[PPT] - The Challenges and Opportunities for Faculty and Staff Working with PowerPoint Presentation

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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The Challenges and Opportunities for Faculty and Staff Working with Increasingly Diverse Students

Ohlone College Learning College Week

Presenter: Matthew R. Mock, PhD Berkeley, California DrMMock@comcast.net

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Description

 In order to effectively teach students from

increasingly diverse backgrounds, instructors may need to consider new

strategies. Addressing individual and

group dynamics in the classroom means paying attention to diverse learning styles, ways of communicating, interaction and group management.

January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Description (continued)

 Faculty often become aware of academic,

social, health and mental health needs of

students. This workshop will address

some of these complex needs, the necessity of cultural competence and developing strategies of care.

 This is to assist faculty in work already

being done.

January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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The Goals of the Workshop

Participants will:

 Appreciate the role of culture and human diversity for

effective teaching and learning in a community college setting

 Understand aspects of (clinical) assessment central to

working effectively with students who are becoming increasingly diverse overall

 Understand the development of the commitment to

cultural competence in California’s public mental health system inc. college settings

 Consider new strategies for learning supports & MH care

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Ohlone College: Related Vision

 Ohlone College will be known throughout

California for our inclusiveness, innovation, and superior rates for student success.

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Ohlone College: Mission Statement – Related Vision

 …basic skills, career entry, university

transfer, economic development, and personal enrichment for all…student learning success is highly valued, supported and continually assessed.

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Ohlone College: Core Values

 Life long learning  Open access…reaching out to underserved

populations

 Promote diversity, inclusiveness and openness

to differing viewpoints

 High standards…in pursuit of excellence  Value trust, respect and integrity  Promote teamwork and open communication  Practice innovation, risk-taking…

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Ohlone College: Goals in Concert

 Improve student learning, achievement  Promote continuous, needs-based learning and

professional development

 Use (all) resources effectively for students  Enhance college-wide interaction with

acceptance of diverse peoples, cultures…

 Increase access to under-served, -represented  Engage all in continual institutional improvement

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Definition of Culture…

 Culture: “An integrated pattern of human

behavior that includes thought, communication, actions, customs, beliefs, values and institutions of a racial, ethnic, religious or social group” (CA State DMH)

 We all have culture, cultural backgrounds.

Experiential Process: In pairs share your family historical name of origin. Debrief.

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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The Importance of Cultural Competence

 Essential aspect of client and family centered

services

 Person-centered care inc. teaching and learning

means understanding the person’s culture

 Increasing cultural competence means

improving the quality (CQI) of care for all

 Responding to community needs and

eliminating disparities

 Integral to recovery, wellness and resilience

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Current and Changing Demographics of California

 Over 50% of the state’s population consists of

“persons of color”

 California’s cultural and linguistic diversity will

continue to grow

 Immigration  Population growth  Acknowledgement of the meaning of diversity

 California’s growing diversity increases attention

to areas of human diversity.

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Source: U.S. Census Bureau

10 20 30 40 50 60 70 80 1990 1996 2005 2030

White African American Hispanic Asian/Pacific Islander American Indian/ Alaskan Native

Demographic Trends: Increasing Diversity

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Disparities Among Cultural, Ethnic, Racial and Linguistic Communities

 Mental Health: Culture, Race and Ethnicity: A

Supplement to the Surgeon General’s Report on Mental Health (2001, USDHHS

www.surgeongeneral.gov/library )

 Striking disparities in

 Access to care  Quality of services  Availability of responsive services

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Imperatives: Some Key Findings

 40% of Hispanic Americans report limited

English proficiency yet there are limited bilingual bicultural providers, workers in public settings

 Asian American/Pacific Islanders who seek care

for mental illness often present with more severe illness, perhaps due to stigma and shame

 Disproportionate numbers of African Americans

are homeless, incarcerated, in child welfare, victims of trauma

 Historical trauma of Native Americans and its

effects today are insufficiently acknowledged

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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A Brief History of Cultural Competence Initiatives

 Child and Adolescent Services System

program—CASSP

 Minority Resource Initiative Committee  Georgetown Monograph: “Towards a

Culturally Competent System of Care” (1989) by Cross, et al.

 Health/MH disparities linked to race,

ethnicity and class

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Essential History: Definition

 Cultural Competence Definitions:  “A set of congruent behaviors, attitudes,

and policies that come together in a system, agency or among professionals that enable them to work effectively in cross-cultural situations” (Cross et al, 1989)

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Essential History: Five Elements

A culturally competent system of care has several core components (Cross, et al):

1.

Valuing diversity (infusion & inclusion)

2.

Continual cultural self-assessment

3.

Attending to dynamics of difference

4.

Institutional knowledge of culture

5.

System (inc. educational settings) adaptation to diversity and change

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Specific California History:

 CMHDA creates Cultural Competence

Committee (1990)

 Mental Health Legislation –AB 1288,

Chapter 89 and AB1491, Chapter 611 mandates cultural competence (1991)

 Cultural Competence Summits begin 1993  Latino Behavioral Health Institute 1996  Eliminating Disparities and Social Justice

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Specific California History

 Cultural Competence Requirements for

County Managed Care Plans 1997

 State DMH establishes Office of

Multicultural Services 1998

 CIMH establishes the Center for

Multicultural Development 2000

 CMHDA Framework for E-Disparities 2005  Mental Health Services Act MHSA 2004+

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Managed Care Plan Requirements

 County geographic and socio-economic profile  Population by ethnicity, age, gender and primary

language spoken

 Service system demographics, linguistic skills  Utilization of MediCal Specialty Mental Health

services

 Analysis of that information—what conclusions

i.e. where are disparities and why (root cause)?

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Plan Requirements (continued)

 Administrative practices and policies  Human Resources  Quality of care

 Includes new “client culture definition”

 Quality Assurance—

 culturally specific outcome measures

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Standards—Quality of Care

 Consumer and family involvement  Competent—evaluation, diagnosis and

treatment – for all!

 Competence in understanding client

culture. Also wellness, recovery,

resilience, empowerment

 History of disparities  Strategically addressing stigma & shame

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Standards—Quality Management

 Penetration rate  Retention rate, appropriate engagement  Capacity  Continuous quality improvement activities  Note: Annual Performance Improvement

Projects (PIPS) and Eliminating Disparities based in identified system problems (stretch goals and PDSA cycles)

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Some Practical Guidance

 Proviso, disclaimer, another view of

cultural competence… “Cultural competence is not an end destination…it is the

ngoing journey along the

way each time.” (Mock, 2002)

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Conducting Culturally Sensitive Assessments

 Diagnostic and Statistical

Manual IV and IV –TR:

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Cultural Provisos in categories



Outline for Cultural Formulation



Culture Bound Syndromes

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Conducting Culturally Sensitive Assessments

 Cultural Formulation (DSMIV-TR)

I. Cultural identity of the individual
II. Cultural explanations of problem/illness
III. Cultural factors – psychosocial
IV. Cultural elements of client-provider

relationship

V. Overall assessment for diagnosis/care

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Summary: Our Quick Journey

 Working with students of all backgrounds

is a commitment to the college

 Current times, increased diversity as a

strength also creates challenges

 Challenges can be met through staff and

faculty development, strengthening approaches and formulating new and collaborative strategies

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net

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Contact Information:

Matthew R. Mock, PhD Professor of Psychology John F. Kennedy University 100 Ellinwood Way Pleasant Hill, CA 94523 mmock@jfku.edu

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January 24, 2013 Matthew R. Mock, PhD DrMMock@comcast.net