A Working Definition of Cultural Competency
Developed and Adopted by the Minority Executive
Directors Coalition January 2001
Preamble:
MEDC believes that cultural competency is critical to
the success of the delivery of health & human
services in an ever diverse environment. The respect of
an individual's cultural domains and their
experiences is essential to their engagement with
service providers, consultants, trainers, researchers
& funders. Through an organization's
recognition of cultural competent services, staff, and
volunteers, it will be much better able to meet the
diverse needs in all communities throughout King
County. Organizations that embrace the three guiding
principles of Cultural Competency must be willing to
accept them throughout their organization's
services, policies & practices. Cultural Competency
is a journey by which an agency must commit itself to a
process of continuous improvement.
Cultural Competency is defined
as
"A set of behaviors, attributes
and policies enabling an agency (or individual) to
work effectively in cross cultural situations"
(1) .
Cultural Competency is further defined in
the terms of the following three Guiding
Principles:
-
Commitment
-
Accessibility
-
Relevance
I. Commitment - A commitment that social change
is necessary and includes:
-
Acknowledgment that institutional racism exists
at all levels of the service delivery system; -
in policy and in practice.
-
Recognition that cultural differences exist -
between and within groups; - that people of color
think, feel and behave differently and cannot and
should not be measured against the dominant
culture.
II. - Accessibility
-
Opportunities to services, trainings &
funding must be made available to all communities
of color.
-
Assurance that at least the same range of choices
and level of services are available among all
communities of color.
-
Services are located within communities of
color.
-
There is a purposeful elimination of barriers to
service.
-
There is maintenance of bilingual/bicultural
staff in all service areas.
-
There are decentralized points of entry in order
to access services.
III. - Relevance
-
Services are delivered in a manner relevant to
the client in a way that is meaningful and
congruent with the client's class, language,
culture belief, environment, concept of time, and
spiritual and religious beliefs.
-
Services are sensitive to:
-
Cultural differences in
decision-making
-
Life events, including minority status,
oppression experiences, world views, &
immigration status, etc.
-
Services are delivered by staff who are
culturally competent.
-
Services involve and respect resources existent
within the communities - traditional or
non-traditional.
-
Services recognize the role of the community as
well as personal problem solving.
-
Services are delivered through organizations that
have a staff & management composition
reflective of their client community.
-
There are steps taken, at the policy &
operational levels, by the organization to insure
continuation of progress made in establishing the
Guiding Principles of Cultural Competency.
-
There is an aggressive plan for recruiting,
training, & retaining staff & volunteers
of color throughout the organization.
(1) MEDC has adopted this definition of Cultural
Competence from the work of T.L. Cross et al (1989),
Washington DC. "Towards a Culturally Competent
System of Care"
MEDC views cultural competency as part of a
continuum that can lead to an
anti-racist/anti-oppression movement for social
change.
IMPLEMENTATIONS OF GUIDING PRINCIPLES
In order to effectively implement the Guiding
Principles for Cultural Competency, there must be an
understanding of the history of institutionalized
racism and its context as it affects the delivery of
human services.
COMMITMENT IMPLEMENTATION:
Service Providers: There should be:
-
A recognition of the limitations of the service
delivery system;
-
A commitment to recruit, train, retain, and
advance staff and volunteers of color who
understand the history and context of
institutional racism.
Consultants/Trainers; There should be:
-
An understanding of the history of institutional
racism and its context.
-
An appreciation for the various ways of learning
especially within & among communities of
color.
Research is performed with:
-
An appreciation of the three Guiding Principles
of Cultural Competency;
-
An understanding of f the differences within and
among communities of color.
Funders; There must be:
-
A documented commitment to cultural competency
through approved policies related to funding
recommendations;
-
Education of policy makers to the importance of
Cultural Competency.
ACCESSIBILITY IMPLEMENTATION:
Service Providers:
-
Services are provided by bilingual/bicultural
staff of color who are recognized as
knowledgeable in the field of health & human
services.
-
That the same breadth of service is offered at
more than one location.
-
The recruitment, retention and promotion of
culturally competent staff of color at all levels
of the organization.
-
A review of all available data where services
need to be delivered for specific communities of
color.
Consultants/Trainers:
-
Whenever necessary, training's are offered in
languages other than English.
-
Offer the trainings at times that are culturally
sensitive and fitting with the audience's
concept of time and need for social
interaction.
-
Need to recognize that their services need to be
delivered through the sponsorship or
co-sponsorship of community-based agencies of
color.
-
Whenever possible, conduct trainings with a
facilitator of color who is knowledgeable of the
ethnic group to whom they are presenting.
Research:
-
Is performed by researchers knowledgeable of the
issues facing communities of color and whenever
possible by researchers of color.
-
The results for research investigations that
affect communities if color is shared widely
within the affected communities.
Funders:
-
Opportunities to receive funding will be made
available to all communities of color through
culturally appropriate means.
-
Decision-makers will be inclusive of communities
of color at all levels.
RELEVANCE IMPLEMENTATION:
Service Providers:
-
An organized workplan to deliver services in the
above manner.
Consultants/Trainers:
-
Bilingual/bicultural trainers who are
knowledgeable of the topic to be discussed;
-
Trainings that draw upon the history &
richness of various ethnic experiences.
Researchers:
-
Research needs to be relevant to the issues
affecting communities of color and build upon the
assets of the various impacted communities.
Funders:
-
Materials used to seek applications as well as
application materials will be culturally
appropriate.
-
Outcomes are funded with an eye towards
considering the value of cultural
competency.
CONTINUITY & SUCCESSION
IMPLEMENTATION
Service Providers:
-
Staff of color at all levels of the organization,
are recruited, trained, promoted & retained
in a manner that builds upon their
expertise.
-
Policy boards work aggressively to insure the
full participation of representatives from the
communities of color they serve.
Consultants/Trainers:
-
Trainings are offered by competent consultants of
color who are knowledgeable about the topic being
presented.
Research:
-
Needs to have built in opportunities for
continued review of findings that impact
communities of color in order to maintain
research in areas that are of current
relevance.
Funders:
-
Funders hire staff and train volunteers who are
trained in cultural competency. Funding
applications utilize the four Guiding Principles
of cultural competency in making decisions.
HOW TO USE THIS DEFINITATION:
-
Policy implications
Board & staff policies must be updated to
reflect Cultural Competency elements; Participant
polices & procedures will need to be reviewed
to be sure they are consistent with the
definition
-
Program implications
Program outcomes may need to be reviewed in
terms of meeting the elements of the definition;
Additions or subtraction of program elements may
occur in order to meet the indicators set forth
within the definition;
-
Mission implications
The organization's mission may need to be
reviewed in order to address the elements
contained within the definition
-
Review and certification of Culturally
Competent programs, agencies, trainings, research
&/or procedures are available.
MEDC views cultural competency as part of a
continuum that can lead to an
anti-racist/anti-oppression movement for social
change.
To bring training to your organization or to register
for an open enrollment training session, download our registration form (pdf format) or please email
Alison Alfonzo Pence or call (206) 325-2542.
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