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1/19/2017
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CONFRONTING AND ADDRESSING CONCIOUS AND UNCONSCCIOUS BIASES AND THE “ISMs”
January 19, 2017
PRESENTERS
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Andy Arias, Policy Advisor U.S. Department of Labor, Office of Disability Employment Policy
Tawara D. Goode, Principal Investigator Leadership Institute for Cultural Diversity and Cultural and Linguistic Competence
Director, Georgetown University National Center for Cultural Competence Associate Director, Georgetown University Center for Excellence in Developmental
Disabilities
Vivian Jackson, Senior Policy Associate Leadership Institute for Cultural Diversity and Cultural and Linguistic Competence
Georgetown University National Center for Cultural Competence
Elizabeth Weintraub, Advocacy Specialist Association of University Centers on Disability
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OBJECTIVES
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Participants will:
1. Identify and describe an array of “ISMs” that impact culturally diverse populations.
2. List five strategies to confront the “ISMs”.
3. Delineate the different pathways and manifestations of conscious and unconscious biases.
4. Cite six interventions identified by the NCCC to address unconscious bias.
5. Reflect on the leadership behaviors and skills needed to courageously address the “ISMs” in their respective settings.
The “ISMs” is an umbrella term used to refer to a range of attitudes and behaviors that involve perceived superiority, oppression, prejudice, and discrimination based on such factors as race, national origin, ethnicity, language, class, disability, sexual orientation, and gender identity and expression.
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
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Liz shares her story and how she deals with the “ISMs”
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Andy’s personal narrative and the “ISMs”
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
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Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Biases Stereotyping
DiscriminationMarginalization
DisparitiesDisproportionality
Inequities Power Differentials
HomophobiaAbleism Racism
Classism
HOW ARE WE ADDRESSING THE “ISMs” WITHIN THE DD NETWORK?
“Racism is a system of structuring opportunity and assigning value based on the social interpretation of how one looks (which is what we call race), that unfairly disadvantages some individuals and communities, unfairly advantages other individuals and communities, and saps the strength of the whole society through the waste of human resources.”
Defining Racism
Camara P. Jones, MD, MPH, PhDSenior Fellow
Satcher Health Leadership Institute Morehouse School of Medicine
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Kaiser Permanente Institute for Health Policy. How Racism Makes People Sick: A Conversation with Dr. Camara Jones, MD, MPH, PHD. Retrieved
on 1/16/17 from https://www.kpihp.org/how-racism-makes-people-sick-a-conversation-with-camara-phyllis-jones-md-mph-phd/
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Defining Racism: Camara P. Jones, MD, MPH, PHD
Institutionalized racism is defined as differential access to goods, services, and opportunities of society by race. It is structural, having been codified in our institutions of custom, practice, and law, so there need not be an identifiable perpetrator. Institutionalized racism manifests itself both in material conditions and in access to power.
Personally mediated racism prejudice and discrimination, where prejudice means differential assumptions about the abilities, motives, and intentions of others according to their race, and discrimination means differential actions toward others according to their race. Personally mediated racism can be intentional as well as unintentional, and it includes acts of commission as well as acts of omission
Internalized racism is defined as acceptance by members of the stigmatized races of negative messages about their own abilities and intrinsic worth. It involves accepting limitations to one’s own full humanity, including one’s spectrum of dreams, one’s right to self-determination, and one’s range of allowable self-expression.
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Source: Jones, Camara. Levels of Racism: Theoretical Framework and a Gardner’s Tale. American Journal of Public Health. August 2000, Vol. 90, No. 8., pp. 1212- 1215.
Cultural competence and linguistic competence are not the panacea or cure for the “ISMs.”
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Cultural competence is a set of congruent values, policies, structures, practices, behaviors, and attitudes that are helpful in addressing the “ISMs.”
THE “ISMs”Thoughts about the Role of Cultural and Linguistic Competence
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Five Strategies to Confront the ISMs :
Lessons of the Journey
T.D. Goode
Leadership
Shared Ownership
The ISMs: Confronting the Undercurrents
Keeping it Real
Weave into the Fabric of the Organization
Slide Source:© 2014 - National Center for Cultural Competence
Data Source: Goode, T. D., Jones, W., Dunne, C., & Bronheim, S. (2007). And the journey continues...Achieving cultural and linguistic competence in systems serving children and youth with special health care needs and their families. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development.
KEY TERMS
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Group categorization
Stereotype
Discrimination
Prejudice
Conscious or Explicit Bias
Unconscious or Implicit Bias
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Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
DEFINING BIAS
Bias in a natural human
reaction .
A bias is a preference for one thing, person or group over another.
We all have biases.
Bias becomes a concern when it becomes a prejudice against certain people or groups in ways that are unfair and lead to discrimination.
Defining Conscious or Explicit Bias
Slide Source:© 2017 - Georgetown National Center for Cultural Competence
Cognizant/Aware of biases Able to articulate biases Awareness of conscious bias can lead to
changes in verbal communication, but not nonverbal
Examples in our respective work environments “I don’t like working with …” (age, gender, sexual orientation, specific disabilities ) “It takes too long and it is too hard when I have to work with people who need an
interpreter.”
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Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Defining Unconscious or Implicit Bias
Unaware/Not Cognizant We often deny it (to ourselves and with others)
Examples in our respective work environments - “That type of discrimination is in the past.”- “I treat everyone fairly – I never make differences based
on someone’s race or culture.” - “I don’t see color.”- “We focus only on the culture of disability.”
IMPACT OF CONSCIOUS & UNCONSCIOUS BIASES
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Disrespected Unfairly judged Intimidated Angry Oppressed Depressed Devalued Excluded Victimized Confused Anxiety
Health & Mental Health Perceived discrimination and bias have an adverse effect on a
person’s health and are closely linked to health and health care disparities.13-15
Discrimination can be harmful to a person’s mental health. Researchers found a clear relationship between discrimination and increased risk of mental disorders.4
WHAT THE LITERATURE IS TELLING USINDIVIDUAL PERSPECTIVE
1 Balsa A, McGuire T. Prejudice, clinical uncertainty and stereotyping as sources of health disparities. J Health Econ. January 2003;22(1):89-116.2 Blair IV, Steiner JF, Havranek EP. Unconscious (implicit) bias and health disparities: where do we go from here? Permanente J. Spring 2011;15(2):71-78.Smedley B, Stith A, Nelson R, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Press; 2003.4 Discrimination can be harmful to your mental health. Retrieved on 1/16/17 from http://newsroom.ucla.edu/stories/discrimination-can-be-harmful-to-your-mental-health
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IMPACT OF CONSCIOUS & UNCONSCIOUS BIASES
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Disrespected Unfairly judged Intimidated Angry Oppressed Depressed Devalued Excluded Victimized Confused Anxiety
Education Children who experience discrimination from their teachers are more likely to have
negative attitudes about school and lower academic motivation and performance, and are at increased risk of dropping out of high school.1
A 2016 Report from the Department of Education details continued racial and ethnic disparities among children enrolled in special education and included counts of children:
- receiving special education services by disability category and race/ethnicity, - in specific educational environments by race/ethnicity, - of total disciplinary removals by race/ethnicity, - of children who were subject to in-school or out of school suspensions and expulsions by race/ethnicity, - enrollments of public school students by race/ethnicity.2
WHAT THE LITERATURE IS TELLING USINDIVIDUAL PERSPECTIVE
1 Christia Spears Brown. (2015) The Educational, Psychological, and Social Impact of Discrimination on the Immigrant Child. Migration Policy Institute. Retrieved on 1/16/17 from http://www.migrationpolicy.org/research/educational-psychological-and-social-impact-discrimination-immigrant-child.
2 U.S. Department of Education (2016). Racial and ethnic disparities in special education: A multi-year disproportionality analysis by state,
analysis category, and race/ethnicity. Retrieved on 1/16/17 from https://www2.ed.gov/programs/osepidea/618-data/LEA-racial-ethnic-
disparities-tables/disproportionality-analysis-by-state-analysis-category.pdf
IMPACT OF CONSCIOUS & UNCONSCIOUS BIASES
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Disrespected Unfairly judged Intimidated Angry Oppressed Depressed Devalued Excluded Victimized Confused Anxiety
Employment
The U.S. Equal Employment Opportunity Commission said charges of job bias related to disability rose 6 percent to total 26,968 for the 2015 fiscal year.
In total, the EEOC received 89,385 charges of workplace discrimination in 2015. Disability played a role in nearly a third of them.
This is for individuals with disabilities already in the workforce.
Data Source: Heasley, Shaun. Workplace Disability. Discrimination Claims at Record High. Retrieved on 1/16/17 from https://www.disabilityscoop.com/2016/02/17/workplace-claims-record-high/21926/
WHAT THE LITERATURE IS TELLING USINDIVIDUAL PERSPECTIVE
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IT’S HOW WE ARE WIRED
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
PATHWAY OF UNCONSCIOUS BIAS
Slide Source:© 2017 - Georgetown University National Center for Cultural Competence
Cognitive
categorizationstereotype
conscious bias
unconscious bias
overt behavior
inadvertent behavior
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Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
Six Interventions to Address Unconscious Bias
Acknowledge and Accept Assume Individual Responsibility Engage in Self-Reflection & and Self-Assessment Make Good Use of the Neuroscience Collect and Use Data Effectively & Perform Self-Monitoring Incorporate Cultural & Linguistic Competence in Your Practice
Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
Accept that we all have implicit biases and that bias in a normal part of human functioning.
Acknowledge and accept that biases can negatively impact day-to-day interactions and decision-making.
Accept that there are solutions to address bias.
ACKNOWLEDGE AND ACCEPT
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Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
Make personal and professional commitment to combat bias.
Participate in learning opportunities about bias and approaches to address bias.
Advocate for the inclusion of sessions on implicit (unconscious) bias in training events and conferences in your organization.
ASSUME PERSONAL RESPONSIBILITY
Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
Write a list of your beliefs that may lead to biased thoughts or behaviors towards others.
Ask one of more colleagues, whom you trust, to share their views about what they observe in you that may be interpreted as bias.
Use a resource like the Implicit Association Test (IAT) to identify domains of potential bias.
Journal about your interactions with others to identify areas of bias.
ENGAGE IN SELF-REFLECTION & SELF-ASSESSMENT
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Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
Compare your outcomes based on race, ethnicity, gender, etc.
Analyze any disparities
COLLECT AND USE DATA
Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
MAKE USE OF THE NEUROSCIENCE
Maintain optimism for change, the brain is malleable.
Establish habit-breaking routines
Slow down…. Take your time… Stay rested
Focus on counter-stereotype images
Get to know the person and their story
Create opportunities of positive interactions as part of
organizational culture
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Slide Source:© 2017 Georgetown University National Center for Cultural Competence
What’s a Well-Meaning Person to Do?
INCORPORATE CLC IN YOUR WORK
Elements of CLC include but are not limited to:
Increase knowledge about othersBenefit: increase opportunities to challenge stereotypes and
stimulate empathy
Increase authentic interaction with “others” Benefit: reduce “categorization”, diminish sense of “otherness”
Promote an affirming organizational cultureBenefit: promote positive culture, soften boundaries
Reflections on the Role of Leader: Confronting the
ISMs
Lessons of the Journey
T.D. Goode
Leadership
Shared Ownership
The ISMs: Confronting the Undercurrents
Keeping it Real
Weave into the Fabric of the Organization
Slide Source:© 2014 - Georgetown University National Center for Cultural Competence
Data Source: Goode, T. D., Jones, W., Dunne, C., & Bronheim, S. (2007). And the journey continues...Achieving cultural and linguistic competence in systems serving children and youth with special health care needs and their families. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development.
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CONTACT US
National Center for Cultural Competencehttp://nccc.georgetown.edu
cultural@georgetown.edu
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