Abstract
US Latinos’ limited access to existing services leads to lower service use which, in turn, leads to increased impairment as a result of behavioral health conditions. Although discussions of cultural-responsiveness efforts to address this limited access most often focus on specific practices or on the characteristics of service providers, the long-term success of efforts to incorporate culturally responsive interventionists and practices into service settings depends on broader organizational changes. This chapter introduces Hernandez et al.’s (2009) organizational cultural-competence framework, and expands upon this framework by introducing evaluation and assessment approaches that might be used to guide its implementation and by providing examples from the recent literature that illustrate its application in various Latino communities. By doing so, this chapter provides a road map for efforts to bring about organizational cultural competence.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alegría, M., Canino, G., Ríos, R., Vera, M., Calderón, J., Rusch, D., & Ortega, A. N. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services, 53, 1547–1555.
Alegría, M., Mulvaney-Day, N., Woo, M., Torres, M., Gao, S., & Oddo, V. (2007). Correlates of past-year mental health service use among Latinos: Results from the National Latino and Asian American Study. American Journal of Public Health, 97, 76–83.
Añez, L. M., Paris, M., Bedregal, L. E., Davidson, L., & Grilo, C. M. (2005). Application of cultural constructs in the care of first generation Latino clients in a community mental health setting. Journal of Psychiatric Practice, 11, 221–230.
Barrio, C., Palinkas, L. A., Yamada, A., Fuentes, D., Criado, V., Garcia, P., & Jeste, D. V. (2008). Unmet needs for mental health services for Latino older adults: Perspectives from consumers, family members, advocates, and service providers. Community Mental Health Journal, 44, 57–74.
Bernal, G., Bonilla, J., & Bellido, C. (1995). Ecological validity and cultural sensitivity for outcome research: Issues for the cultural adaptation and development of psychosocial treatments with Hispanics. Journal of Abnormal Child Psychology, 23, 67–82.
Callejas, L. M., Hernandez, M., Nesman, T., & Mowery, D. (2009). Creating a front porch in systems of care: Improving access to behavioral health services for diverse children and families. Evaluation & Program Planning, 33, 32–35.
Cardemil, E. V., Adams, S. T., Calista, J. L., Connell, J., Encarnación, J., Esparza, N. K., et al. (2007). The Latino mental health project: A local mental health needs assessment. Administration & Policy in Mental Health & Mental Health Services Research, 34, 331–341.
Cook, M. (2009). Personnel selection: Adding value through people (5th ed.). Hoboken, NJ: John Wiley & Sons.
Cook, T. D., Campbell, D. T., & Peracchio, L. (1990). Quasi experimentation. In M. D. Dunnette & L. M. Hough (Eds.), Handbook of industrial and organizational psychology (2nd ed., Vol. 1; pp. 491–576). Palo Alto, CA: Consulting Psychologists Press.
Delphin, M. E., & Rowe, M. (2008). Continuing education in cultural competence for community mental health practitioners. Professional Psychology: Research & Practice, 39, 182–191.
Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28, 291–307.
Eng, E., & Blanchard, L. (1991). Action-oriented community diagnosis: A health education tool. International Journal of Community Health Education, 11, 93–110.
Eng, E., Moore, K. S., Rhodes, S. D., Griffith, D. M., Allison, L. L., Shirah, K., & Mebane, E. M. (2005). Insiders and outsiders assess who is “The Community”: Participant observation, key informant interview, focus group interview, and community forum. In B. A. Israel, E. Eng, A. J. Schulz, & E. A. Parker (Eds.), Methods in community based participatory research for health (pp. 77–100). San Francisco, CA: Jossey-Bass.
Gallos, J. V (Ed.) (2006). Organization development: A Jossey-Bass reader. San Francisco, CA: Jossey-Bass.
Gruys, M. L., Stewart, S. M., Goodstein, J., Bing, M. N., & Wicks, A. C. (2008). Values enactment in organizations: A multi-level examination. Journal of Management, 34(4), 806–843.
Guarnaccia, P. J., Lewis-Fernandez, R., & Rivera Marano, M. (2003). Toward a Puerto-Rican popular nosology: Nervios and ataque de nervios. Cultural Medicine & Psychiatry, 27, 339–366.
Guerrero, M. L., Morrow, R. C., Calva, J. J., Ortega-Gallegos, H., Weller, S. C., Ruiz-Palacios, G. M., & Morrow, A. L. (1999). Rapid ethnographic assessment of breastfeeding practices in periurban Mexico City. Bulletin of the World Health Organization, 77(4), 323–330.
Harper, M., Hernandez, M., Nesman, T., Mowery, D., Worthington, J., & Isaccs, M. (2006). Organizational cultural competence: A review of assessment protocols (Making Children’s Mental Health Services Successful series, FMHI Pub. No. 204-2). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children’s Mental Health.
Hernandez, M., Gomez, A., Lipien, L., Greenbaum, P. E., Armstrong, K., & Gonzalez, P. (2001). Use of the system of care practice review in the national evaluation: Evaluating the fidelity of practice to system of care principles. Journal of Emotional & Behavioral Disorders, 18, 19–26.
Hernandez, M., Nesman, T., Isaacs, M., Callejas, L. M., & Mowery, D (Eds.) (2006). Examining the research base supporting culturally competent children’s mental health services. (Making Children’s Mental Health Services Successful series, FMHI Pub. No. 240-1). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children’s Mental Health.
Hernandez, M., Nesman, T., Mowery, D., Acevedo-Polakovich, I. D., & Callejas, L. M. (2009). Cultural competence: A literature review and conceptual model for mental health services. Psychiatric Services, 60, 1046–1050.
Holcomb, W. R., Parker, J. C., & Leong, G. B. (1997). Outcomes of inpatients treated on a VA psychiatric unit and a substance abuse treatment unit. Psychiatric Services, 48, 699–704.
Hull, P. C., Canedo, J., Aquilera, J., Gracia, E., Lira, I., & Reyes, F. (2008). Assessing community readiness for change in the Nashville Hispanic community through participatory research. Progress in Community Health Partnerships: Research, Education, & Action, 2, 185–194.
Isaacs, M. R., Huang, L. N., Hernandez, M., Echo-Hawk, H., Acevedo-Polakovich, I. D., & Martinez, K. (2008). Services for youth and their families in culturally diverse communities. In B. A. Stroul & G. M. Blau (Eds.), The system of care handbook: Transforming mental health services for children, youth, and families (pp. 619–639). Baltimore, MD: Paul H. Brookes Publishing.
Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22, 197–209.
Maciak, B. J., Guzman, R., Santiago, A., Villalobos, G., & Israel, B. A. (1999). Establishing La Vida: A community-based partnership to prevent intimate violence against Latina women. Health Education & Behavior, 26, 821–840.
McNall, M., & Foster-Fischman, P. G. (2007). Methods of rapid evaluation, assessment, and appraisal. American Journal of Evaluation, 28, 151–168.
Newton, F. (1978). The Mexican-American emic system of mental illness: An exploratory study. In J. M. Casas & S. E. Keefe (Eds.), Family and mental health in the Mexican-American community (pp. 69–90). Los Angeles, CA: Spanish Speaking Mental Health Research Center.
Oetting, E. R., Jumper-Thurman, P., Plested, B., & Edwards, R. W. (2001). Community readiness and health services. Substance Use & Misuse, 36, 825–843.
Office of Minority Health (n.d.). CLAS Standards Assessment Tool. Retrieved May 10, 2010, from http://www.qsource.org/uqiosc/CLAS%20Standards%20Assess%20Tool.doc
Ohio Department of Mental Health. (2003). The Consolidated Culturalogical Assessment Tools. Columbus, OH: Author.
Piedra, L. M., & Buki, L. P. (2010). Ameliorating mental health disparities in immigrant Latino populations: The application of community readiness theory. Border-Lines, 14, 61–94.
Plested, B., Edwards, R. W., & Jumper-Thurman, P. (2006). Community readiness: A handbook for successful change. Fort Collins, CO: Tri-Ethnic Center for Prevention Research.
Posavac, E. J., & Carey, R. G. (2007). Program evaluation: Methods and case studies. Upper Saddle River, NJ: Pearson Prentice Hall.
Quinn, S. (1999). Teaching community diagnosis: Integrating community experience with meeting graduate standards for health educators. Health Education Research, 14, 685–696.
Rogelberg, S. G (Ed.) (2005). Handbook of research methods in industrial and organizational psychology. Malden, MA: Blackwell Publishing.
Schneider, B., Smith, D. B., & Goldstein H. W. (2000). Attraction-Selection-Attrition: Toward a person-environment psychology of organizations. In W. B. Walsh, K. H. Craik, & R. H. Price (Eds.), Person-environment psychology: New directions and perspectives (pp. 619–639). Mahwah, NJ: Lawrence Erlbaum Associates.
Skyttner, L. (2005). General systems theory: Problems, perspectives, practice (2nd ed.). Toh Tuck Link, Singapore: World Scientific Publishing.
Steckler, A. B., Dawson, L., Israel, B. A., & Eng, E. (1993). Community health development: An overview of the works of Guy W. Steuart. Health Education Quarterly (Suppl. 1), S3–S20.
Sue, D. W., Bernier, J. E., Durran, A., Feinberg, L., Pedersen, P, Smith, E. J., & Vasquez-Nuttal, E. (1982). Position paper: Cross-cultural counseling competencies. Counseling Psychologist, 10, 45–52.
Taplin, D. H., Scheld, S., & Low, S. M. (2002). Rapid ethnographic assessment in urban parks: A case study of Independence National Historical Park. Human Organization, 61(1), 80–93.
U.S. Department of Health and Human Services (USDHHS). (2001). Mental health: Culture, race, and ethnicity. Rockville, MD: Author.
Valdez, A., Cepeda, A., Negi, N. J., & Kaplan, C. (2009). Fumando la piedra: Emerging patterns of crack use among Latino immigrant day laborers in New Orleans. Journal of Immigrant & Minority Health. doi:10.1007/s10903-009-9300-5
Weiner, B., Amick, H., & Lee, S. Y. (2008). Conceptualization and measurement of organizational readiness for change: A review of the literature in health service research and other fields. Medical Care Research & Review, 65, 379–426.
Weisman, A., Feldman, G., Gruman, C., Rosenberg, R., Chamorro, R., & Belozersky, I. (2005). Improving mental health services for Latino and Asian immigrants. Professional Psychology: Research & Practice, 36, 642–648.
Wilder, D. A., Austin, J., & Casella, S. (2009). Applying behavior analysis in organizations: Organizational behavior management. Psychological Services, 6, 202–211.
Yee, D., & Tursi, C. (2002). Recognizing diversity and moving toward cultural competence: One organization’s effort. Generations, 26, 54–58.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Acevedo-Polakovich, I., Crider, E.A., Kassab, V.A., Gerhart, J.I. (2011). Increasing Service Parity Through Organizational Cultural Competence. In: Buki, L., Piedra, L. (eds) Creating Infrastructures for Latino Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9452-3_4
Download citation
DOI: https://doi.org/10.1007/978-1-4419-9452-3_4
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-9451-6
Online ISBN: 978-1-4419-9452-3
eBook Packages: MedicineMedicine (R0)