CULTURAL DIFFERENCES ON ADDICTION AND RECOVERY 3
It has been said that most people in the world have the same wants, needs and desires. While that is true of people, we still have differences in our back grounds, and in our heritage. We all have a unique culture of understanding. America enjoys these cultural differences, we have embraced them, and it has in many ways enriched this country. There are times however when these differences can be a challenge, mostly because we do not understand those differences. It is difficult to come to an understanding of a culture that we are not familiar with. There are things that we do not realize, that come directly from someone 's culture. We may assume something that it simply not true. In cases of drug addiction and recovery, it can be difficult when we do not take into consideration, that while people seem similar in nature, they have unique cultures that define who they are. For this very reason, we need to see this difference, in all
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One study found that a particular ethnic group did not seek alcohol or drug treatment from a local program because the program did not have staff that included members of the same ethnic group. Staff composition is critical in developing treatment programs, particularly with treatment initiation and retention. Hiring qualified staff of the same ethnic background may dramatically increase patient access and initiation into treatment. In addition, if the treatment provider is not of the same ethnic background, it is best that he or she take on an inquisitive role and not make any ethnocentric assumptions based on his own cultural heritage. The goat of the clinician should be to uncover social cultural issues that will affect acceptance, retention, and ultimately, treatment outcome". (Patrick Abbott, MD and Duane M. Chase. n.d para,
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Straussner, S.L.A., (2001). Ethnocultural Factors in Substance Abuse Treatment. (254 & 261). New York, NY: The Guilford Press.
Being narrow-minded and not being able to take a look at a situation from another person’s point of view can interfere with many situations in life. Culture varies from person to person, province to province, and country to country. Making the adjustment to be able to make adjustments to things such as healthcare to accommodate someone because of their culture is important. Cultural differences will be apparent in all hospital settings no matter where you travel to, so being mindful of it all will go a long way so that the treatment is done correctly and culturally competently. While healthcare may seem as the most important time where culture is sensitive, as Dettwyler sees during her time in Mali, culture affects all parts of life.
Straussner, S. L. A. (2001). Ethnocultural factors in substance abuse treatment. New York, NY: The Guilford Press.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
...ible Barriers to Enrollment in Substance Abuse Treatment among a Diverse Sample of Asian Americans and Pacific Islanders: Opinions of Treatment Clients, 2013, p. 9). Loss of confidentiality pertains to cultural barriers, “AAPIs place a significant emphasis on appearances of normal functioning” (Fong MD & Tsuang MD MS, 2007, p. 56). Asian Americans do not like asking for help, they fear the stigma that will come from it. “AAPI have a holist view of health and oftentimes view mental and addictive disorders as a medical problem, a sign of weakness, or a lack of willpower over Western temptations” (Fong MD & Tsuang MD MS, 2007, p. 56). There are also practical barriers that cause a lack of treatment. Cost of care and deficiency of culturally competent services were listed in a study by Fong and Tsuang (Asian-Americans, Addictions, and Barriers to Treatment, 2007, p. 56).
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).
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Lipson, J.G. & Dubble, S.L. (Eds). (2007). Culture & clinical care. San Francisco, California: The Regents, University of California.
Cultural Appropriation versus Multiculturalism In today's society, there are many different cultures that individuals identify with. Culture is very important to many people and is something that helps define who we are. When different cultures are respected and appreciated, it is a beautiful thing, it can bring individuals in society closer to one another. Ideally, this understanding of one another’s cultures can lead to multiculturalism.