CULTURAL COMPETENCE IN SUBSTANCE ABUSE - … · S O U T H E A S T CULTURAL COMPETENCE IN SUBSTANCE ABUSE July 2002 Southeast ATTC Morehouse School of Medicine Department of Psychiatry

Southeast Addiction Technology Transfer CenterMorehouse School of Medicine720 Westview Drive S.W.Atlanta, GA 30310www.sattc.org

S O U T H E A S T

CULTURAL

COMPETENCE

IN

SUBSTANCE ABUSE

S O U T H E A S T

CULTURAL CULTURAL

COMPETENCE COMPETENCE

IN SUBSTANCE IN SUBSTANCE

ABUSEABUSEJuly 2002

Southeast ATTC

Morehouse School of Medicine

Department of Psychiatry and

Behavioral Sciences/CORK Institute

Atlanta, GA

www.sattc.org

SOUTHEAST ADDICTION TECHNOLOGY TRANSFER CENTER — 1

WHAT’S INSIDE

■ AGENDA

■ REFERENCES

■ APPENDIX:

POWERPOINT PRESENTATION


IMPROVING CULTURAL COMPETENCE IN SUBSTANCE ABUSE TREATMENT — AGENDA

1:00 PM, 7/31/02 - 12:00 PM, 8/2/02

I. Introduction & Background

a) Self (resumé)

b) Participants—Exercise, “Who Do You Want the World to Be Safer for...?”

II. Methodology: “Moving from Race to Culture a Bio-Behavioral Paradigm”

a) Health Disparities, Surgeon General’s Reports on MH, MH and Ethnicity

CSAT’s publication

b) Defi nitions of Culture, Salim’s Outline(s)

c) Bio-Psycho-Social-Spiritual Dimensions

ASAM PPC2

DSM IV Outline for a Cultural Formulation

d) The world’s great civilizations / macro cultures

1. African

2. Asian

3. European

4. Hispanic

5. Native American / Amerindian

6. Middle Eastern

e) Etic vs. Emic Distinctions (examples) Maslow Reconsidered

Hilliard’s Socialization Model

SAMHSA Household Survey

Cultural Prescriptions of Learned Behavior

Nichol’s Model

Identity Development Models

f) Triad Model Exercise (small groups)


III. Cultural Competence

a) Cultural Competence Continuum, current & historical models

b) KSA’s, Multicultural Counseling (ACA Endorsed Model)

c) CLAS Standards

d) Self-Assessment Exercises: individual and organizational

IV. Culturally Appropriate Interventions / Examples

Using ritual and ceremony:

Exercise - Grandparent Stories

a) Umoja Circle

b) Talking Stick

c) Self-Help Movements

d) Andikra Symbols

e) Rites of Passage Processes

f) IBCA

g) Tai Chi, Yoga, Drumming


REFERENCES

Bell, P. (1990). Chemical Dependency and the African-American: Counseling Strategies and Community Issues. Ha-zelden: Center City, MN.

Bell, P. (1992). Cultural Pain: Unspoken Issues in Early Recovery. Hazelden: Center City, MN.

Bell, P. (1993). Facing my future: the search for identity. Johnson Institute: Minneapolis, MN.

Bell, P. (1995). Working with diversity your personal assessment tool. Author.

Brisbane, F. (1998). Blacks against drunk driving: a culture-based handbook to promote traffi c safety awareness and ac-tion. National Highway Traffi c Safety Administration: Washington, D.C.

CSAP. (2001). Reading between the lines: media literacy. Retrospective: a parent’s guide to youth culture. Rockville, MD.

CSAP. (1995). Cultural Competence for Evaluators: A Guide for Alcohol and Other Drug Abuse Prevention Practitioners Working with Ethnic/Racial Communities. Cultural Competence Series. Vol. 1.

CSAP. (1993). An african-centered model of prevention for African-american youth at high risk. Goddard, L. (Ed.). CSAP Technical Report - 6.

CSAT. (2001). A providers introduction to substance abuse treatment for lesbian, gay, bisexual and transgender individu-als. Rockville, MD.

CSAT. (1999). Cultural issues in substance abuse treatment. Rockville, MD

Constantine, M. Predictors of observer ratings of multicultural counseling competencies in black, latino and white ameri-can trainees. Journal of Counseling Psychology. 2001. Vol. 48, No. 4, 456-462.

Dana, H. (1993). Multicultural Assessment Perspectives for Professional Psychology. Allyn and Bacon: Boston.

McGoldrick, M., Giordano, and Pearce, J. (Eds.). (1996). Ethnicity and family therapy. (2nd Edition). Guilford Press: New York.

Nichols, E. (1987). The philosophical aspects of cultural difference. Ethnic Comparison Grid. Author.

Nobles, W., Goddard, L., Cavil, III, W., George, P. (1987). The culture of drugs in the black community. Black Family Institute: Oakland, CA

Peters, A. Peters projection: world map in equal area presentation. Oxford Cartographers LTD. Oxford, UK

Ponterotto, J., Casas, J., Suzuki, L., and Alexander, C. (1995). Handbook of Multicultural Counseling. Sage Publications: London.

Raven, M. The politics of drug use. New Perspectives on Addiction - Dulwich Centre Newsletter. (1997). Nos. 2&3, 4-6.

SAMHSA. National Household Survey on Drug Abuse, 1999 and 2000.

Straussner, S. (Ed.). (2001). Ethnocultural Factors in Substance Abuse Treatment. The Guilford Press. New York.

Sue, D. W. and Sue, D. (1999). Counseling the culturally different. (3rd. Edition). Wiley: New York.

U.S. Department of Health and Human Services. Mental health: a report of the surgeon general. Rockville, MD: U.S. .....1999.

U.S. Department of Health and Human Services. Mental health: culture, race, and ethnicity - a supplement to mental health : a report of the surgeon general. Rockville, MD: U.S. .....1999.

U.S. Department of Health and Human Services. Alcohol and Minorities: An Update. Alcohol Alert. No. 55. January 2002. National Institute on Alcohol Abuse and Alcoholism. Rockville, MD.

U.S. Department of Health and Human Services. (2001). Revised cultural and linguistic appropriate services standards. Closing the Gap: A Newsletter of the Offi ce of Minority Health: Washington: D.C.

Williams, R. and Gorski, T. (1997). Relapse prevention counseling for african Americans: a culturally specifi c model. Herald House/Independence Press: Independence, MO.

White, M. (1997). Challenging the culture of consumption: rites of passage and communities of acknowledgement. New Perspectives on Addiction - Dulwich Centre Newsletter. (1997). Nos. 2&3, 38-42.


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Documents

CULTURAL COMPETENCE IN SUBSTANCE ABUSE - … · S O U T H E A S T CULTURAL COMPETENCE IN SUBSTANCE ABUSE July 2002 Southeast ATTC Morehouse School of Medicine Department of Psychiatry