Toward a Cultural Competence Measure for Social Work with Specific Populations

Abstract

The notion that cultural competence is crucial to sound social work practice is widely accepted in the profession. However, there exists a gap between the achievement of the goal of developing culturally competent practitioners through social work education and the ability to measure such competence. A second gap exists between education and the providing of culturally appropriate services in everyday practice. These gaps are likely due to (1) the broad terms used to define cultural competence, (2) the slow evolution of instrumentation to measure cultural competence, and (3) the lack of culture-specific training and measurement techniques. This paper assesses the need for further refinement of the concept and suggests a new approach for the development of instruments to measure it. The authors provide an overview of the construct of cultural competence, analyze the conceptual and empirical foundations of four well-known measures, and provide a rationale forthe development of culture-Specific instruments.     

Integrating a Family-Centered Approach into Social Work Practice with Families of Children and Adolescents with Disabilities

Abstract

This article identifies a family-centered practice construct for working with children and adolescents with disabilities and their families. The experiences of these families have shifted considerably over the past 30 years. A legislative and historical context provides the basis for an understanding of present policies and practices that influence current approaches to service delivery. Though family-centered practice is emphasized in various practice settings, there is still a need to integrate this philosophy into social work practice with children and adolescents with disabilities and their families. In order to enhance the ability of the social worker to integrate this construct into practice, a framework for exploring the experiences of children, adolescents and families is provided. This framework provides an overview of factors related to the individual child, the family and siblings for the social worker to consider when working with these families. The social worker's role as collaborator, advocate, team member and family resource is highlighted.     

Spiritual Competence: What It Is,Why It Is Necessary,and How to Develop It

Various professional standards underscore the importance of providing effective services to all people, including those from diverse religious backgrounds. Yet despite these standards, studies have repeatedly found that most social workers receive little training in navigating this aspect of diversity during their graduate educations. To address this lack of training, the present article discusses a concept that is foundational for effective service provision with spiritual clients from diverse religious backgrounds—spiritual competence. More specifically, this article outlines what spiritual competence is and why it is important in therapeutic work, and then offers a number of strategies for developing spiritual competence. As such, this article helps equip practitioners to provide more ethical, effective services in a nation characterized by increasing religious diversity.     

Perceived Family Functioning and Family Resources of Hong Kong Families: Implications for Social Work Practice

This article reports the results of a telephone survey (n = 1,015 respondents) that aims to identify the perceived general family functioning and family resources of Hong Kong Chinese families and their linkage to each other in a rapidly transforming society. The perceived general family functioning of the respondents was average, and the five types of family resources—time, income, human capital, psychological capital, and social capital—of the respondents ranged from average to good. The following family resource domains, in descending order, have accounted for significant variance in perceived general family functioning: income, time spent with family, stress coping efficacy, religion, and satisfaction with the living environment. Our findings provide empirical support for policy formulation and social work practice.     

Forget Cultural Competence; Ask for an Autobiography

Recent management practices seek to standardize and routinize practice through formulaic assessment processes and casework to ensure risk minimization and cost effectiveness. Such pressures have become entrenched in social work practice in Australia and other economically developed societies. Under such regimes cultural competence is rendered as expert knowledge about the other to be acquired and applied in ways to ensure maximum efficiency. But working effectively across racial and cultural differences demands critical reflection on one's own position and the complex interactions between different aspects of identity. While some versions of cultural competence incorporate the need to examine our own values and behaviours, the paper argues that rather than focusing on knowledge of differences, social workers should concentrate on critically listening to our clients' autobiographies to reveal over time what aspects of their social and cultural lives matter to them. The paper reviews findings from teaching Australian social work undergraduate and graduate students engaging with these challenges with particular reference to working effectively with Indigenous people.     

Social Work with Homeless Mothers: A Strength-Based Solution-Focused Model

ABSTRACT

Social workers are increasingly called upon to provide services to homeless families, the vast majority of which are mother-headed. Drawing on empirical findings from the literature on homeless families and the practice literature on solution-focused and strength-based practice, this article describes and illustrates how principles and techniques of these two approaches to practice can be used to empower homeless mothers to resolve their housing crisis and restabilize their families after an episode of homelessness. Examples are given for how social workers can use these principles and techniques in various stages of the helping process.     

Cultural Underpinnings of Special Education: Implications for Professional Interactions with Culturally Diverse Families

This article identifies certain cultural assumptions that underlie special education policy and practice in the United States, and argues that unawareness of cultural relativity contributes to considerable cross-cultural dissonance in working with families from diverse backgrounds. With regard to policy, the article argues that, despite an ideal of parental participation, the medical note on which the law is based frequently results in misunderstanding between professionals and parents who do not share the same value system. Three aspects of such misunderstandings are explored: The way disability is defined, the power accorded to professional expertise, and the commitment to the decontextualized language of objective science. With regard to practice, the article further identifies four areas of parent-professional dissonance: Beliefs about parenting styles, education goals, family and community concerns, and the pragmatics of communication. Explicit awareness of cultural relativity is recommended as an essential step towards reciprocal relationships with families from diverse backgrounds.     

Kinship Care: A Cultural Resource of African American and Latino Families Coping with Parental Substance Abuse

SUMMARY

This paper examines kinship care as a cultural resource used by African American and Latino families coping with substance abuse by a family member. Although there is a growing body of literature on kinship care, there are no conceptual or empirical studies that have drawn or built on cultural similarities between these two groups of ethnic minority families. A framework that prioritizes cultural assessment and relevance in using familial and cultural resources is proposed to assist practitioners confronted with the demographic realities of working with social, clinical and ethnocultural complexities when serving ethnic minority families. The framework is based on practice implications raised by recent studies on kinship care and from the perspective of pertinent cross-cultural and anthropological literature.     

Cultural Competency and Achieving Styles in Clinical Social Work

Abstract

This paper attempts to build a cultural competency framework by reviewing the literature and laying a conceptual foundation for professional standards in clinical social work. It also explores the implications of cultural competency by relating some important factors to clinical decisions, alliance, and outcome in the mental health field. The pathways and directions of the relationships as well as the potential factors affecting cross-cultural clinical alliance are illuminated in a general model to guide hypothesis formulation in further research. Empirical data are presented on clinical social work practice with Asian American clients in light of a key factor in shaping cultural competency, i.e., clinicians' personal achieving styles. The findings suggest that such styles are culturally bound.     

Practising for Social Work Practice: Integrating Knowledge and Skills for Social Work with Children and Families

The UK Government has categorically stated in its Knowledge and Skills Statement for Children and Family Social Work what social workers need to know and be able to do when responding to concerns about children. The Hope for Children and Families modular systemic interventions programme provides evidence informed responses for targeting harmful parenting and the associated impairment of children. The training resources, developed by Bentovim et al., apply the ‘common elements approach’ and are aimed at qualified practitioners. However, there also appears to be scope for their use in social work qualifying programmes. This paper will review the development of an undergraduate children and families module using the materials. It discusses how these resources were incorporated into a learning, teaching and assessment strategy which aims to develop and test the interpersonal components of knowledge and skills alongside technical/procedural knowledge. The outcomes indicate that these resources have contributed significantly in closing the gap between study and practice by providing an applied starting point from which learners can critically engage in the complexities of what they need to know and be able to do to be effective practitioners. Further use of these resources across programmes is recommended.     

发展杨浦文化大格局 助推上海文化大都市建设

当前,上海正处在建设文化大都市的关键时期。杨浦是上海重要的文教城区,处于工业杨浦向知识杨浦和文化杨浦转型的重要阶段。发展杨浦文化大格局,对于助推上海文化大都市建设具有不可或缺的现实意义。应充分发挥杨浦在文教方面的优势条件,对五角场城市副中心定位进行重新梳理,在历史与未来文化交汇中寻绎发展路径;结合杨浦滨江开发战略,重绘＂一圈一带三轴＂文化空间;重点打造五角场市民中心、大学节、出版高地、教育服务高地、滨江文化产业园区等重大会务活动和项目,充分展示杨浦在上海都市文化建设方面的积极作用。     

Understanding Motives for Migration in Working with Immigrant Families

There are good reasons to expect immigrant families' experiences in the host society to differ vastly. What impact might rationales for relocation have on immigrant families' pre-migration and post-migration characteristics in mainstream America? This article reviews existing research by drawing on various migration theories and explores the potential linkage between forces that propelled the move and immigrant families' adaptation patterns that followed. Three non-mutually exclusive principal motives were proposed to explain the substantial differences that exist among immigrants. Also considered are theoretical explanations that would facilitate effective practice and intervention among social work practitioners and policy planners.     

‘Riding the Wave’: Working Systemically with Traumatised Families

This paper draws on the authors’ clinical experience as family therapists, working predominantly with families who have experienced trauma such as sexual abuse, physical abuse and neglect, to demonstrate that taking a systemic trauma‐informed approach is a powerful therapeutic modality that can facilitate positive outcomes for all family members. The paper discusses the impact of trauma on relationships, and then outlines a rationale for a trauma‐informed, systemic approach with those traumatised families who are, at times, challenged by excessively heightened behaviour and emotional dysregulation. Drawing from parenting research, it includes a discussion of the place of parent work and how this can be integrated with systemic family work. Key constraints and considerations are highlighted followed by a discussion of key interventions the authors have found useful in building a clinical framework for this work, including what is critical for the therapeutic process. While working with traumatised families is complex and challenging, offering a safe place for families to be in the presence of each other's pain and ‘ride the wave’ of emotions can be a powerful path to recovery.     

Social Learning Theory and Behavioral Therapy: Considering Human Behaviors within the Social and Cultural Context of Individuals and Families

This article examines theoretical thoughts of social learning theory and behavioral therapy and their influences on human behavior within a social and cultural context. The article utilizes two case illustrations with applications for consumers. It points out the abundance of research studies concerning the effectiveness of social learning theory and the paucity of research studies regarding effectiveness and evidence-based practices with diverse groups. Providing a social and cultural context in working with diverse groups with reference to social learning theory adds to the literature for more cultural considerations in adapting the theory to women, African Americans, and diverse groups.     

Research with American Indian communities: The value of authentic partnerships

Developing evidence for practice is particularly difficult when attempting to accurately capture the experiences of diverse communities. In American Indian communities, the lack of communication between researchers and their subjects has been increasingly recognized. Recent adjustments to research methods, such as community-based participatory research (CBPR) have attempted to emphasize the importance of recognizing the needs and wishes of those studied. Yet, perhaps due to imperfect application, they may fall short in promoting participation and yielding accurate results. A number of fallacies can hinder successful use of the model including the assumption that ‘cultural sensitivity’ or even locating a project in the community of interest will open the door to successful engagement. Reality-based research was conceived to address these potential deficiencies. It builds on CBPR and is proposed as a means to more effectively develop a connection between American Indians who might benefit from the research relationship and the researchers themselves. An example of a reality-based research project on tobacco use is provided and steps for adopting this approach in child welfare are outlined. These steps set this article apart from other works seeking to address this issue and provide concrete practical assistance to researchers in the field.     

The Long‐Term Effects of Building Strong Families: A Program for Unmarried Parents

The authors present findings from a large‐scale, random‐assignment evaluation of Building Strong Families (BSF), a program offering group sessions on relationship skills education to low‐income, unmarried parents who were expecting or had recently had a baby. Findings based on a 3‐year follow‐up survey of over 4,000 couples indicate that BSF did not succeed in its central objectives of improving the couple relationship, increasing the quality of coparenting, or enhancing father involvement. In fact, the program had modest negative effects on some of these outcomes. BSF also had little impact on child well‐being, with no effect on children's family stability or economic well‐being and only a modest positive effect on children's socioemotional development. Impacts varied across the 8 study sites. Although attendance at group sessions was relatively low, there is little evidence of program effects even among couples who attended sessions regularly.     

Part I: A Review of the Literature on Multisystemic Treatment Within an Evidence-based Framework: Implications for Working With Culturally Diverse Families and Children

One key step in the evidence-based practice process directs practitioners to pose client-oriented, practical, evidence-search questions (COPES), seeking the truth about what will help their client (Gibbs, 2003 Gibbs , L. ( 2003 ). Evidence-based practice for the helping professions ; Pacific Grove , CA : Brooks/Cole-Thomson Learning . [Google Scholar]) and inform policy (Gambrill, 2006) and not to take a “one method fits all” position. Literature focusing on providing services to minority children and families in the child welfare system strongly supports this approach (Cohen, 2000 Cohen , N. ( 2000 ). Child welfare: A multicultural focus ; Needham Heights , MA : Allyn &; Bacon . [Google Scholar]; Lum, 2004 Lum , D. ( 2004 ). Social work practice and people of color: A process-stage approach ; Boston : Brooks/Cole . [Google Scholar]; Samantrai, 2004 Samantrai , K. ( 2004 ) . Culturally competent public child welfare practice . Belmont , CA : Brooks/Cole-Thompson Learning . [Google Scholar]). This article poses an effectiveness question, locates and evaluates existing evidence, and then presents implications for working with families and children from diverse backgrounds. The effectiveness question posed is, “If families and children from diverse populations experiencing mental health problems receive Multisystemic Therapy, will they have similar outcomes across race and ethnicity?”     

Indigenous Knowledge,Beliefs, and Cultural Practices for Children and Families in Nigeria

This study examined the indigenous cultural practices that impact the well-being of children and families at five sites in Nigeria. Fifteen community leaders participated in semi-structured interviews, and 78 community members participated in focus group discussions in their communities. Responses were analyzed using a grounded theory and thematic analysis approach. Three cultural practices are discussed: the naming ceremony of the child, the use of Oríkì, and the care of children and family by relatives. Overall, the cultural practices largely reflected the indigenous knowledge and beliefs of the local context. Implications for social work are discussed.     

Questioning the Suitability of Traditional Self-Report Family Functioning Measures for Single-Parent Families with Young Children

Family functioning is a common interest of social science and health researchers. Most often, well-established self-report instruments are used to measure family functioning. Although these instruments have been used with families of diverse compositions, our experiences using one of the commonly used instruments, the McMaster Family Assessment Device (FAD), suggest that it is not appropriate for single-parent families with young children. In addition to describing the difficulties we encountered with the FAD, we discuss our experiences in relation to current research findings about the processes and effectiveness of family functioning in single-parent families. As well, we examine other frequently used self-report family functioning instruments, the results of which lead us to question the suitability of any of the commonly used self-report family functioning instruments for single-parent families with young children. We conclude by arguing for the development of family functioning instruments that are appropriate for diverse family structures and compositions.