Cultures themselves are continually changing as they adapt to new realities. Therefore, the best way for a professional to be competent and sensitive is to be honest about one's own lack of knowledge of the backgrounds, beliefs, and values represented by the clients. Cultures bring a heterogeneity of values, many very distinct from mainstream Anglo-Americans. The above provides a distinct picture of the complex values families present professionals, who in turn must offer appropriate policy, programs and services. To be culturally competent and to be fully utilized, services must be available, affordable, accessible, appropriate and acceptable.
Treatment needs to be flexible in treatment hours as well as in the providing of transportation.
If possible, evening clinics should be offered as well as regular daytime hours. Comprehensive care for chronic diseases can be very expensive. 14 Appropriate health care must be available to all citizens, independent of socioeconomic, racial, geographical or cultural restraints. Being culturally aware, sensitive and competent is a challenge which must be met by all professionals and programs wishing to develop or expand their services for families. Without such careful attention to the context of the planned services, a program's success is unlikely to be achieved.