Cultural Competency in Health, Social &amp; Human Services

Lecca, Pedro J.; Quervalu, Ivan; Nunes, João; Gonzales, Hector F.

doi:10.4324/9781315805375

Cited by 7 publications

(3 citation statements)

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“…However, the youth were lumped together and labeled as the “Other” group when the Hispanic/non-Hispanic categories were created. Youth in the Other category were not included in the current study, given that the youth are embedded in heterogeneous groups with potentially different outcomes and beliefs and practices regarding the use of MH services (Alvidrez, 1999; Lecca, Quervalu, Nunes, & Gonzales, 2013).…”

Section: Methodsmentioning

confidence: 99%

Measuring Racial/Ethnic Disparities in Mental Health Service Use Among Children Referred to the Child Welfare System

Kim

Garcia

2016

Child Maltreat

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This study aims to compare different approaches to measuring racial/ethnic disparities in mental health (MH) service use among a nationwide representative sample of children referred to the child welfare system and compare the magnitude and direction of potential disparities in MH service use over time. Using data from the National Survey of Child and Adolescent Well-Being, six summary measures of disparity were implemented to quantify racial/ethnic disparities in MH service use. This study found that youth of color were less likely than their White counterparts to receive MH services. This racial/ethnic disparity was found to increase over time; however, the magnitude of the increase varied considerably across disparity measures. In addition, the estimated increases in disparity were even greater when the sample was limited to youth in need of MH services. This study shows that the same data may produce different magnitudes of disparity, depending on which metric is implemented and whether MH need is accounted for. A greater understanding of and justification for selection of methods to examine MH disparities among child welfare researchers and policy makers is warranted.

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Section: Methodsmentioning

confidence: 99%

Measuring Racial/Ethnic Disparities in Mental Health Service Use Among Children Referred to the Child Welfare System

Kim

Garcia

2016

Child Maltreat

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“…Circular reasoning entails using a word to define itself, thereby failing to clarify the word’s meaning. Note this example from Lecca et al (1998):Current literature stresses the importance of cultural competency, urging practitioners to utilize skills and knowledge that are culturally competent in order to prevent the underutilization and premature termination of services by minority individuals. If practitioners do not incorporate culturally competent skills and knowledge in their assessments, diagnosis, and treatment, many minority patients will fall victim to the ‘culturally encapsulated’ practitioner.…”

Section: Ten Definitional Problemsmentioning

confidence: 99%

Multicultural Counseling Competence: A Construct in Search of Operationalization

Ridley

Mollen

Console

et al. 2021

The Counseling Psychologist

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The work of many great scholars has proliferated a sizable body of knowledge on the construct of multicultural counseling competence. However, the construct’s operationalization remains obscured, perplexing, and frustrating to practitioners who attempt to translate the scholarship into practice. We identify ten definitional problems that prevent the construct from evolving into a cohesive form that can inform practitioners’ work. These include: an indistinct purpose, culturally general/culturally specific divide, terminological interchange, confusing competency with competence, lack of integration, no definition, ambiguity, equivocation, circular reasoning, and divergence. Furthermore, the three major models of the construct—skills-based, adaptation, and process-oriented—share six limitations. They lack interdependence, prescriptive methods, deep incorporation of culture, coherent designs, conclusive research support, and they are oversimplifications. We call on the community of our fellow scholars to collaborate in reconceptualizing this complex construct into a sound, applicable guide for practitioners’ work with diverse clients.

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“…Despite the evidence demonstrating distinguishable and distinctive needs among these veteran subgroups, and the general trend toward cultural competency in health care (Lecca, Quervalu, Nunes, & Gonzales, 2014;Saha et al, 2008), there is scant research on veteran subgroups and their access to treatment. As such, one of the objectives of the current study was to examine perceptions among VSOs of veteran subgroups' mental health and tangential needs, including access to care, information about services, and treatment success.…”

Section: Current Studymentioning

confidence: 99%

Many Shades of Green: Assessing Awareness of Differences in Mental Health Care Needs Among Subpopulations of Military Veterans

Ahlin

Douds

2017

Int J Offender Ther Comp Criminol

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The current study sought to examine access to services by various veteran subgroups: racial/ethnic minorities, females, rural populations, and LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer). Generally, the Veteran Service Officers (VSOs) interviewed for this study did not feel that these subgroups were well served by the program and treatment options presently available, and that other groups such as males and urban veterans received better access to necessary psychosocial and medical care. This research extends studies that explore overall connection to services by further demonstrating barriers to receipt of services by specific subgroups of veterans, particularly those at risk for involvement in the criminal justice system.

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Cultural Competency in Health, Social & Human Services

Cited by 7 publications

References 0 publications

Measuring Racial/Ethnic Disparities in Mental Health Service Use Among Children Referred to the Child Welfare System

Measuring Racial/Ethnic Disparities in Mental Health Service Use Among Children Referred to the Child Welfare System

Multicultural Counseling Competence: A Construct in Search of Operationalization

Many Shades of Green: Assessing Awareness of Differences in Mental Health Care Needs Among Subpopulations of Military Veterans

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