144 -Improving Cultural Competence Part 3 Understanding the Cultures of Addiction and Recovery

Summary: Improving Cultural Competence SAMHSA TIP 59 Part 3 Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC Executive Director: AllCEUs.com Counselor education Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery Objectives ~ Review elements which constitute a culture ~ Define and explore the drug culture ~ Define and explore the recovery culture for addictions ~ 12-Step ~ SMART ~ Celebrate Recovery ~ Define and explore the culture of Mental Health Recovery ~ Theorize about the struggles clients experience when becoming acculturated to the recovery culture ~ Hypothesize interventions and methods which can help clients embrace the recovery culture Worldview, Values, and Traditions ~ Culture can be seen as ~ A frame through which one looks at the world ~ A repertoire of beliefs and practices that can be used as needed ~ A narrative or story explaining who people are and why they do what they do ~ A set of instructions defining different aspects of values and traditions ~ A series of boundaries that use values and traditions to delineate one group of people from another Continuum of Cultural Competence ~ Stage 1. Cultural Destructiveness ~ Organizational and Individual Level: Negates the relevance of culture in the delivery of behavioral health services, holding a myopic view of “effective” treatment. (Abstinence, Harm Reduction, Happiness) ~ Stage 2. Cultural Incapacity ~ Organizational and Individual Level: Expects clients to conform to generalized services. Ignores the relevance of culture while using the dominant client population and/or culture as the norm for assessment, treatment planning, and determination of services. (Therapy Groups, 12-Step Based Treatment) Continuum cont… ~ Stage 3. Cultural Blindness ~ Organizational and Individual Level: At this stage, counselors uphold the belief that there are no essential differences among individuals across cultural groups—that everyone has trauma, mood, self-esteem and coping deficits which are causing the current state ~ Stage 4. Cultural Precompetence ~ Organizational Level: Have a basic understanding of and appreciation for the importance of sociocultural factors in the delivery of care. Counselors acknowledge a need for more training specific to the populations they serve. Continuum cont… ~ Stage 5. Cultural Competence and Proficiency ~ Organizational Level: Organizations are aware of the importance of integrating services that are congruent with diverse populations. Recognize the vital need to adopt culturally responsive practices. Cultural Identity ~ Cultural identity describes an individual's affiliation or identification with a particular group or groups. ~ Cultural identity arises through the interaction of individuals and culture(s) over the life cycle. ~ Cultural identities are not static; they develop and change across stages of the life cycle. ~ People reevaluate their cultural identities and sometimes resist, rebel, or reformulate them over time. (Remember High School; Midlife “crisis”) Acculturation ~ There are many forces at work that pressure a person to alter his or her cultural identity to conform to the mainstream culture's concept of a “proper” identity. ~ People may feel conflicted about their identities—wanting to fit in with the mainstream culture while also wanting to retain the values of their culture of origin. (Religion) ~ Sorting through these conflicting cultural expectations and forging a comfortable identity can be an important part of the recovery process ~ Many studies have found that increased acculturation are associated with higher rates of substance use disorders and mental health issues Culturally Responsive Practice ~ Culturally re

144 -Improving Cultural Competence Part 3 Understanding the Cultures of Addiction and Recovery

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