# Presentation: 520545

## Cultural Competence, Sustainability, and the SPF SIG Process

- SPF SIG New Grantees Meeting

## The Need for Cultural Competence in the SPF SIG Program

- Why is there a compelling need for cultural competence?
- To respond to current and projected demographic changes in the US.
- To eliminate long standing disparities in the quality  of prevention services to people of diverse racial, ethnic, and linguistic populations; and consideration of gender, disabilities, and sexual orientation in delivery of prevention services.
- To improve the effectiveness, quality of services, and positive prevention outcomes to targeted populations.

## The Need for Cultural Competence in the SPF SIG Program (continued)

- Why is there a compelling need for cultural competence?
- To meet DHHS, SAMHSA and CSAP requirements.
- To add to the body of knowledge, awareness and skill in the design, implementation, and delivery of  prevention programs, policies, and practices.
- To promulgate the philosophy that an effective program is a culturally competent program across the board, i.e., agency, policies, staff, and programs/practices.

## Cultural Competence: Two Definitions

- A set of academic & interpersonal skills that allow individuals to increase their understanding & appreciation of cultural differences & similarities within, among & between groups.  This requires a willingness & ability to draw on community-based values, traditions, & customs & to work with knowledgeable persons of & from the community in developing focused interventions, communications, & other supports.  Orlandi et.al.,(1992)
- ...the attainment of knowledge, skills & attitudes to enable administrators & practitioners within systems of care to provide for diverse populations.  This includes an understanding of that group’s or members language, beliefs, norms and values, as well as socioeconomic & political factors that may have a significant impact on their well-being, & incorporating those variables into assessment & treatment. CSAP, (1993)

## Cultural Competence and the SPG SIG  Program

- Cultural competence is a critical component of the SPF SIG program. CSAP has methodically and systemically addressed the issue of cultural competence in its publications, programs, training and technical assistance and policy statements for over a decade.   Today CSAP and SAMHSA routinely inform applicants in its documents such as the SPF SIG SP 04-002 Initial Announcement of its expectations regarding cultural competence

## Cultural Competence Foci

- State Level:
- Establish and Monitor Cultural Competence as it relates to the steps of the SPF
- Community:
- Implement Policy and Monitor Prevention Program Service Delivery and Evaluation
- Program Level:
- Deliver Culturally Appropriate Prevention Programs, Policies, and Practices and Implement Culturally Tailored/Designed and Appropriate Evaluation

## SPF-SIG Cultural Competence Requirements 

- Build a state & program level data base consisting of the following descriptive information:
- Types of plans and strategies designed to implement culturally appropriate policies, programs & practices;
- Organizational capability & experience of awardees in implementing culturally appropriate/competent prevention interventions;
- Utilization, reliability & validity of culturally appropriate psychometric methods and measures;
- Types and utilization of culturally appropriate adaptations with evidence based programs, policies, and practices.

## Potential Sources/Domains Where Cultural Competence May Be Found

- Organizational Values
- Governance
- Planning and Monitoring/Evaluation
- Communication
- Staff Development
- Organizational Infrastructure
- Services/Interventions
- (Lewin Group, et. al., 2002)