The development of culturally-responsive clinical skills is vital to the effectiveness of behavioral health services. According to the U. S. Department of Health and Human Services (HHS), cultural competence “refers to the ability to honor and respect the beliefs, languages, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff members who are providing such services. Cultural competence is a dynamic, ongoing developmental process that requires a long-term commitment and is achieved over time” (HHS 2003a, p. 12). It has also been called “a set of behaviors, attitudes, and policies that … enable a system, agency, or group of professionals to work effectively in cross-cultural situations” (Cross et al. 1989, p. 13).
This Treatment Improvement Protocol (TIP) uses Sue’s (2001) multidimensional model for developing cultural competence. Adapted to address cultural competence across behavioral health settings, this model serves as a framework for targeting three organizational levels of treatment: individual counselor and staff, clinical and programmatic, and organizational and administrative. The chapters target specific racial, ethnic, and cultural considerations along with the core elements of cultural competence highlighted in the model. These core elements include cultural awareness, general cultural knowledge, cultural knowledge of behavioral health, and cultural skill development. The primary objective of this TIP is to assist readers in understanding the role of culture in the delivery of behavioral health services (both generally and with reference to specific cultural groups). This TIP is organized into six chapters and begins with an introduction to cultural competence. The following subheadings provide a summary of each chapter and an overview of this publication.
- Consensus Panel
- KAP Expert Panel and Federal Government Participants
- What Is a TIP?
- Executive Summary
- 1. Introduction to Cultural Competence
- 2. Core Competencies for Counselors and Other Clinical Staff
- 3. Culturally Responsive Evaluation and Treatment Planning
- 4. Pursuing Organizational Cultural Competence
- 5. Behavioral Health Treatment for Major Racial and Ethnic Groups
- 6. Drug Cultures and the Culture of Recovery
- Appendix A Bibliography
- Appendix B Instruments To Measure Identity and Acculturation
- Appendix C Tools for Assessing Cultural Competence
- Appendix D Screening and Assessment Instruments
- Appendix E Cultural Formulation in Diagnosis and Cultural Concepts of Distress
- Appendix F Cultural Resources
- Appendix G Glossary
- Appendix H Resource Panel
- Appendix I Cultural Competence and Diversity Network Participants
- Appendix J Field Reviewers
- Appendix K Acknowledgments