HULA: MORE THAN JUST GRASS SKIRTS AND HIP SHAKING!!!

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1 HULA: MORE THAN JUST GRASS SKIRTS AND HIP SHAKING!!! FLORIDA PHYSICAL THERAPY ASSOCIATION FALL MEETING 2012 How using principles and lessons from this multicultural form of communication can improve physical therapy outcomes and professional behaviors. JOHNETTE L. MEADOWS, PT, MS PROGRAM DIRECTOR MINORITY/WOMEN S INITIATIVES AMERICAN PHYSICAL THERAPY ASSOCIATION EXT JOHNETTEMEADOWS@APTA.ORG COURSE OBJECTIVES Provide definitions of culture and cultural competence Determine and appreciate how and why the principles of cultural competence can impact and improve patient outcomes Identify accepted models of cultural competence in health care communication. 1

2 COURSE OBJECTIVES (CON T) Understand how and why cultural competence is an important part of professionalism and professional behavior in physical therapy Utilize effective methods to improve communication about physical therapy and health care with people from different cultures DEMOGRAPHICS OF THE UNITED STATES AFRICAN AMERICAN OR BLACK AMERICAN INDIAN/ALASKA NATIVE ASIAN AMERICAN PACIFIC ISLANDER/NATIVE HAWAIIAN HISPANIC/LATINO DEMOGRAPHICS 2000 RACIAL/ETHNIC MINORITY POPULATION WAS 24% 2010 CENSUS IS MORE THAN 30 % ASIAN AND LATINO POPULATIONS SHOW LARGEST GROWTH NO TRUE RACIAL MAJORITY IN 30 YEARS 2

3 APTA VISION STATEMENT VISION 2020 FOR THE PROFESSION OF PHYSICAL THERAPY THEY PROVIDE COMPASSIONATE CULTURALLY-SENSITIVE CARE CHARACTERIZED BY TRUST, RESPECT, AND AN APPRECIATION FOR INDIVIDUAL DIFFERENCES APTA MISSION STATEMENT TO FULFILL THE APTA MISSION THE ASSOCIATION SHALL FACILITATE A COMMON UNDERSTANDING AND APPRECIATION FOR THE DIVERSITY OF THE PROFESSION, THE MEMBERSHIP, AND THE COMMUNITIES WE SERVE APTA S CORE DOCUMENTS APTA S CODE OF ETHICS GUIDE TO PHYSICAL THERAPIST PRACTICE NORMATIVE MODEL OF PROFESSIONAL PHYSICAL THERAPIST EDUCATION EVALUATIVE CRITERIA FOR ACCREDITATION OF EDUCATION PROGRAMS FOR THE PREPARATION OF PHYSICAL THERAPISTS 3

4 APTA POSITION ON CULTURAL COMPETENCE HOD P MEMBERS OF THE AMERICAN PHYSICAL THERAPY ASSOCIATION SHOULD DEMONSTRATE CULTURAL COMPETENCE. POSITION ON CULTURAL COMPETENCE (CON T) CULTURAL COMPETENCE REFERS TO THE SET OF SKILLS NECESSARY TO UNDERSTAND AND RESPOND EFFECTIVELY TO THE CULTURAL NEEDS OF EACH PATIENT/CLIENT IN ORDER TO ELIMINATE DISPARITIES IN THE HEALTH STATUS OF PEOPLE OF DIVERSE CULTURAL BACKGROUNDS 4

5 RESPOND TO CURRENT AND PROJECTED DEMOGRAPHIC CHANGES IN THE UNITED STATES IMPROVE THE QUALITY OF HEALTH SERVICES AND HEALTH OUTCOMES, AND MEET LEGISLATIVE, REGULATORY, AND ACCREDITATION STANDARDS. APTA STRATEGIC PLAN ASSOCIATION ORGANIZATIONAL VALUES Association staff and members working on behalf of the Association: respect the dignity and differences of all individuals and commit to being a culturally competent and socially responsible Association 5

6 DEFINITION OF CULTURE LEARNED A PROCESS RESISTANT TO CHANGE DEFINITION OF CULTURAL COMPETENCE A PROGRAM S ABILITY TO HONOR AND RESPECT BELIEFS, INTERPERSONAL STYLES, ATTITUDES AND BEHAVIORS OF FAMILIES AND CLIENTS CULTUAL COMPETENCE #2 A SET OF CONGRUENT BEHAVIORS, ATTITUDES AND POLICIES THAT COMES TOGETHER IN A SYSTEM, AGENCY, OR AMONG PROFESSIONALS THAT ENABLES THEM TO WORK EFFECTIVELY IN CROSS-CULTURAL SITUATIONS. (Cross et al: Towards a Culturally Competent System of Care, vol. I) 6

7 CULTURAL COMPETENCE #3 THE PROCESS IN WHICH THE HEALTHCARE PROFESSIONAL CONTINUALLY STRIVES TO ACHIEVE THE ABILITY AND AVAILABILITY TO EFFECTIVELY WORK WITHIN THE CULTURAL CONTEXT OF THE CLIENT FAMILY, INDIVIDUAL OR COMMUNITY (Campinha-Bacote: The Process of Cultural Competence in the Delivery of Healthcare Services) FIVE ELEMENTS OF CULTURAL COMPETENCE VALUING DIVERSITY CAPACITY FOR CULTURAL SELF- ASSESMENT CONSCIOUS OF DYNAMICS INHERENT WHEN CULTURES INTERACT FIVE ELEMENTS (CON T) INSTITUTIONALIZED CULTURE KNOWLEDGE DEVELOPED ADAPTATIONS TO SERVICE DELIVERY REFLECTING AN UNDERSTANDING OF CULTURAL DIVERSITY 7

8 DIVERSITY DIMENSIONS THE FOLLOWING REPRESENT THE EIGHT (8) PRIMARY DIVERSITY DIMENSIONS THAT COULD RESULT IN DISCRIMINATION. SPECIFIC HEALTH DISPARITIES CAN BE RELATED TO EACH DIVERSTIY DIMENSION. DIVERSITY DIMENSIONS AGE RACE GENDER ETHNICITY/NATIONALITY MENTAL/PHYSICAL ABILITY SOCIOECONOMIC STATUS RELIGION SEXUAL ORIENTATION MODELS OF CULTURAL COMPETNECE CULTURAL COMPETENCE IS THE PROCESS OF BECOMING, NOT A STATE OF BEING CAMPHINHA-BACOTE AND CROSS 8

9 MILTON BENNETT MODEL ETHNOCENTRIC STAGES DENIAL: INDIVIDUALS DENY THAT CULTURAL DIFFERENCES EXIST DEFENSE: ACKNOWLEDGES DIFFERENCES EXIST BUT FEEL THREATENED MINIMIZATION: DIFFERENCES ACKNOWLEDGED BUT TRIVIAL AS HUMAN SIMILARITIES ARE MORE IMPORTANT THAN ANY DIFFERENCES BENNETT MODEL (cont) ETHNORELATIVIST STAGES ACCEPTANCE: CULTURAL DIFFERENCES ARE ACCEPTED WITHOUT BEING JUDGED ADAPTATION: SEE THE WORLD NOT THROUGH OWN LENSE BUT THROUGH OTHER S PERSPECTIVE INTEGRATION: ABILITY TO MOVE WITHIN AND OUTSIDE ONE S OWN CULTURE, VALUE FOR A VARIETY OF CULTURES TERRY CROSS MODEL 1) CULTURAL DESTRUCTIVENESS: CULTURE IS SEEN AS A PROBLEM 2) CULTURAL INCAPACITY: LACK OF CULTURAL AWARENESS AND SKILLS 3) CULTURAL BLINDNESS: EVERYONE IS ALIKE 9

10 TERRY CROSS MODEL (cont) 4) CULTURAL PRE-COMPETENCE: DIFFERENCES ARE RECPGNIZED AND ACCEPTED 5) BASIC CULTURAL COMPETENCE: DIFFERENCES ARE APPECIATED 6) ADVANCED CULTURAL COMPETENCE: DIFFERENCES ARE ACCEPTED, APPRECIATED, VALUED, AND INTEGRATED INTO BEHAVIORS AND ACTIONS CORE CONTENT AREAS FOR CULTURALLY COMPETENT CARE KNOWLEDGE: Awareness of difference; appreciation for diversity; concepts of race, culture and the role of power; differing communication styles; culture-specific illness and behaviors; and influence on individuals and families; family structure, function and roles, as well as gender roles and preferences; religion, death, birth and other traditions; prevailing and historical psychosocial and political context of the group CORE CONTENT AREAS (con t) SKILLS (SPECIFIC TO EACH INDIVIDUAL, GROUP OR CULTURE) Effective communication skills; relationship building, including establishing empathy, trust and respect; ability to elicit differing views of illness, healing and curing; ability to recognize culture related problems; cultural and non-cultural interpretation of individual behavior; language proficiency and use of interpreters 10

11 CORE CONTENT AREAS (con t) ATTITUDES AND BEHAVIORS Recognize and accept difference (avoid labeling and stereotypes; selfassessment and comfort with how personal bias influence behaviors; cultural and individual assessments made before drawing conclusions; willingness to integrate patients/clients beliefs into the management plan; interest in the patient s/client s social and political context; not dismissive HAVE YOU ASKED YOURSELF THE RIGHT QUESTIONS? AWARENESS SKILL KNOWLEDGE ENCOUNTERS DESIRE LEVELS OF MULTICULTURAL COMMUNICATION IN HEALTH CARE SOCIETAL: INVOLVES THE COORDINATION OF MANY ORGANIZATIONS REPRESENTING GOVERNMENT, INDUSTRY, AND EDUCATION TO FULFILL SOCIETAL GOALS OF PEACE, PROSPERITY, AND HEALTH 11

12 COMMUNICATION (con t) ORGANIZATIONAL PROMOTES THE SHARING OF INFORMATION BY ENCOMPASSING INTRAPERSONAL, INTERPERSONAL, AND GROUP COMMUNICATION. LINKS THE FORMAL AND INFORMAL CHANNELS OF COMMUNICATION TO DIFFERENT GROUPS AND LEVELS WITHIN THE ORGANIZATION COMMUNICATION (con t) GROUP THE INTERACTION OF THREE OR MORE INDIVIDUALS TO ADAPT TO THEIR ENVIRONMENT AND ACHIEVE COMMONLY RECOGNIZED GOALS COMMUNICATION (CON T) INTERPERSONAL THE INTERACTION BETWEEN TWO INDIVUDUALS, WHICH ENABLES THEM TO DEVELOP AND MAINTAIN A RELATIONSHIP. OFTEN REFERRED TO AS RELATIONAL OR DYADIC COMMUNICATION 12

13 COMMUNICATION (con t) INTRAPERSONAL BASIC LEVEL OF COMMUNICATION WHERE WE INTERACT WITH OURSELVES IN INTERPRETING REALITY AND CREATING MESSAGES FOR COMMUNICATING WITH OTHERS L.E.A.R.N. L: LEARN E: EXPLAIN A: ACKNOWLEDGE R: RECOMMEND N: NEGOTIATE R.E.S.P.E.C.T. R: RAPPORT E: EMPATHY S: SUPPORT P: PARTNERSHIP E: EXPLANATIONS C: CULTURAL COMPETENCE T: TRUST 13

14 BARRIERS TO CROSS-CULTURAL COMMUNICATION COMMUNICATION IS CULTURE BOUND STUMBLING BLOCKS PERCEPTIONS AND STEROTYPES; ROLES-AUTHOROTATIVE FIGURES AND GENDER ROLES; PERONAL VS IMPERSONAL; ROLE OF FAMILY; NONVERBAL CUES; LANGUAGE, LITERACY AND INTERPRETER USE; RESPECT WHY PROFESSIONALISM ONE OF THE SIX ELEMENTS OF THE VISION AND STRATEGIC PLAN PROFESSIONALISM OUTLINES WHAT A PHYSICAL THERAPIST GRADUATE SHOULD DEMONSTRATE AS THEY ENTER THE PROFESSION DESCRIBES WHAT A PRACTITIONER DOES IN DAILY PRACTICE TO REFLECT PROFESSIONALISM 14

15 CULTURAL COMPETENCE AND PROFESSIONALISM IMPORTANT TO ESTABLISH THAT CULTURAL COMPETENCE IS NOT A SEPARATE PART OF PROFESSIONAL BEHAVIOR BUT AN INTEGRAL PART OF WHAT WE DO TO PROVIDE THE BEST CARE FOR PATIENTS/CLIENTS AS PHYSICAL THERAPY PROFESSIONALS PROFESSIONALISM CORE VALUES 1. ACCOUNTABILITY 2. ALTRUISM 3. COMPASSION/CARING 4. EXCELLENCE 5. INTEGRITY 6. PROFESSIONAL DUTY 7. SOCIAL RESPONSIBILITY 1. ACCOUNTABILITY ACTIVE ACCEPTANCE OF THE RESPONSIBILITY FOR THE DIVERSE ROLES, OBLIGATIONS AND ACTIONS OF THE PHYSICAL THERAPIST INCLUDING SELF-REGULATION AND OTHER BEHAVIORS THAT POSITIVELY INFLUENCE PATIENT/CLIENT OUTCOMES, THE PROFESSION AND HEALTH NEEDS OF SOCIETY 15

16 RELATION TO CULTURAL COMPETENCE KNOWLEDGE APPROPRIATE RESPONSE TO PATIENT/CLIENT NEEDS HOW DOES CULTURE AFFECT INTERPRETATION OF ILLNESS, CARE AND RESPONSE TO CARE FEEDBACK FROM MULTIPLE SOURCES-- IMPORTANCE OF FAMILY IN DETERMINING APPROPRIATE CARE RELATIONSHIP (CON T) RESPONSIBILITY FOR LEARNING AND CHANGE HOW CULTURE MAY IMPACT PATIENT UNDERSTANDING AND CARE PARTICIPATE IN THE ACHIEVEMENT OF HEALTH GOALS OF PATIENTS/CLIENTS AND SOCIETY WORK TOGETHER TO DETERMINE APPROPRIATE GOALS. KNOW ABOUT AND UNDERSTAND HEALTH DISPARITIES RELATIONSHIP (CON T) SEEKING IMPROVEMENT IN QUALITY OF CARE HOW DISPARITIES MAY IMPACT CARE AND ACTIVELY WORK TO ELIMINATE DISPARITIES EDUCATING PRACTITIONERS AND STUDENTS TO FACILITATE PURSUIT OF LEARNING UNDERSTAND THE IMPORTANCE OF CULTURE S RELATION TO PRACTICE, EDUCATION AND RESEARCH 16

17 2. ALTRUISM PRIMARY REGARD FOR OR DEVOTION TO THE INTEREST OF PATIENTS/CLIENTS, THUS ASSUMING THE RESPONSIBILITY OF PLACING NEEDS OF PATIENTS/CLENTS AHEAD OF THE PHYSICAL THERAPIST S SELF INTEREST RELATION TO CULTURAL COMPETENCE KNOWLEDGE PROVIDING PRO-BONO AND PHYSICAL THERAPY SERVICES TO UNDERSERVED AND UNDERREPRESENTED POPULATIONS RECOGNIZING THAT MANY PEOPLE OF COLOR AND UNDERSERVED POPULATIONS DO NOT HAVE READY ACCESS TO SERVICES OR INSURANCE RELATIONSHIP (CON T) PROVIDING PATIENT/CLIENT SERVICES THAT GO BEYOND EXPECTED STANDARDS OF PRACTICE BY UNDERSTANDING AND APPRECIATING CULURAL DIFFERENCES, WILL BE ABLE TO PROVIDE SERVICES THAT COMPLEMENT OTHER SERVICES, I.E. NON-TRADITIONAL SERVICES UNIQUE TO THE CULTURE 17

18 3. COMPASSION/CARING COMPASSION: THE DESIRE TO IDENTIFY WITH OR SENSE SOMETHING OF ANOTHER S EXPERIENCE- PRECURSOR OF CARING CARING: CONCERN, EMPATHY AND CONSIDERATION FOR THE NEEDS AND VALUES OF OTHERS RELATION TO CULTURAL COMPETENCE KNOWLEDGE UNDERSTANDING THE SOCIO- CULTURAL, PSYCHOLOGICAL AND ECONOMIC INFLUENCES ON THE INDIVIDUAL S LIFE IN THEIR ENVIRONMENT UNDERSTANDING AN INDIVIDUAL S PERSPECTIVE BEING AN ADVOCATE FOR PATIENT/CLIENT NEEDS COMMUNICATION COMMUNICATING EFFECTIVELY, VERBALLY AND NON-VERBALLY, WITH OTHERS TAKING INTO CONSIDERATION INDIVIDUAL DIFFERENCES IN LEARNING STYLES, LANGUAGE, AND COGNITIVE ABILITIES OF EXTREME IMPORTANCE 18

19 RELATIONSHIP (CON T) DESIGNING PATIENT/CLIENT PROGRAMS/INTERVENTIONS THAT ARE CONGRUENT WITH PATIENT/CLIENT NEEDS KNOWING AND APPRECIATING THAT CULTURAL BELIEFS MAY HAVE AN IMPACT ON WHAT THE PATIENT/CLIENT AND FAMILY FEELS IS NEEDED AND APPROPRIATE CULTURAL RELATIVITY RECOGNIZING AND REFRAINING FROM ACTING ON ONE S SOCIAL, CULTURAL, GENDER, AND SEXUAL BIASES KNOWING THAT THERAPISTS BRING THEIR CULTURE AND BELIEFS TO THE INTERACTION AND NOT LETTING THOSE BELIEFS IMPACT NEGATIVELY ON THE INTERVENTIONS RESPECT DEMONSTRATES RESPECT FOR OTHERS AND CONSIDERS OTHERS AS UNIQUE AND OF VALUE KEY TO APPRECIATING CULTURAL AND ETHNIC ASPECTS OF HEALTH CARE INTERVENTIONS. WITHOUT RESPECT, THE CARE MAY NOT BE ACCEPTED THEREBY FAILING PROFESSIONAL OBLIGATIONS 19

20 4. EXCELLENCE PHYSICAL THERAPY PRACTICE THAT CONSISTENTLY USES CURRENT KNOWLEDGE AND THEORY WHILE UNDERSTANDING PERSONAL LIMITS, INTERPRETS JUDGMENT AND THE PATIENT/CLIENT PERSPECTIVE EXCELLENCE (CON T) EMBRACES ADVANCEMENT, CHALLENGES MEDIOCRITY AND WORKS TOWARD DEVELOPMENT OF NEW KNOWLEDGE RELATION TO CULTURAL COMPETENCE KNOWLEDGE ALL OF THE FOLLOWING INDICATORS OF EXCELLENCE DEMONSTRATE THE IMPORTANCE OF LEARNING AND EXPANDING UPON THE KNOWLEDGE OF HOW CULTURAL COMPETENCE HELPS ELEVATE PROFESSIONALISM 20

21 EXPANDING KNOWLEDGE DEMONSTRATING HIGH LEVELS OF KNOWLEDGE AND SKILL IN ASPECTS OF THE PROFESSION ENGAGING IN ACQUISITION OF NEW KNOWLEDGE THROUGHOUT ONE S PROFESSIONAL CAREER SHARING KNOWLEDGE WITH OTHERS EVIDENCE BASED PRACTICE USING EVIDENCE CONSISTENLY TO SUPPORT PROFESSIONAL DECISIONS UTILIZING CULTURAL COMPETENCE SKILLS IN ASSESMENT IS AN IMPORTANT PART OF EVIDENCE BASED PRACTICE PURSUING NEW EVIDENCE TO EXPAND KNOWLEDGE PARTICIPATING IN RESEARCH ON HEALTH DISPARITIES 5. INTEGRITY POSSESSION OF AND STEADFAST ADHERENCE TO HIGH ETHICAL PRINCIPLES OR PROFESSIONAL STANDARDS 21

22 RELATION TO CULTURAL COMPETENCE ABIDING BY THE RULES, REGULATIONS, AND LAWS APPLICABLE TO THE PROFESSION THERE ARE MULTIPLE HOUSE OF DELEGATES AND BOARD OF DIRECTORS POLICIES THAT INCLUDE THE IMPORTANCE OF CULTURAL COMPETENCE AS IMPORTANT ASPECTS OF THE PROFESSION BOARD OF DIRECTORS POLICIES APTA HOUSE OF DELEGATES POLICIES AFFIRMATIVE ACTION 1981 NON-DISCRIMINATION CULTURAL DIVERSITY IN PUBLIC RELATIONS

23 HOUSE POLICIES (CON T) POLICY ON HEALTH ISSUES OF PERSONS OF RACIAL/ETHNIC MINORITY GROUPS: THE AMERICAN PHYSICAL THERAPY ASSOCIATION PROMOTES EFFORTS TO ADDRESS AND REDRESS PROBLEMS RELATED TO HEALTH ISSUES OF RACIAL/ETHNIC MINORITY GROUPS RACIAL/ETHNIC DISPARITIES IN HEALTH CARE THAT THE AMERICAN PHYSICAL THERAPY ASSOCIATION(APTA) DEVELOP STRATEGIES TO IDENTIFY EXISTING RACIAL AND ETHNIC DISPARITES IN ACCESS TO, UTILIZATION OF, AND OUTCOMES FROM PHYSICAL THERAPY SERVICES AND DEVELOP GUIDELINES FOR DATA COLLECTION IN THIS AREA HEALTH DISPARITIES IN HEALTH CARE (CON T) A REPORT WAS DEVELOPED BY THE COMMITTEE ON CULTURAL COMPETENCE AND MEMBER CONSULTANTS THE REPORT WAS APPROVED AT THE 2005 HOUSE OF DELEGATES STRATEGIES AND GUIDELINES ARE ON APTA S WEB PAGE: 23

24 STANDARDS OF CONDUCT ADHERING TO THE HIGHEST STANDARDS OF THE PROFESSION(PRACTICE, ETHICS, REIMBURSEMENT, ETC) APTA S CODE OF ETHICS AND GUIDE TO PROFESSIONAL CONDUCT CONFRONTING HARASSMENT AND BIAS AMONG OURSELVES AND OTHERS 6. PROFESSIONAL DUTY COMMITMENT TO MEETING ONE S OBLIGATIONS TO PROVIDE EFFECTIVE PHYSICAL THERAPY SERVICES TO INDIVIDUAL PATIENTS/CLIENTS, TO SERVE THE PROFESSION AND TO POSITIVELY INFLUENCE THE HEALTH OF SOCIETY RELATION TO CULTURAL COMPETENCE KNOWLEDGE DEMONSTRATING BENEFICENCE BY PROVIDING OPTIMAL CARE FACILITATING EACH INDIVIDUAL S ACHIEVEMENT OF GOALS FOR FUNCTION, HEALTH AND WELLNESS UNDERSTANDING AND APPRECIATING HOW CULURE AFFECTS GOALS AND PERCEPTIONS OF ILLNESS AND WELLNESS 24

25 7. SOCIAL RESPONSIBILITY THE PROMOTION OF A MUTUAL TRUST BETWEEN THE PROFESSION AND THE LARGER PUBLIC THAT NECESSITATES RESPONDING TO SOCIETY S NEEDS FOR HEALTH AND WELLNESS (ALL INDICATORS RELATE TO CULTURAL COMPETENCE) RELATION TO CULTURAL COMPETENCE KNOWLEDGE ADVOCATING FOR THE HEALTH AND WELLNESS NEEDS OF SOCIETY INCLUDING ACCESS TO HEALTH CARE AND PHYSICAL THERAPY SERVICES PROMOTING CULTURAL COMPETENCE WITHIN THE PROFESSION AND THE LARGER PUBLIC RELATION (CON T) PROMOTING SOCIAL POLICY THAT AFFECT FUNCTION, HEALTH, AND WELLNESS NEEDS OF PATIENTS/CLIENTS ENSURING THAT EXISTING SOCIAL POLICY IS IN THE BEST INTEREST OF THE PATIENT/CLIENT 25

26 RELATION (CON T) ADVOCATING FOR CHANGES IN LAWS, REGULATIONS, STANDARDS, AND GUIDELINES THAT AFFECT PHYSICAL THERAPIST SERVICE PROVISION PROMOTING COMMUNITY VOLUNTEERISM PARTICIPATING IN POLITICAL ACTIVISM RELATION (CON T) PARTICIPATING IN ACHIEVEMENT OF SOCIETY HEALTH GOALS UNDERSTANDING OF CURRENT COMMUNITY WIDE, NATIONWIDE AND WORLDWIDE ISSUES AND HOW THEY IMPACT SOCIETY S HEALTH AND WELL- BEING AND THE DELIVERY OF PHYSICAL THERAPY RELATION (CON T) PROVIDING LEADERSHIP IN THE COMMUNITY INTERACT AND WORK WITH THE COMMUNITY LEADERS AND ADVOCATES ENSURING THE BLENDING OF SOCIAL JUSTICE AND ECONOMIC EFFICIENCY OF SERVICES 26

27 APTA SPANISH LANGUAGE INFORMATION Spanish for Physical Therapists: Tools for Effective Patient Communication APTA RESOURCES APTA WEB PAGE INFORMATION ON HEALTH DISPARITIES AND HEALTH DISPARITES RESEARCH o CULTURAL COMPETENCE CURRICULUM BLUEPRINT FOR PHYSICAL THERAPY EDUCATION o SELECT GOV T RESOURCES AGENCY FOR HEALTHCARE RESEARCH AND QUALITY NATIONAL INSTITUTE OF MINORITY HEALTH AND HEALTH DISPARITIES OFFICE OF MINORITY HEALTH CULTURAL COMPETENCE STANDARDS 27

28 HEALTH RESOURCES AND SERVICES ADMINISTRATION EXTENSIVE WEB RESOURCES ON CULTURAL COMPETENCE PROVIDER S GUIDE TO QUALITY AND CULTURE BUREAU OF HEALTH PROFESSIONS CENTER FOR HEALTH PROFESSIONS University of California-San Francisco Center for the Health Professions 3333 California Street, Suite 410 San Francisco, CA tel.: fax: RESOURCES NATIONAL CENTER FOR CULTURAL COMPETENCE--GEORGETOWN UNIVERSITY CHILD DEVELOPMENT CENTER 3307 M STREET NW, SUITE 401 WASHINGTON, DC PHONE: 1-800/ OR 202/

29 RESOURCES CULTURAL COMPETENCE COMPENDIUM (ORDER NUMBER OP209199) AMERICAN MEDICAL ASSOCIATION 515 NORTH STATE STREET CHICAGO, IL PHONE: INTERNET: ASSN.ORG/CATALOG RESOURCES RESOURCES FOR CROSS CULTURAL HEALTH CARE 8915 SUDBURY ROAD SILVER SPRING, MD RESOURCES CROSS CULTURAL HEALTH CARE PROGRAM (CCHCP) PROVIDES TRAINING AND ASSESSMENT TOOLS ml CULTURAL COMPETENCE ONLINE 29

30 RESOURCES TERRY CROSS, ET AL TOWARDS A CULTURALLY COMPETENT SYSTEM OF CARE (1989, GEORGETOWN UNIVERSITY CHILD DEVELOPMENT CENTER) CONCLUSION CULTURAL COMPETENCE IS AN INTEGRAL DIMENSION OF PROFESSIONAL BEHAVIOR THE ASSOCIATION IN ITS CORE DOCUMENTS AND POLICIES SUPPORTS THE CONNECTION ENHANCING SKILLS IS AN ONGOING PROCESS AND MUST BE A PART OF LIFE LONG LEARNING 30