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Strategies for Clinical Cultural Assessment and Interactions


The following strategies for cultural assessment are offered as guidelines for social workers, and they may apply to other transcultural interactions.

  1. Consider all clients as individuals first, as members of minority status, and then as members of a specific ethnic group.
  2. Never assume that a person's ethnic identity tells you anything about his or her cultural values or patterns of behavior.
  3. Treat all "facts" you have ever heard or read about cultural values and traits as hypotheses, to be tested anew with each client. Turn facts into questions.
  4. Remember that all minority group people in this society are bicultural, at least. The percentage may be 90-10 in either direction, but they still have had the task of integrating two value systems that are often in conflict. The conflicts involved in being bicultural may override any specific cultural content.
  5. Some aspects of a client's cultural history, values, and lifestyle are relevant to your work with the client. Others may be simply interesting to you as a professional. Do not prejudge what areas are relevant.
  6. Identify strengths in the client's cultural orientation which can be built upon. Assist the client in identifying areas that create social or psychological conflict related to bi-culturalism and seek to reduce dissonance in those areas.
  7. Know your own attitudes about cultural pluralism, and whether you tend to promote assimilation into the dominant society values or stress the maintenance of traditional cultural beliefs and practices.
  8. Engage your client actively in the process of learning what cultural content should be considered.
  9. Keep in mind that there are no substitutes for good clinical skills, empathy, caring, and a sense of humor.

Source:
Nancy Brown Miller, "Social Work Services to Urban Indians,"
Cultural Awareness in the Human Services, James Green, ed.
Prentice-Hall, 1982, p.182.

models &practices


Cultural Competence Practice
And Training

 
Overview
Definitions, Tools and Assessments
1. L-E-A-R-N Model Encounter Guidelines
2. Eliciting health beliefs

3. Guidelines for clinical encounters
Curricula and Training Programs
Family Medicine curricula guidelines
Resources
Kaiser Permanente handbooks
Cross Cultural Communication videos

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    As with the rest of DiversityRx, this section is a work in progress and we welcome information on other efforts, programs, and reports that will expand upon the information offered here. Please let us know if you have other examples to include here.

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