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What Are the Components of Cultural Competency from a Behavioral Health Scope?

Sophie Nathenson, PhD

January 15, 2024

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Question

What are the components of cultural competency from a behavioral health scope?

Answer

Cultural competency in the behavioral health field involves several interconnected components that are crucial for professionals to understand and integrate into their practice. Here's a breakdown of these components:

  1. Knowledge:
    • Understanding the context and relevant issues: Professionals need to have a deep understanding of the cultural context in which their clients live. This includes knowledge about cultural norms, values, and societal factors that may influence mental health.
    • Learning about specific cultures: While avoiding stereotypes, it's important for professionals to continuously learn about diverse cultures. This knowledge can enhance their ability to provide culturally sensitive care and appreciate the variations in health philosophies, illness perceptions, and treatment practices.
  2. Attitudes:
    • Diversity appreciation: Professionals should cultivate positive attitudes towards diversity in general. This involves recognizing and valuing differences among individuals and communities.
    • Empathy and non-judgment: Developing an empathetic and non-judgmental attitude is crucial for building a therapeutic alliance. This creates a safe space for clients to share their experiences and challenges.
  3. Awareness:
    • Understanding one's own biases: Cultural competency requires self-awareness. Professionals must reflect on their own biases and assumptions to prevent these from influencing their interactions with clients.
    • Cultural self-awareness: Professionals should be aware of their own cultural background and how it may impact their perspectives. This awareness is essential for maintaining cultural humility and avoiding ethnocentrism.
  4. Skills:
    • Culturally sensitive assessment: Professionals need the skills to conduct assessments that consider cultural nuances. This includes recognizing the impact of culture on mental health and tailoring assessments accordingly.
    • Culturally sensitive interventions: The ability to employ interventions that are culturally sensitive is a key skill. This involves adapting therapeutic techniques to

Every single one of these components exists within multiple levels of behavioral health:

  • Personal level: Cultural competency is a personal responsibility, requiring individual professionals to develop and maintain these skills.
  • Agency or organizational level: Organizations should foster a culture of cultural competence, providing training, resources, and policies that support staff in delivering culturally competent care.
  • Community level: Cultural competency extends to understanding and addressing the unique cultural needs of the communities served by behavioral health professionals.
  • Societal level: Recognizing and addressing broader societal factors that contribute to mental health disparities and promoting policies that enhance cultural competence on a societal scale.

By integrating these components at multiple levels, behavioral health professionals can ensure their practice is culturally competent, and promoting positive outcomes for clients from diverse backgrounds.

This Ask the Expert is an excerpt from the course, Cultural Competency in Behavioral Health, presented by Sophie Nathenson, PhD.


sophie nathenson

Sophie Nathenson, PhD

Sophie Nathenson is a Medical Sociologist, professor, and consultant based in Portland, Oregon. She is the founder and Director of the Bachelor's of Science in Population Health Management program and faculty in the Masters of Science in Allied Health program at Oregon Tech. She is also the owner of Widespread Wellness Consulting, providing career mentorship and education for individuals and groups working on promoting social, physical, emotional, and mental wellbeing. 


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