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Supervision Intervention Strategies

Resources for Cultural Competence [2.8.12.d]

General Cultural Competence Information

The mission of the National Center for Cultural Competence at Georgetown University is to increase the capacity of health care and mental health care programs to design, implement, and evaluate culturally and linguistically competent service delivery systems. They make available a variety of related resources and publications online.
The UPenn Collaborative on Community Integration is a Rehabilitation Research & Training Center that promotes community integration of individuals with psychiatric disabilities. It is funded by the National Institute on Disability and Rehabilitation Research. Their guidebook on cultural competence is available Here.

Health care diversity education  is addressed in an article by Diversity Officer magazine.
National MultiCultural Institute is a private, non-profit whose mission is to work with individuals, organizations, and communities to facilitate personal and systemic change in order to build an inclusive society that is strengthened and empowered by its diversity
In Appreciating the Complexities of Race and Culture, the author, Ria Echteld Baker, reports on her experiences with multi-ethnicity and discusses cultural sensitivity in the counseling profession. promotes the use of language and cultural competence to improve the quality of health care for minority, immigrant, and ethnically diverse communities.
National Alliance on Mental Illness (NAMI) Web page Cultural Competence in Mental Health Care includes a tool to help find the right provider for cultural backgrounds.
The UPenn Collaborative on Community Integration is a Rehabilitation Research & Training Center Promoting Community Integration of Individuals with Psychiatric Disabilities, funded by the National Institute on Disability and Rehabilitation Research.The Cultural Competence in Mental Health is part of their Community Integration Tool.

Core Competencies of Integrated Care

Health care disciplines define supervision differently, with some commonalities and some distinctions. In all disciplines, supervision is provided if it is required for licensure or practice. However, there is an added focus on supervision in behavioral health related to self-care, clinical assistance, and professional development. [Cite:]

As different disciplines integrate and work together on teams, supervision models are shifting and blending their cultures.With newer integrated care models providing behavioral health care in primary care or other settings, recruitment and retention of treatment providers who will be a good fit is increasingly important. The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) hosts a Workforce Recruitment and Retention website that includes core competencies of integrated care, sample job descriptions, performance assessments, and information on attracting providers. 
The Partners in Health Interagency Toolkit helps organizations partner to offer mental health, substance use, and primary health care by aligning their missions and designing clinical mechanisms for collaboration. Examples of the wealth of information in this Toolkit include sample forms, job descriptions, and links to resources and training.

See the Partnerships link on the CIHS web site for more on behavioral health/primary care partnerships.
The 2008 conference, Culturally Informed Evidence Based Practices: Translating Research and Policy for the Real World, was sponsored by the Asian American Center for Disparities Research. Proceedings are available online and divided into sections of Culturally Competent Practices, Culturally Adapted Interventions, and Evidence-Based Practices,
Social Work Today article, More Than Words — Cultural Competency in Healthcare, by Christina Reardon discusses how healthcare organizations are looking beyond language translation to promote better understanding of patients from other countries.

Cultural Competence Assessment

Cultural Competence Health Practitioner Assessment (CCHPA) was developed by the National Center for Cultural Competence and is intended to promote cultural and linguistic competence.

Cultural Competence Guides, Reports and Studies

The Mental Health & Substance Abuse Resource Guide for Asian American and Pacific Islander (AAPI) Communities was developed in collaboration with national AAPI organizations and community health centers. It provides easy access to existing resources on AAPI mental health and substance abuse.
Overview of Cultural Diversity and Mental Health Services (Chapter 2) ofMental Health: A Report of the Surgeon Generalprovides a detailed overview of cultural diversity and describes some challenges of the four officially designated major racial or ethnic minority groups in the U.S. population: African Americans, Hispanics, Asian/Pacific Islanders, and American Indians.
Cultural Competence Standards in Managed Care Mental Health Services: Four Underserved/Underrepresented Racial/Ethnic Groups provides readers with a demographic and health profile of people of African descent; Asian and Pacific Islanders; Latinos; and American Indian, Native Alaskan and Native Hawaiians. Links to other sections of this report from SAMHSA’s Mental Health Information Center are available and include clinical standards and implementation guidelines and provider competencies.
Potential Measures/Indicators of Cultural Competence is available from the Health Resources and Services Administration (HRSA) Study on Measuring Cultural Competence in Health Care Delivery Settings.
Dahlgren Memorial Library, the Health Science Library at Georgetown University Medical Center, provides a variety of online resources and links relevant to cultural competency in health care
The Evidence Base for Cultural and Linguistic Competency in Health Care, this report by the National Center for Cultural Competence reviews the evidence base for the impact of cultural and linguistic competence in health and mental health care on health outcomes and well being and the cost and benefits to the system.
Cultural Competence: It All Starts at the Front Desk describes cultural appropriate encounters beginning with the front desk staff.

Recruitment and Retention Issues

The Office of Personnel Management (OPM) provides the guide, Building and Maintaining a Diverse, High Quality Workforce. Although written for Federal agencies, it is a valuable resource for diversity efforts in any work setting.
Exploration of the Impact of the Counselor's Cultural and Diversity Background on Stress Coping, by Pamela K. S. Patrick, Ph.D. The emphasis of this review is to consider how and why the counselor’s cultural or diversity background may impact how the counselor responds to intense stress-response inducing counseling activities.


Ancis, J. R., & Ladany, N. (2001). A multicultural framework for counselor supervision. In L. J. Bradley & N. Ladany (Eds.), Counselor supervision: Principles, process, and practice (3rd ed., pp. 63-90). Philadelphia: Brunner-Routledge.
Hemmelgarn, A. L., Glisson, C., & James, L. R. (2006). Organizational culture and climate: Implications for services and interventions research. Clinical Psychology: Science and Practice, 13, 73-89.
Lopez, S. R. (1997). Cultural competence in psychotherapy: A guide for clinicians and their supervisors. In C. Watkins (Ed.), Handbook of psychotherapy supervision (pp. 570-588). Hoboken, NJ: John Wiley & Sons Inc.
Richardson, T. Q., & Molinaro, K. L. (1996). White counselor self-awareness: A prerequisite for multicultural competence. Journal of Counseling & Development, 74, 238-242.

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