Transcript Cultural Competency TOT Agenda

Cultural Competency in Drug
Court
Resource:
Training Institute
NDRI
Andrew Osborne MS Ed. CHES
National Development Research Institutes
71 West 23rd Street - 8th floor
New York, NY 10010
212-845-4400
www.ndri.org
1
More Positive Outcomes thru
Cultural Proficiency
Higher retention
rates
Higher graduation
rates
Enhanced quality
assurance
Lower attrition
rates
2
HOW
Cultural assessmentparticipant/provider
Treatment Matching
Incentives/Sanctions
Positive referrals
Alumni feedback loop/focus groups
Analyze data
3
CULTURE
Culture is the things that people historically
have learned to do, believe, value and enjoy.
It is the ideals, beliefs, tools, customs and
institutions into which each member of society
is born.
(Counseling the Culturally Different: Theory &
Practice, Goldman, 1989)
4
CULTURAL AWARENESS INTERVIEW
 Tell me about your racial /ethnic /religious background and
share something about the commonly held values and beliefs of
people in your community.
 How are you the same as others in your community?
 How are you different from others in your community?
 If you were placed within the drug court system what two things
would help the system deliver effective service to you?
5
CULTURES THAT IMPACT ON
DRUG COURT:
Ideals
Beliefs
The Cultures of:
Drug Abuse &
Addiction
Tools
Drug Treatment
Customs
Drug Court
Institutions
6
POWER AND
PRIVILEDGE
The Impact of:
Race
Gender
Sexual Orientation
7
The Client’s Culture Shapes his/her Belief
System About:
 Child Rearing
 Dress
 Sexual Roles
 Spirituality
 Disclosure
 Education
 Care-taking
 Discipline
 Treatment
 Punctuality
 Nutrition/diet
 Pre-marital Sex
8
The Client’s Culture Shapes his/her Belief
System About:
 Drug/Alcohol
 Marriage
 Homosexuality
 Nudity
 Employment
 Death and dying
 Government
 Living arrangements
 Domestic violence
 Hospitality
 Importance of Family
Authority figures
 Medications
 Criminal Justice
System
9
Cultural Collisions Groups:
1.
2.
3.
4.
5.
6.
7.
Sexual Roles
Drug Treatment
Dress
Punctuality
Homosexuality
Government
Living
arrangements
8. Employment
9. Importance of
family
10. Authority figures
11. Medications
12. Domestic
violence
13. Death & dying
10
Count the F’s
Feature Films Are The Result of Years Of
Scientific Study With The Experience Of Years
11
ID of Personal Cultural
Characteristics
Cues
Filters
Perception
Assumptions
Behavior
12
13
14
Attitudes & Behaviors Which Might be
Presented by African Americans Entering
Drug Court:
(Darryl Turpin, Director, Jefferson County Drug Court)
Behavior
Perception
 Sloppy dress
 Disrespectful
 Questioning Actions
 Distrust-healthy
paranoia
 Refusal to look in the
eyes
 Anger/hostility
15
Attitudes & Behaviors Which Might be
Presented by African Americans Entering
Drug Court:
(Darryl Turpin, Director, Jefferson County Drug Court)
Behavior
Perception
 Tardy, no show,
incomplete
tasks/assignments
 Resistant/lack of
commitment
 No-verbal
 Refusal to develop
rapport
 War stories
 Defeatist attitude
16
“And Justice for Some”
(FBI, OJJDP, Census Bureau, & NCJJ)
 Of all young people previously sent to prison; AA
6x as likely as Whites to be sentenced to juvenile
prison.
 Charged with Violent Crime; AA 9x more likely
than Whites to be sentenced to juvenile prison.
 Drug Offenses; AA 48x more likely than Whites to
be sentenced to prison.
“The Stereotypes that the decision makers at each point of the system rely
on.”
(M. Soler, Youth Law Center)
17
“And Justice for Some”
(FBI, OJJDP, Census Bureau, & NCJJ)
Violent Offenses & Incarceration:
Whites - 193 days
African-American - 254 days
Hispanics - 305 days
“The Stereotypes that the decision makers at each point of the
system rely on.”
(M. Soler, Youth Law Center)
18
The Cultural Sophistication Framework
From Orlandi, MA (1995) Cultural Competence For Evaluators…, OSAP, ADAMHA, US Dept. of
Health & Human Services
Culturally
Incompetent
Culturally Sensitive
Culturally
Competent
Cognitive
Dimension
Oblivious
Aware
Knowledge-able
Affective
Dimension
Apathetic
Sympathetic
Committed to
Change
Skills Dimension
Unskilled
Lacking some
Skills
Highly Skilled
Overall Effect
Destructive
Neutral
Constructive
19
Organizational Cultural
Competency Continuum
– CD:
Cultural Destructiveness
– CI:
Cultural Incapacity
– CB:
Cultural Blindness
– CO:
Culturally Open
– CC:
Culturally Proficient
From Kim McLeod & Shantzis (1995) Cultural Competence for Evaluators Working
with Asian-American Communities, OSAP, ADAMHA, US Dept of Health & Human
20
Services.
Women’s Issues in Drug Court
Module 5
Treatment Improvement Protocol Series 2 – CSAT”
Pregnant Substance-Using Women 2002
“Meeting the Challenge: Ending Treatment
Disparities for Women of Color,” 2003
21
Women In Prison For Drug
Crimes
 80% of women prisoners
are mothers.
 70% of women prisoners
are single mothers.
 2 out of 3 women prisoners
have children under the
age of 18.
22
Women & Criminal Justice. An Ethnographic Perspective. Welle & Falkin, 2000
Characteristics of Women in
Drug Treatment
Single parents & receive little or no
financial support from birth fathers
Lack employment skills & education
Live in unstable/unsafe environments
Homelessness
Ethnic, cultural and language issues
23
Characteristics of Women in
Drug Treatment
Single parents & receive little or no
financial support from birth fathers
Lack employment skills & education
Live in unstable/unsafe environments
Homelessness
Ethnic, cultural and language issues
24
Services Recommended for
Women
Comprehensive inpatient and outpatient
treatment on demand
Comprehensive medical services
Gender and culturally-specific services
that are community-based, family oriented,
and multigenerational
Transportation services
25
Services Recommended for
Women (cont’d)
Child care, baby-sitting and therapeutic
day care services for children
Counseling services including individual,
group and family therapy
Support services for lesbian, bisexual,
and transgender women
26
Services Recommended (cont’d)
 Vocational and education al services leading to
training for meaningful employment GED and
higher education
 Drug-free safe housing
 Financial support services
 Case management services
 Pediatric follow-up and early intervention services
that recognize the unique needs of pregnant,
27
adolescent substance-users
Drug Court Teams
Can Help by:
• Remaining non-judgmental
• Recognize effects of DV (i.e.
isolation, PTSD, gastrointestinal
problems, depression, sleep and
appetite disorders, physical injuries)
28
Drug Court Teams
Can Help by:
• Supporting the woman, not just the client
• Finding appropriate services
• Addressing culture and language
• Marketing services wisely
• Educating the public and the stakeholders
29
Cultural Proficient Outcomes
“Where day care, special women's
groups, and other special
services are offered, females are
graduating at a higher rate than
their male counterparts.”
-- 2000 Drug Court Survey Report: “Program Operations, Services and
Participant Perspectives: Executive Summary.” OJP
30
Drug Court Cultural Needs
Assessment
1. Has the court done a formal needs assessment during
the 3 years pertaining to the minority/ethnic
population it serves?
2. Is the collected data compared with comparable data
from the population at large?
3. Is the collected data compared with comparable data
from the jail population?
4. Are the collected data used in the annual Criminal
Justice Statistics or the Department of Corrections
offender characteristic report?
5. Are the collected data used for self-evaluation?
6. Are the collected data used for criminal justice,
correctional or institutional planning?
31
Training Needs Assessment:
1. Has the court required any training to enhance the
cultural competence of its professional staff during
the past 3 years?
2.
Have TASC evaluators, probation officers, court
officers, criminal case management staff or Drug
Court Team members (DCT) been trained in cultural
competency during the past 3 years?
3.
Have the treatment providers (all staff) received
training to enhance the cultural competency of its
professional and support staff during the past 3
years?
32
Staffing Patterns:
1.
What percent of the drug court team reflects the
composition of the minority population served?
2.
What percent of the staff is bilingual or multilingual?
3.
What percent of staff is trained in cultural awareness?
4.
What percent of minorities are represented on the drug
court steering committee and/or planning committee?
5.
What percent of minorities are represented on any
advisory board?
6.
What percent of minorities are represented at the judicial
and/or administrative level?
33
Prior Performance Patterns
1.
Are there linkages with minority organizations, churches,
CBO’s and other institutions in the community that serve the
same group?
2.
Are contract awards given to ethnic/racial service providers for
issues specifically related to the minority or special needs
population? If the answer is no…Why?
3.
Does the drug court mission statement provide for culturally
competent services and or training?
4.
Does the court adjust holidays to accommodate
cultural/religious diversity?
5.
Does the target population evaluate the court performance?
What is the target population’s perception of court
effectiveness?
34
Prior Performance Patterns (con’t)
6.
Is the court located in the community it serves, or does it
have a satellite facility where the target population
reports?
7.
Do service hours reflect client accessibility?
8.
Is cultural sensitivity considered in treatment matching?
9.
Does the treatment environment reflect the culture of the
target population?
10.
Does the court distribute materials in languages that its
target population understands? Are court-approved
interpreters available to the drug court team and
treatment providers?
35
Prior Performance Patterns (con’t)
11. Have the drug court researchers or evaluator
included in their research design (in addition to race
and ethnicity) questions drafted to elicit cultural
practices and /or idiosyncrasies?
12. Has the drug court researcher analyzed treatment
outcomes based on race, ethnicity, and gender.
13. Does the court seek to improve relations between
and among culturally based organizations
throughout the larger community?
Revised by: Yvonne Smith Segars, Esq. Public Defender, State of New
Jersey
36