Summary: <p>Improving Cultural Competence<br> SAMHSA TIP 59<br> Part 2<br> Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC<br> Executive Director: AllCEUs.com Counselor education<br> Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery</p> <p>Objectives<br> ~ Define “Clinical Worldview”<br> ~ Discuss how clinical worldview impacts treatment, case formulation and rapport development<br> ~ Explore questions to consider when developing the case formulation and treatment plan<br> ~ Learn how mapping the client’s cultural views and influences can help clinicians (and clients) develop insights into current struggles and clarify culturally relevant goals</p> <p>Worldview: The cultural lens of counseling</p> <p>~ The term “worldview” refers to a set of assumptions that guide how one sees, thinks about, experiences, and interprets the world.<br> ~ Shaped by significant relationships, the individual's environment and life experiences<br> ~ Influences<br> ~ Values, attitudes, beliefs, and behaviors<br> ~ Concept of time<br> ~ Definition of family<br> ~ Organization of priorities and responsibilities<br> ~ Orientation to self/ family/community<br> ~ Religious or spiritual beliefs<br> ~ Ideas about success<br> ~ Etc.<br> Clinical World View<br> ~ Influenced by education, clinical training, and work experiences<br> ~ Counseling culture reflects<br> ~ Counseling theories (Psychoanalytic, Humanistic, CBT)<br> ~ Techniques and modalities (Individual, group, TAC)<br> ~ General office practices. (Privacy, punctuality, Assessment/Intake)<br> ~ This worldview and their personal cultural worldview shapes the counselor's beliefs pertaining to:<br> ~ The nature of wellness, illness, and healing<br> ~ Interviewing skills and behavior<br> ~ Diagnostic impressions and prognosis.<br> Clinical World View<br> ~ This worldview, coupled with their personal cultural worldview,<br> ~ It influences<br> ~ the definition of normal versus abnormal behavior<br> ~ the determination of treatment priorities<br> ~ the means of intervention<br> ~ the definitions of successful outcomes<br> Cultural Awareness and Nonmalfeasance<br> ~ Counselors must engage in self-exploration, critical thinking, and clinical supervision to understand<br> ~ their clinical abilities and limitations regarding the services that they are able to provide,<br> ~ the populations that they can serve<br> ~ the treatment issues that they have sufficient training to address.<br> ~ Cultural competence requires an ability to assess accurately one's clinical and cultural limitations, skills, and expertise.<br> ~ Counselors risk providing services beyond their expertise if they lack awareness and knowledge of the influence of cultural groups on client–counselor relationships, clinical presentation, and the treatment process or if they minimize, ignore, or avoid viewing treatment in a cultural context.<br> ~ Tennessee House Bill 1840<br> LEARN at Intake<br> ~ Listen to each client from his or her cultural perspective, including perception of the problem and treatment preferences<br> ~ Explain the overall purpose of the interview and intake process.<br> ~ Acknowledge client concerns and discuss the probable differences between you and your clients. Take time to understand each client's explanatory model of illness and health.<br> ~ Recommend a course of action through collaboration with the client including how much involvement he or she has in the planning process<br> ~ Negotiate a treatment plan that weaves the client's cultural norms and lifeways into treatment goals, objectives, and steps.<br> RESPECT Clients<br> ~ Respect—Understand and reflect how respect is shown within given cultural groups through verbal and nonverbal communications.<br> ~ Explanatory model—Devote to understanding how clients perceive their presenting problems issues, their origin, impact and treatment<br> ~ Sociocu</p>
