Alex Zamora, LMSW. Human Services Program Specialist 211 Idaho CareLine Idaho Department of Health and Welfare Monday, June 3, 2013

Transcription

1 Alex Zamora, LMSW Human Services Program Specialist 211 Idaho CareLine Idaho Department of Health and Welfare Monday, June 3, 2013

2 Licensed Master Social Worker Idaho and Oregon Idaho Dept. of Education Pupil Personnel Certificate School Social Worker and School Counselor endorsements Professional Experience: Medical Social Worker Home Health, Hospice, Hospital School Counselor Psychotherapist Drug and Alcohol Prevention Educator Adjunct Professor Community Volunteerism: Idaho Hispanic Caucus Idaho Latino Behavioral Health Conference Idaho Advisory Council for HIV/AIDS

3 Understand different types of ethical decision making; Have a general understanding of key components in the Latino community that can influence I&R interventions; Know demographic statistics of Latinos influencing social services; Apply Latino cultural elements to practice; Address cultural stereotypes and myths and its influence on practice; Apply Latino demographics, family, and cultural values on practice; and Review NASW, ACA, and APA code of ethics related to cultural competency in practice.

4 1. Intuitive ethical judgment Gut feeling 2. Critical-Evaluative ethical judgment Deliberate Problem solving followed by ethical principles

5 Autonomy Freedom and dignity Nonmaleficence Do no harm Beneficence Responsibility to do good Fidelity Faithfulness to truth Justice Obligation to act fairly

6 ACA preamble Association members recognize diversity in our society and embrace a cross-cultural approach in support of worth, dignity, potential, and uniqueness of each individual. APA Principle D: Respect of People s Rights and Dignity Psychologists are aware of and respect cultural, individual, and role differences based on age, gender, gender identity, race, ethnicity, culture, national origin NASW 1.05 Cultural Competence and Social Diversity Social workers should understand culture and its function in human behavior AIRS Standard 1: Assessment and Referral Provision.. has procedures for managing challenging inquirers that recognize the right of inquirers to access treatment that is professional, nonjudgmental and culturally appropriate

7 CULTURE a: the integrated pattern of human behavior that includes thought, speech, action, and artifacts and depends upon the human capacity for learning and transmitting knowledge to succeeding generations b : the customary beliefs, social forms, and material traits of a racial, religious, or social group COMPETENCE The quality or state of being functionally adequate

8 1. Failure to take culture into account 2. Failure to acknowledge intra-culture differences 3. Failure to understand stereotypes

9 "Hispanic or Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race

10 White Latino American Indian Asian African-American Native Hawaiian/Pacific Islander

11 Grew by 48% 51.9 million in 2011

12 California 14.1 million Texas 9.8 million Florida 4.4 million New York 3.5 million Illinois 2.1 million

13 26% poverty rate $39,000 median annual income 30% 27 without health insurance median age

14 Mexican 64.6% Puerto Rican 9.5%

15 Machismo Dictates that men show power via strength and decision-making Marianismo Concept purity and moral strength Familismo Loyalty and protection of family

16 BICULTURALISM ACCULTURATION Juncture of two cultures Changes due to other culture

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18 Needs Based Assessment - Idaho Partnership for Hispanic Health Issues among Latino community Deficits navigating mental health system Low level of Dx and Tx of mental health issues Issues among practitioner community Lack cultural knowledge/competency training 211 Idaho CareLine 2013 Q1* 1,638 Spanish calls Longer calls *Not all Latinos speak only Spanish.

19 Address juncture/acculturation Deconstruct meta-narratives Emphasize family Defer to ethical codes and principles

20 ACA preamble Association members recognize diversity in our society and embrace a cross-cultural approach in support of worth, dignity, potential, and uniqueness of each individual. APA Principle D: Respect of People s Rights and Dignity Psychologists are aware of and respect cultural, individual, and role differences based on age, gender, gender identity, race, ethnicity, culture, national origin NASW 1.05 Cultural Competence and Social Diversity Social workers should understand culture and its function in human behavior AIRS Standard 1: Assessment and Referral Provision.. has procedures for managing challenging inquirers that recognize the right of inquirers to access treatment that is professional, nonjudgmental and culturally appropriate

21 Questions? Comments? [appropriate] Jokes?

22 References American Counseling Association (2005). ACA Code of Ethics. Retrieved November 8, 2011, from American Psychological Association. (2002). American Psychological Association ethical principles of psychologists and code of conduct. Retrieved November 8, 2011, from Falicov, C. J. (2010). Changing Constructions of Machismo for Latino Men in Therapy: The Devil Never Sleeps. Family Process, 49(3), Garza, Y. (2012, November). Reflecting on the past, envisioning the futures: A look at play therapy basics and the nuances of a growing Hispanic culture Idaho Latino Behavioral Health Conference, Nampa, ID. Idaho Partnership for Hispanic Health. (2011). Idaho Hispanic Mental Health Disparities: Ada & Canyon Counties. Boise, ID: Retrieved from Motel, S. & Patten, E. (2013, February 15). Statistical Portrait of Hispanics in the United States, Pew Hispanic Center. Retrieved from National Association of Social Workers. (1999). Code of ethics of the National Association of Social Workers. Washington, DC. NASW Press. Retrieved November 8, 2011, from Organista, K. C. (2009). New Practice Model for Latinos in Need of Social Work Services. Social Work, 54(4), Torres, L. & Rollock, D. (2009). Psychological Impact of Negotiating Two Cultures: Latino Coping and Self-Esteem. Journal of Multicultural Counseling and Development, 37, United States Census Bureau. (2013, March 14). State and County QuickFacts: USA. Retrieved May 24, 2013, from Welfel, E.R. (2010). Ethics in counseling and psychotherapy: Standards, research, and emerging issues (4 th ed.). Belmont, CA: Brooks/Cole.