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Cultural awareness in health care
Cultural awareness in health care
Cultural awareness in health care
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. Supporting the mental health of clients, and the underrepresented groups they may identify with, is part of the BAE therapeutic process and goes beyond the therapy room. The BAE counseling process incorporates a social justice approach in session by integrating cultural factors into treatment planning such as, selecting culturally appropriate screening and assessment tools and endorse a collaborative approach in facilitating interviews, conducting assessments, and planning treatment. It has been conceptualized in the BAE counseling process that a counselor has the professional responsibility to promote social justice both via and in their work. In other words, BAE counseling services can be a vehicle for bring about positive social
Sheafor, B. W., & Horejsi, C. R. (2012). Techniques and guidelines for social work practice (9th ed.). Upper Saddle River, NJ: Pearson Allyn & Bacon. (Sheafor & Horejsi, 2011)
It is important to include cultural issues in the helping process to be more effective. We also need cultural competence because the U.S. is becoming more diverse. Therefore with diversity comes different beliefs, norms, and values. Eurocentric values dominate sciences and began cultural universals which puts the clash of dominate and non-dominate cultural behaviors in motion. In 1996 the NASW Code of Ethics increased the recognition of cultural competence. It is important to know diversity exist within ethnic and cultural groups because social workers need to know that relationships between helping professionals and clients may be strained. This happens because of the distrust between groups. Another important aspect is that the professional realizes their own values, biases, and beliefs. The reason for this is because they must value diversity to start with and understand the dynamics of difference. Culturally competent practitioners have to go through developmental process of using their own culture as a starting point to meet all behaviors. Striving for cultural competence is a long term process of development. The literature on cultural competence is theoretical and conceptual. They have not been evaluated in a systematic way. Roughly there are 2 million Native americans in the U.S. Which survive decimating disease, over-repressed in child welfare system, suffer from health problems, and are among the poorest people in the United States. Working with them clearly falls within the social work clearly mandate to serve vulnerable and oppressed clients. However, we do not know how many people from this group is actually receiving help from social workers. Even though it is important to train social workers to provide care in th...
Counselors today face the task of how to appropriately counsel multicultural clients. Being sensitive to cultural variables can be conceptualized as holding a cultural lens to human behavior and making allowances for the possibility of cultural influence. However, to avoid stereotyping, it is important that the clinician recognize the existence of within-group differences as well as the influence of the client’s own personal culture and values (Furman, Negi, Iwamoto, Shukraft, & Gragg, 2009). One’s background is not always black or white and a counselor needs to be able to discern and adjust one’s treatment plan according to their client.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
Cook, D. & Helms, J. (1999). Using race and culture in counseling and psychotherapy. Needham Heights, Massachusetts: A Viacom Company.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
When advocating for the success of a client when utilizing this theory, a counselor must be prepared to identify and eliminate barriers, prejudices, oppression, and discrimination that may create a psychological obstruction in the client. Learning culturally-competent counseling practices and current theoretical approaches while practicing self-reflection will help the counselor acquire the skills necessary to engage with a diverse clientele. Strategies such as; identifying cultural differences, understanding and addressing issues in the counseling process, the counselor’s ability to understand self, and ongoing education are all important strategies in combating oppression and eliminating barriers.
While understanding that, again, it is the client’s decision as to what route they was to take [in treatment], I plan on providing each individual with as much scientific and background information as possible in order to allow them to decide what steps need to be taken to assure their mental health improves. Regardless of a person’s race, gender, or sexual orientation, I hope to be a follower of Christ, in helping others regardless of our differences.
It is interesting to note according to Raskin et al. ( 2011), “Our basic practice [client centered therapy] remains true to the core conditions no matter who our client may be. We also assert that our ability to form an initial therapeutic relationship depends on our own openness to and appreciation of respect for all kinds of difference” (p. 183). I believe that the cultural diversity that CCT maintains is important in a multiplicity open therapeutic environment. The implications for a non discriminatory form of therapy are that it can be used across populations. This allows for broader use of this theory and the chances for positive outcomes is increased because the availability.
The assertion has appeared repeatedly in the literature that it is unethical for counselors to provide clinical services to clients who are culturally different from themselves if the counselors are not competent to work effectively with these clients (e.g., Corey, Corey, & Callanan, 2003; Herlihy & Watson, 2003; Lee, 2002; Pedersen, Draguns, Lonner, & Trimble, 2002; Remley & Herlihy, 2005; Vontress, 2002). Historically, however, counselors have been slow to recognize a connection between multicultural competence and ethical behavior. Multiculturalism and ethical standards both emerged during the 1960s as separate strands of development within the counseling profession. Multicultural counseling evolved from a growing awareness that discrepancies between counselor and client were resulting in ineffective service delivery and early termination of treatment for ethnic minority clients (Atkinson, Morton, & Sue, 1998” (p.99). Prior to this form of counseling, counseling was most effective for Caucasians. However, as time pasted and theories for minorities improved the code of ethics began to improve as
These points of view control the positive brain, science or comprehensive quality emotional wellness. Our therapy incorporates our clients to appreciate life and to accomplish mental strength. “In all things I have shown you that by working hard in this way we must help the weak and remember the words of the Lord Jesus, how he himself said, ‘It is more blessed to give than to receive’” (Acts 20:35, ESV). Our culture is to help people with mental issues to learn from their problems. Therefore, we have to have patience, compassion and believe whole-heartedly in honesty. We lead by example, whether it comes from our director, and she is telling us ways to engage with our patients or the face-to-face sessions while putting ourselves in the shoes our
Theoretical Perspective: This semester in procedures of counseling class we discussed a lot of different types of counseling theories. We also did a lot of practicing with each theory with our partners. I found that person-centered therapy best fits my personal attitudes and style of counseling. I think this would be a good style of counseling for me because I can see myself better helping people as a whole than trying to fix an actual problem.
They focus on cognitive restructuring, modifying behavior, and/or developing alternative coping skills. They do share common principles such as brief and limited sessions, staying in the present tense of what is happening here and now, thought focused which helps a client recognize and understand personal thoughts that can lead to irrational fears and worries as well as exploring cognitive distortions, development and practice of new skills including teaching to understand situations and their responses and a sound therapeutic relationship which builds skills in that the client that helps the client learn to think differently. The counselor’s role is to listen, teach, and encourage, while the client’s role is to express concerns, learn, and implement that learning. Advantages of using CBT include structure, an emphasis on getting better by learning how to recognize and correct problematic assumptions and clearly defined goals and methods that can be evaluated using scientific
(Hays & Erford, 2014 p 59). In the counseling world in order to effectively work with clients from diverse background and cultures, it is important to provide a culturally safe environment and promote equality to all persons. Our main focus should be those that have already experienced discrimination due to their race/ethnicity, gender, age or economic status. Our efforts and “Beliefs that all people should have the right to equitable treatment and fair allocation of societal resources, the goal of social justice counseling is to establish an equal distribution of power and resources through advocacy to ensure that all people have the tools and resources for a “good life.” (Hays & Erford, 2014 p 59). The Multicultural and social justice counseling competencies (MSJCC) has implemented and created several competencies useful for the counseling profession. These competencies work as the foundation for something positive if properly implemented. It allows the counselor to address issues of power, privilege, and oppression and how each day the client is faced with a variety of worries that require the counselor to intervene and recommend the proper interventions needed in order for the client to move
Professional ethical conduct is essential to the success of any client, whether it is in individual counseling or in a group setting. Professional psychologists, therapists, counselors, social workers or others in the field of human service or help have the duly responsibility to continuously become aware of their professional responsibilities, and manage their practice based on areas of ability. This paper will research ethics within groups and individual counseling, and compare their similarities and their differences.