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Cultural diversity in healthcare
Cultural diversity in healthcare
Cultural diversity in healthcare
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The population that I am drawn to, but also find to be very challenging, is working with the Latinx population. There is an array of issues that intersect such as immigration, incarceration, and a general lack in supportive resources for this population. Being born and raised in California, the Latinx community is huge there and as a Hispanic woman, I have always felt really connected to the culture and the people. Previously working with pregnant and parenting teens for many years to interning in two clinical outpatient settings, I have worked a lot with Latinx clients. Though it is a wonderful population to work with, there are many barriers that make it difficult to work with them. Most clients that I have served, have been undocumented …show more content…
With an immigrant client, building trust is layered with hypervigilance and questioning whether this services provider will help them or hinder them. As a social worker, it is extremely important to build rapport first and then the trust can follow afterwards. Instead of reinforcing the positionality between the therapist and the client, it is important to be a human being first. This year I was interning at Sanctuary for Families working with undocumented adult women who are survivors of gender-based violence. Working with this vulnerable yet resilient population served as a great experience because it reminded me how important it is to build a connection first instead of starting off with interventions. Building a connection and a relationship should be the first intervention used. Comas-Diaz (2010) describes how imperative and impactful it is to listen and inquire about client’s narratives, but to also facilitate a culturally inviting environment. She describes the environment she uses by developing a flexible style, a culturally centered approach, and a welcoming ambience. This article validated the importance of being warm with clients and giving them space and time to build the connection they want with their therapist. The best thing a therapist can help their client achieve is finding their voice and space within the professional …show more content…
Self-care helps provide boundaries as a service provider for myself and my wellbeing. Between the intense sessions with clients to the heavy documentation and expectations at my agency, it helped provide stability between my professional self and my personal self. Along with processing my feelings and work with clients during supervision, I began to incorporate more meditation and breathing techniques to prevent from feeling too overwhelmed. As a student, we learn that feeling overwhelmed can lead to burn out, and this is something that I will continue to practice as a preventative technique. Knight (2013) describes how the objective of self-care is not to cure the secondary trauma, but rather learn to manage it and implement it consistently to grow professionally and personally. This article incorporated self-care and secondary trauma by emphasizing how both things can affect each other directly. Self-care has really helped my wellbeing, especially after a very heavy session with the client or when I begin to feel personally triggered by something during
With the growing population of minorities in the United States, it is reasonable to believe that at some point in a counselor or therapist career, there will be a session with a Latino/Hispanic client. From a cultural competence perspective, it is imperative that a counselor understands the Latino/Hispanic culture and their worldviews. Counseling Latinos offer to be discussed in the paper is the case of an Alberto and Angela a Mexican American couple married for 27 years. Alberto has recently lost his job. (
Allison showed lack of awareness about Carmen’s cultural values. Allison should seek training about counseling Latinos. Allison’s practicum is in an agency located in a predominately Latino neighborhood. Carmen might not return to counseling with Allison, but Allison is likely to have another Latino client. Thus, receiving appropriate training about counseling Latinos would prepare Allison for future clients that she would encounter. The four dimensions of training that Corey et al. (2011) recommended are: self-exploration, didactic course work, internship, and experiential approaches (p. 145). There are various options that Allison has to educate herself around providing effective and ethically appropriate counseling with Latinos.
As Kirst-Ashman and Hull Jr (2012, pp. 453-454) reminds us, “the family is central to Hispanic culture and is hierarchical in structure. That is the father is the primary authority figure (Devore & Schlesinger, 1996). Furthermore, scholars inform us that many Hispanic fathers appear somewhat aloof from the family, especially the children as it is the father’s role to pursue instrumental roles such as earning a living. Often, this results in the father being less likely to express emotional support (Kirst-Ashman & Hull Jr., p. 454). Understanding these concepts of the Hernandez family culture as well as asking questions about their family members depicted on the genogram can aid me to become more informed. This can be a very positive step in the right direction in building a relationship of mutual respect and trust as in our respective roles as client and social work professional enhancing our ability to work together to determine the best intervention
This paper will also talk about the importance of self –care and what I would do, or things I could do to mitigate those biases and difficult reactions to clients and people that I am working with in a treatment team so that I am fully aware and not distracted by my personal reactions, to a case.
Social problems include difficulties with family relationships, isolation, interpersonal conflicts, and pressures of social roles. The Latino culture tends to place a higher premium on the well-being of the family unit over that of any one family member, a concept termed familialism (Smith & Montilla, 2006). In general, familialism emphasizes interdependence and connectedness in the family, and often extends familial ties beyond the nuclear family (Falicov, 1998). Given these values, Latinos often describe depression in terms of social withdrawal and isolation (Letamendi, et al., 2013). Social roles also play an important role in mental health, traditional gender roles in particular are strongly enforced and can be a source of distress. In Latino culture, men and women are expected to fulfill the roles outlined in the traditions of Machismo and Marianismo respectively. Machismo indicates that the man is supposed to be strong and authoritative, while Marianismo designates the woman as the heart of the family both morally and emotionally (Dreby, 2006). Although there is little research on causal factors, adherence to these traditional gender roles can pose a psychological burden and has been found to be strong predictor of depression (Nuñez, et al., 2015). The centrality of social problems in the conceptualization of depression for Latinos may be reflective of the collectivistic values that are characteristic of the group. Although these values have the potential to contribute to depression, they also have the potential to serve as protective factors and promote mental health (Holleran & Waller, 2003). Therefore, it is imperative that the counselor carefully consider cultural values, both in terms of potential benefits and drawbacks, to provide appropriate counseling to the Latino
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).
Cultural Competence Understanding culture is an important aspect of being a social worker; this does not mean learning common cultural traits is of great significance to the social work profession. “Consider the second-generation Japanese-American social worker whose practice consists of Mexican-American and African-American families. Memorizing national traits or cultural rituals would be interesting and informative, but ultimately these would be an inaccurate basis on which to “know” these particular families” (Dorfman, 1996, p. 33). When understanding cultural competence, it is important to learn from the client about their culture in order to serve them in the most helpful and efficient way possible. There is a major drawback to memorizing information, and that is, this information will not give you a real understanding of who your client is and what life experiences they have personally faced.
The Sanchez family are riddled with a unique set of problems for a social worker to intervene and provide assistance. Being a family that immigrated to the United States, they are managing many problems within the family that is ranging from disability, substance abuse, and immigration. This paper is a case analysis of each particular family member in the Sanchez family. Each family member will be analyzed and issues will be prioritized. Also, an intervention or a clinical resolution will be introduced to the best of the writer’s knowledge. Lastly, this writer will reflect on herself to determine her level of empathy and sympathy towards each family in the Sanchez family. Each family member is presenting individual problems and indicators that there is an underlying issue that needs intervention.
In the social work practice, social workers should abide by and respect the protocol of their particular organization. The first ethical standard I would like to discuss is that a social worker has cultural competence and social (NASW, 1999). A social worker must possess the knowledge of values, customs, tradition and history, just to name a few, in order to have success with clients that may identify as something other than their own identity. Culture directly impacts human behavior. Within this case study, due to Mrs. Sanchez’s culture, she struggled to assimilate with the American culture and this included her being able to learn the English language.
Cournoyer (2014) holds that if a social worker is self-aware, then he or she can ensure that one’s personal issues and biases remain personal in a professional setting. I scored high on the self-control measure, which indicates that I can manage my thoughts, feelings, and behaviors such that I can simultaneously acknowledge their existence, understand how they might impact my client, and decide how I should react based on my client’s best interests. However, in situations that are emotionally arousing, it is difficult for me to consider other’s thoughts and feelings because when my emotions are raging a disconnect occurs between my intellect and emotions, which in turn produces a narrowed, one-sided perspective. To counteract this tendency, I will practice relaxation techniques such as deep breathing exercises when working with clients to ensure my focus remains on the
Over a 7 week duration this ethnic group is the largest population. What’s intriguing is how the same culture may have cultural different amongst the subgroups or between the two populations when an individual are classified or identified as Hispanic, Latino, or Spanish. Today this essay may highlight one platform through interchangeable Spanish may connect different cultures and sub-groups within the Latino/Hispanic descent to existing under the same nation with different values, beliefs and language dissimilarities from one another, but are identified as the Latino and Hispanic descent as Spanish people under the same racial/ethnic-group. It is important to understand that the term Spanish creates the difference since, individual may be of
To overcome communication barriers by becoming culturally aware and sensitive of Hispanic clients by recognizing their differences.
Sharing personal thoughts with the clients helps to set up positive relationships with the clients. Since I’m a generalist social worker in the making I thought that it was important to do a short interview on a person from a different culture in order to better understand that everyone doesn’t come from the same background/culture. It is so important to find and accept your own strengths and areas for growth. Understanding our own cultural history and identity is a prerequisite for culturally sensitive social work. Sophia an Hispanic girl from Spain who came from a different background then I did. She grew up in Spain where she was raised and learned to speak Spanish. She moved to America when she 16 years of age and at that moment she noticed that her life begin to change. She had to learn how to speak a new language all over again. Sophia said that it took her about three years to be able to speak English though she had been speaking Spanish her whole life. She grew up with a family who was really close together and had very strong values and beliefs. Her family was not very friendly, and they didn’t just trust people right off the back. If you weren’t part of the family, then you had to gain trust and that was just that. Unlike when she first moved to US she had to grow to be friendly to those around her at school cause that’s not what she was used
Ethnic minorities seeking services should have access to culturally sensitive social workers, who acknowledge and confront practical dilemmas when working with increasing numbers of culturally diverse people in the community. Professionals working with minority groups, “must provoke moral sensibility, political consciousness, and social action” (Aponte, Rivers, & Wohl, 1995, p. ix). It is imperative f...
Self care is critical for MFT or clinicians because it can impact the clients if the clinician is burnt out or exhausted. The mind is not able to function at full capacity when it is fatigued. The American Counseling Association (2014) state that clinicians are to engage in self care practiced to ensure “emotional, physical, mental, and spiritual well-being to best meet their professional responsibilities” (pg.8).