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  Health Topics: Culturally Effective Care
  Health Topics: Family-Centered Care

Culturally Effective Care

The National Center for Cultural Competence (NCCC)
www11.georgetown.edu/research/gucchd/nccc/
The mission of the National Center for Cultural Competence is to increase the capacity of health care and mental health programs to design, implement

and evaluate culturally and linguistically competent service delivery systems. Spanish Version

  • Products and tools
    The NCCC has the following materials: Policy Briefs, Racial and Ethnic Disparities on Oral Health, Checklists (self-assessment tools for agencies and providers), Planning Guides (how to get started), How to incorporate cultural competence in transitioning to adulthood for youth with special health needs. This includes:
    • Promotion Cultural and Linguistic Competency Self-Assessment Checklist for Personnel Providing Primary Health Care Services
    • Promotion Cultural Diversity and Competency Self-Assessment Checklist for Personnel Providing Services and Supports to CYSHCN and their Families
  • Cultural and Linguistic Competence Resource Database
    The NCCC maintains a database of cultural competence resource materials as they relate to the NCCC projects. This online resource database includes information on the type, category, population, title, author, project, and a description of the resource.

Assessing Cultural Competence Training
www.cmwf.org/tools/tools_show.htm?doc_id=307458
The Association of American Medical Colleges has produced TACCT—a Tool for Assessing Cultural Competence Training. The tool enables medical school faculty and administrators to track, assess, and better integrate cultural competence training in their curricula.

Cultural Competency Training Tools for Physicians
www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=12
From the Office of Minority Health, U.S. Department of Health and Human Services. includes: Teaching Cultural Competence in Health Care: A Review of Current Concepts, Policies, and Practices (2002), A Family Physician's Practical Guide to Culturally Competent Care, and Resources to Implement Cross-Cultural Clinical Practice Guidelines For Medicaid Practitioners.

The Providers Guide to Quality and Culture.
erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English
From the The Bureau of Primary Health Care. Resources to assist health care professionals in providing quality culturally and linguistically appropriate services to multicultural populations. A provider's guide was developed by Management Sciences for Health (MSH), a not-for-profit global health organization.

Compendium of Cultural Competence Initiatives in Health Care www.kff.org/uninsured/6067-index.cfm
Developed by the Henry J. Kaiser Family Foundation. Public and private sector organizations are involved in a number of activities that seek to reduce cultural and communication barriers to health care.

The initiatives included in the compendium are from 1990 to the present and divided into two categories: Public Sector Initiatives (Federal/state/local) and Private Sector Initiatives (health care institutions or professional organizations, foundations, academic
institutions/policy research organizations, and other). This resource also includes brief definitions for the major terms, organizational descriptions of initiatives and a list of experts in the field.

"Cross Cultural Health Care-Case Studies" Program
This interactive self-study program consists of a series of five tutorials in cultural competence, aimed at familiarizing health care providers with common issues that arise while working with people of diverse cultures. Each tutorial consists of a home page to introduce the topic and define concepts, a case story to illustrate the topic, a multimedia lecture about the topic, and a series of learning activities to engage the learner in applying the concepts to the case story. The Cross Cultural Health Care- Case Studies were developed collaboratively by the seven Pediatric Pulmonary Centers.

  • MCH trainees and others who are interested in accessing the cases for no cost may go to: ppc.mchtraining.net/custom_pages/national_ccce/. Continuing Education credits will not be available from this site.
  • Nurses who are interested in accessing the cases for nursing CEUs may go to: mynursingce.son.wisc.edu/index.pl There is a small charge for completing the module for CEUs.
  • Physicians who are interested in accessing the cases for CME credit may to go: www.cme.uwisc.org/index.pl?op=show;id=79524 There is a small charge for completing the module for CME credit.
  • The cases will be available for CEUs for social workers, respiratory therapists and dietitians in the near future. For more information, please contact Susan Horky, LCSW at Chaunst@peds.ufl.edu.

Cultural Competence and Family Caregivers
A monograph published by the Family Caregiver Alliance offers advice for health and human service practitioners on how to work with Latino family and informal caregivers. Cultural Competency In Working With Latino Family Caregivers includes case studies, cultural competency guidelines, and a resource list. Available by Clicking here.

Culturally Effective Signage for the Multilingual Health Care Setting
Developed by Hablamos Juntos, this set of symbols are used to provide directions to key locations in multilingual health care settings. In a time when there are incredible number of languages being spoken, it becomes even more critical to have symbols and signs that help overcome barriers to care. Click here to view these important resources.

Culture Matters Workbook www.peacecorps.gov/wws/culturematters/
Teachers and students in classrooms from 8th grade and beyond can benefit from the cross-cultural training workbook, Culture Matters, specifically developed by the Peace Corps to help new Volunteers acquire the knowledge and skills to work successfully and respectfully in other cultures.

Hablamos Juntos - Innovative Tools to Aid Communication www.hablamosjuntos.org/resources/default.resources.asp
Hablamos Juntos grantees have developed multiple tools ranging from low-tech to high-tech that are giving staff more options in communicating with limited English proficiency (LEP) patients. In terms of learning, universal design is defined as the design of instructional materials and activities that make learning goals achievable by individuals with wide differences in their abilities to see, hear, speak, move, read, write, understand English, attend, organize, engage and remember. Universal Design for Learning (UDL) is achievable via flexible curricular materials and activities that provide alternatives for students with differing abilities.

The goal of universal design (UD), whether architectural or educational, is the achievement of accessibility for the greatest number. UD, most agree is aimed at meeting the accessibility needs of a diversity of users, as opposed to the needs of the average user. To Dr. Sheryl Burgstahler, Director of DO-IT at the University of Washington , there are no degrees of accessibility in universal design.

HRSA’sWeb Page on Cultural Competence
www.hrsa.gov/culturalcompetence
A one-stop-shop for health care providers wishing to learn about HRSA's projects related to improving culturally competent health care. Highlighting approximately 40 HRSA-supported projects, the webpage profiles the diverse approaches taken by HRSA-funded activities and programs in areas such as assessment, culture and language, specific diseases, health professions, research, special populations, technical assistance, training, and web-based learning.

Health Plan Report Card on Quality of Care for Minority Populations
www.cmwf.org/media/releases/nerenz547_release07102002.asp
Published by The Commonwealth Fund. David R. Nerenz, et al., July 2002. (#547)

KIDS COUNT 2005 Data Book - Pocket Guide: Helping Our Most Vulnerable Families Overcome Barriers to Work and Achieve Financial Success www.aecf.org/publications/data/05_pocketguide.pdf
The Annie E. Casey Foundation has produced a pocket guide from it's 2005 Data Book. This booklet contains an overview, graphics on national trends, state-by-state data and rankings, and contacts for state KIDS COUNT projects. The booklet also looks at health disparities among vulnerable children.

KIDS COUNT, is a national and state-by-state effort to track the status of children in the United States. By providing policymakers and citizens with benchmarks of child well-being, KIDS COUNT seeks to enrich local, state, and national discussions concerning ways to secure better futures for all children. For additional information on past KIDS COUNT publications, go to: www.aecf.org/kidscount/kc_pubs.htm

Language Services Action Kit www.accessproject.org/language.html#action_kit
With partial support provided by The Commonwealth Fund, the Access Project, and the National Health Law Program have jointly developed this kit to help people with limited English proficiency gain better access to health care. Designed for use by immigrant advocates, hospitals, health care providers, and others, the kit explains how to apply for federal funds that can defray the cost of providing patients with language services, including translation services.

Toolkit For Communities To Reduce Racial And Ethnic Health Disparities
www.familiesusa.org/resources/tools-for-advocates/kits/minority-health-tool-kit.html
The action kit, produced by Families USA, emphasizes the importance of public programs in reducing racial and ethnic health disparities. Sections provide a summary of racial and ethnic health disparities and of the role that public programs can play in reducing them; an overview of Medicaid (and the State Children's Health Insurance Program) and Medicare.

The Maternal and Child Health (MCHB) Library www.mchlibrary.info/databases/
Provides descriptions and links to selected organizations that can provide current, high quality information on cultural competence, culturally competent services, and minority health. These organizations provide information for health professionals, policymakers, researchers, families, and the public.

National Standards of Practice for Health Care Interpreters Standards
For the first time, national standards of practice for health care interpreters have been established in the United States. With support from The Commonwealth Fund and The California Endowment, the National Council on Interpreting in Health Care developed guidelines to improve the quality and consistency of interpreting in hospitals, health plans, and other medical settings. To access the full set of standards, go to:

New South Wales Multicultural Health Communication Service offers patient education materials, on a wide variety of topics, in many languages languages other than English. Their web site is www.mhcs.health.nsw.gov.au

The Program in Translation and Interpreting (PTI) at the University of Minnesota is committed to building the capacity of Minnesota institutions, businesses, and public services to communicate with speakers of all languages through written translation and live interpretation of oral interactions. The PTI offers an educational program for interpreters and translators, including a Certificate in Interpreting with Health Care and Legal specializations. The Minnesota Translation Laboratory is a full-service translation agency that also provides training opportunities for students. In addition, the PTI offers publications and training materials free or for purchase and can provide specialized training in areas related to cross-cultural communication. www.cce.umn.edu/creditcourses/pti/

The Program in Translation and Interpreting is active in two interrelated areas:
1. course offerings in translation and interpreting, including the Certificate Program in Interpreting;
2. services and publications.

School Psychologists Cultural Competence Toolkit

Children are growing up in a culturally diverse world. The National Association of School Psychologists has a toolkit on cultural and ethnic diversity, with a self-assessment checklist for school personnel. www.nasponline.org/culturalcompetence/index.html

The Su Familia National Family Health Help line
A toll-free service designed to help Hispanic families connect with basic health information, local health providers and federally supported programs, including the State Children's Health Insurance Program. The service was developed and is operated by the National Alliance for Hispanic Health with support from the U.S. Department of Health and Human Services (DHHS). Information specialists refer callers to one of over 16,000 local health providers, including community and migrant health centers. Callers can also request basic health information in Spanish and English; referrals to information sources and fact sheets on a wide variety of topics. The help line is open Monday - Friday, 9:00 a.m. to 6:00 p.m. EST. Further information is available on the National Alliance for Hispanic Health web site.

TelAbility
Over 40 Spanish handouts available covering diverse topics of importance to families of children with special needs. These topics include feeding and nutrition, assistive technology, transition to adulthood, family support and more. Available at www.telability.org/handout_detail.pl?cat=70

Last Updated July 7, 2008

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