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Culturally Competent Treatment of Clients with Co-Occurring Disorders
Course Contents Culturally Competent Treatment of Clients with Co-Occurring Disorders (COD) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Course Goals ,[object Object],[object Object],[object Object],[object Object]
Lesson 1 What is Cultural Competence?
What is Cultural Competence? ,[object Object],[object Object],[object Object],[object Object]
What are Common Indicators of Culturally Competent Mental Health and Substance Abuse Treatment? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Does a Culturally Competent Staff Member Do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Are we biased? ,[object Object],[object Object]
Bias is evident, so how do we provide culturally competent services? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Is there more we can do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson 2 Reasons for Medical Mistrust Stigma Stereotypes
“ Each racial/ethnic group believes that the treatment needs of its population are not fully understood and incorporated into standard practice. Each group is right.”   - Lula Beatty, Director of Special Populations for the National Institute on Drug Abuse, (NIDA) Most racial and ethnic groups are initially skeptical about the services provided by systems and people different from themselves.  Why?…
… One reason for this is history ,[object Object],[object Object],[object Object]
… Institutional Bias in Research ,[object Object],[object Object],[object Object],[object Object],[object Object]
… Fear About How the Information  a Client Reveals Will Be Used   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
So why are people with substance use and mental health problems looked upon differently?
In a Word, It’s STIGMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Because of the Stigma of Substance Abuse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Because of the Stigma of Mental Illness ,[object Object],[object Object],[object Object],[object Object],[object Object]
We all have attitudes and judgments that affect how we think about and behave toward others. When we talk about negative attitudes and behavior toward others based on their gender, sexual orientation, culture, race or religion, we use the words  prejudice  and  discrimination . So let’s call  stigma  what it really is. Centre for Addiction and Mental Health
Stereotypes are Not Helpful ,[object Object],[object Object],[object Object]
Lesson 3 What Drugs Are Our Clients Using?
What Drugs are Americans Using ? Past Month illicit drug use rates 2007 - SAMHSA 1) Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used non-medically.
Who is at highest risk of negative outcomes related to substance use? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The correct answer is: ,[object Object],[object Object],[object Object]
Transitional Age Youth and Illicit Drug Use – SAMHSA - 2007
Race/Ethnicity and past month illicit drug use rates – SAMHSA – 2007
Lesson 4 African-Americans and Co-Occurring Disorders
African Americans: Cultural Snapshot ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
African Americans and Substance Use ,[object Object],[object Object],[object Object],[object Object]
African Americans and Mental Illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson 5 Latinos and Co-Occurring Disorders
Latinos/Hispanic Americans: Cultural Snapshot ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Latinos/Hispanic Americans and Substance Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Latinos/Hispanic Americans and Mental Illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson 6 Asian-Americans and Co-Occurring Disorders
Asian Americans: Cultural Snapshot ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asian Americans and Substance Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asian Americans and Mental Illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson 7 Additional Cultural Factors
Additional Cultural Factors ,[object Object],[object Object],[object Object]
Most  people with co-occurring  mental health and substance-related problems  only get treatment for their mental health problems  if they get any help at all. The graph on the next page shows this in detail.
Past Year Mental Health Care among Adults Aged 18 or Older with Both Serious Psychological Distress and a Substance Use Disorder: 2007 SAMHSA
What’s the correlation between substance abuse and psychiatric illness? ,[object Object],[object Object]
Co-occurring Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary And Additional Resources
You can make a difference! ,[object Object],[object Object],[object Object],[object Object],[object Object]
Credits/Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Cultural Compentency and Co-occurring Disorders

  • 1. Culturally Competent Treatment of Clients with Co-Occurring Disorders
  • 2.
  • 3.
  • 4. Lesson 1 What is Cultural Competence?
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Lesson 2 Reasons for Medical Mistrust Stigma Stereotypes
  • 12. “ Each racial/ethnic group believes that the treatment needs of its population are not fully understood and incorporated into standard practice. Each group is right.” - Lula Beatty, Director of Special Populations for the National Institute on Drug Abuse, (NIDA) Most racial and ethnic groups are initially skeptical about the services provided by systems and people different from themselves. Why?…
  • 13.
  • 14.
  • 15.
  • 16. So why are people with substance use and mental health problems looked upon differently?
  • 17.
  • 18.
  • 19.
  • 20. We all have attitudes and judgments that affect how we think about and behave toward others. When we talk about negative attitudes and behavior toward others based on their gender, sexual orientation, culture, race or religion, we use the words prejudice and discrimination . So let’s call stigma what it really is. Centre for Addiction and Mental Health
  • 21.
  • 22. Lesson 3 What Drugs Are Our Clients Using?
  • 23. What Drugs are Americans Using ? Past Month illicit drug use rates 2007 - SAMHSA 1) Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used non-medically.
  • 24.
  • 25.
  • 26. Transitional Age Youth and Illicit Drug Use – SAMHSA - 2007
  • 27. Race/Ethnicity and past month illicit drug use rates – SAMHSA – 2007
  • 28. Lesson 4 African-Americans and Co-Occurring Disorders
  • 29.
  • 30.
  • 31.
  • 32. Lesson 5 Latinos and Co-Occurring Disorders
  • 33.
  • 34.
  • 35.
  • 36. Lesson 6 Asian-Americans and Co-Occurring Disorders
  • 37.
  • 38.
  • 39.
  • 40. Lesson 7 Additional Cultural Factors
  • 41.
  • 42. Most people with co-occurring mental health and substance-related problems only get treatment for their mental health problems if they get any help at all. The graph on the next page shows this in detail.
  • 43. Past Year Mental Health Care among Adults Aged 18 or Older with Both Serious Psychological Distress and a Substance Use Disorder: 2007 SAMHSA
  • 44.
  • 45.
  • 47.
  • 48.