Veronica Kelley, LCSW
Cultural Competency Officer
SBC DBH/OCCES
ROP Training July 13, 2010
 Providing
services in
a way that makes
sense to the
person/s you are
providing it to.
 Culture:
Any group
that shares beliefs,
values, norms
 Competent:
to do…
Ability
 Congruent
set of
practice skills,
knowledge,
behaviors, attitudes
& policies that
come together in a
system, agency or
among providers
and pros that
enables that system
to work effectively
cross culturallyCross et al, 1989
 It
is the right thing
to do
 Services
aren't
quality if they
aren't culturally
appropriate
 It
is also the law

Title VI of the Civil
Rights Act of 1964

“no person in the United
States shall on the
ground of race, color or
national origin be
excluded from
participation in, denied
the benefits of, or be
subjected to
discrimination under
any program or activity
receiving federal
financial assistance” (42
U.S.C. 200d)

Also prohibits recipients
of federal funds from
providing services to
LEP persons that limited
in scope or lower in
quality than those
provided to others.
 Executive
13160
Order
Non discrimination
on the basis of race,
sex, color, national
origin, disability,
religion, age, sexual
orientation and the
status as a parent in
Federally conducted
Education and
Training programs
 California
Educational Code




221.5-231.5- Sex
Equity in Education
8230-8233- Migrant
Children Education
8850.5-Family
relationships and
Parenting
Education*
1300-CA. Public
Civil Liberties Act*
 Family
values can be varied
 Majority culture
 American education system easier to
comprehend
 Focus generally on
independence/autonomy/success of self
 Family
system may be more traditional to
native country traditions/beliefs
 Parental unit may be working multiple jobs
 May be paternal authority with maternal
responsibility
 If newer arrival, may be monolingual parents
 Extended family
 Value education
 Can
be of African Heritage/Caribbean/Black
 Family system extended
 Long history of bias negatively impacting
black children, especially boys
 Maternal responsibility/authority
 Value
education
 Stigma extends to everyone in
family/community
 Obedience to parents
 Intergenerational stress
 Long
history of trauma with school system
 Distrust with majority system
 Family systems are very extended
 Many may include indigenous
practices/stories, etc.
 In
closing; you must understand the make up
and culture of your students in order to
provide them a more effective educational
experience.
 Formal
education will make you a living; self
education will make you a fortune~ John
Rohn
San Bernardino County
Department of Behavioral Health
Alcohol and Drug
Disorders
101
Presented by Gary R. Atkins, M.S.W.
Deputy Director, Program Operations,
Alcohol and Drug Services
268 W. Hospitality Lane, Suite 400
San Bernardino, CA 92415
San Bernardino County
Department of Behavioral Health
Elements of Addiction
Pre-Addiction
Family Issues Peer Pressure
Child Abuse/Neglect Trauma
Bio-chemistry Environment
San Bernardino County
Department of Behavioral Health
Elements of Addiction
Pre-Addiction
Family Issues Peer Pressure
Child Abuse/Neglect Trauma
Bio-chemistry Environment
San Bernardino County
Department of Behavioral Health
Elements of Addiction
Pre-Addiction
Family Issues Peer Pressure
Child Abuse/Neglect Trauma
Bio-chemistry Environment
Alcohol and Drug Services
Administration
The Chronic Care and Recovery Support Framework
Gary Atkins, MSW
Deputy Director of Program Operations
County of San Bernardino
Department of Behavioral Health
OBJECTIVES
• To transform to a chronic care model for
Behavioral Health Services.
• To build unity across the alcohol and drug field.
• To promote and understand the Institute of
Medicine’s Chronic Care Framework.
• To develop and implement ideas for systems
integration and transformation.
County of San Bernardino
Department of Behavioral Health
Creating the Roadmap for the Chronic
Care and Recovery Support Framework
County of San Bernardino
Department of Behavioral Health
Current Prevention Services
Seven Contracted
Environmental Prevention
Providers
Applied Research
and Data
Media
Advocacy
Community
Organization
Enforcement
Policy
Development
County of San Bernardino
Department of Behavioral Health
Current Alcohol and Drug
Treatment Services
29
2
DETOX CLINICS
OUTPATIENT CLINICS
7
RESIDENTIAL CLINICS
13
PC 1000 PROGRAMS
9
6
DRUG COURTS
14
DUI PROGRAMS
RECOVERY CENTERS
County of San Bernardino
Department of Behavioral Health
A substance abuse treatment service
system should be designed …
• With the understanding that addiction is a chronic
disease.
• Relapse is likely to happen, especially in early
stages of recovery.
• Clients have individual and multiple needs,
therefore a continuum of care is necessary.
County of San Bernardino
Department of Behavioral Health
24
CREATING AN INTEGRATED
QUALITY BASED
TREATMENT SYSTEM
Unified
Leadership
Evidenced based practices
• Data Collection
• System Evaluation
• Accountability for
Measurable Outcomes
Collaboration
Among
Systems
Regulate Facilities
• Program Quality
• Health and Safety
Provide regular feedback to providers regarding outcomes and
advancement of the field.
County of San Bernardino
Department of Behavioral Health
25
In Summary…
• OUTCOME DATA WILL SHOW PROGRESS.
• CHANGE IS GOOD, AND NEEDED…
•
FUNDING, ALWAYS AN ISSUE TO OVERCOME…
CAN BE AN OPPORUNITY TO REFRAME THE
FUTURE…
County of San Bernardino
Department of Behavioral Health
THE
BIG
PICTURE
THANK YOU…
Gary Atkins, MSW
Deputy Director of Program Operations
Department of Behavioral Health
County of San Bernardino
(909) 382-3079
gatkins@dbh.sbcounty.gov
County of San Bernardino
Department of Behavioral Health