & J. Erin (ed.), Diversity and Visual Impairments: The Influence of Race, Gender, Religion, and Ethnicity on the Individual (pp. 151 – 189). New York, NY: American Foundation for the Blind Trimble, J., Trickett, E., Fisher, C., & Goodyear, L. (2012). A conversation on multicultural competence in evaluation. American Journal of Evaluation, 33(1), 112 – 123. Young, I.M. (2000). Five Faces of Oppression. In M. Adams, W. Blumenfeld, R. Castaneda, H. W. Hackman, M. Peters, X Zuniga (Eds.), Reading For Diversity and Social Justice (pp. 35-49). New York: Routledge. 13