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Developing culturalcompetence andcultural humility toaddress the needsof Afro-Caribbeansurvivors of sexualtrauma
Presenter: Patricia Mura Desert, MSSW
My Self, Vision and Community ID
SelfGod's partner, Generational trauma breaker,
Work-at-home-momVision
Columbia University School of Social WorkThe Network for Social Work Management
CommunityCo-Founder & CEO of Savesouls Ministry
Savesoulsministry.org
ObjectivesCultural competency and cultural humilityapproaches to address the issues ofsexual trauma with Afro-Caribbeansurvivors.
Identify three barriers to mental healthservices for Afro-Caribbean groups.
Identify three outreach strategies toimpact Afro-Caribbean communities.
Afro-CaribbeanIndividuals who are born in the Caribbean, ofCaribbean or African descent. Other Groups: Indo-Caribbeans (of South Asiandescent- also Asian-Caribbean - born in Asia, livein the Caribbean) and Europeans Caribbeans (ofEuropean descent also called White-Caribbean) Colonization impact
immigrants in the United States
44.5 million
10% are Caribbean Immigrants.
4.5 million
CA
RIB
BEA
N I
MM
IGR
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S
CA
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BEA
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The
Chal
leng
esLack of mental health education in churches || Pseudo-diagnosis by voodoo priests|| Common belief in demonicmanifestation
Religious Support and Superstitious beliefs
2nd largest health issue || Socio-Economic and politicalunrest || 15 Psychiatrists for a population of 10 million andonly two psychiatric hospitals (le Nouvelliste, Dr. HansLamarre) in Haiti
Lack of Mental Health Interventions in the Caribbeans
Education || Career Development || Collectivist Culture
Caribbean Immigrants Priorities
The
Rese
arch
on
Barr
iers
to S
ervi
ces 2019 Savesouls Ministry Need Assessment - Survey
Fear/Stigma, *personal choice*, financial barrier, lack of education
2019 Literrature Review of 30 Scholarly Articles
monolith services in the US, culture of silence, fear, shame, abuse
2019 Savesouls Forum - Let's Talk Conference
No understanding of mental health, immigrations issues, educationalpriority, inadequate community support, Complex healthcare system
2019 Focus Group with the Haitian Mental HealthNetwork
No adequate outreach, misrepresentation of Caribbean groups, lack ofadvocacy, mistrust of providers
Normalization ofSexual Trauma
Intergenerational silence
"It happened to me too, but shush"
Sexism, matriarchal society, GBV
Shared media of rape and victimsshaming on social media
"42% of girls in CARICOM countries areforced into first sexual experience... "(WHO, 2017) Gonaives 2019- Sexual violence on 13women by over 100 men in a prison mixup.
Rampant cases of sexual violence
WE ARE RESILIENT!
“She stood in the storm and when the wind did notblow her way, she adjusted her sails.” Elizabeth Edwards
What canwe do? ThreeOutreachStrategies
Tailor services to also address professional development
Connect with career services org., social services, offer/market somethingwith the therapy
Brand yourself to be noticed
Online profile with previous experiences with the population,translator available, areas of concentration, previous workwith immigrants ect....
Meet them where they are (litterally)Churches, Schools, Existing organizations
CulturalCompetenceand CulturalHumility
Competence
"Cultural competence is aset of congruentbehaviors, attitudes, andpolicies that cometogether in a system oragency or amongstprofessionals and enablethe system, agency, orthose professions to workeffectively incross-cultural situations”(National Center forCultural Competence, n.d.,p. 1).
Humility
“Cultural humilityincorporates a lifelongcommitment toself-evaluation and self-critique, to redressingthe power imbalances andto developing mutuallybeneficialand nonpaternalistic clinicaland advocacypartnerships withcommunities on behalf ofindividuals and definedpopulations." (Tervalon,Murray-Garcia, 1998, P117-25)
Steer clear ofthe extremeperspective!The Caribbean culture and itspeople are beautiful!
BuildingEffectiveRapport
INITIATE BUT LET THEM LEAD.Avoid using the earthquake as a conversation starter.
BE HONEST ABOUT CULTURALKNOWLEDGE."I have a Haitian friend" is not enough.
CONSIDER INTERSECTIONALITYAPPROACH.Assimilation vs. acculturation, Biopsychosocial assessment
BE ACTION-ORIENTED.Goal settings, genuine care and interest in the individuals
Questions?
Let's connect! [email protected]
E-mail Address
Thesvclifestyle.wordpress.comSavesoulsministry.org
Websites
Patricia Mura Desert
References
https://www.migrationpolicy.org/article/caribbean-immigrants-united-states https://lenouvelliste.com/article/179730/la-sante-mentale-classee-deuxieme-probleme-de-sante-publique-en-haiti https://www.socialworkers.org/LinkClick.aspx?fileticket=PonPTDEBrn4%3D&portalid=0 https://www.hmhnetwork.org/ http://savesoulsministry.org/
