Cultural Competence In Lgbt Community

Human service specialists need to be proficient in different cultures. By being aware of how different cultures think and react it allows for the delivery of services to be accurate. Cultural competency is described as. “The understanding of diverse attitudes, beliefs, behaviors, practices, and communication patterns attributable to a variety of factors (such as race, ethnicity, religion, SES, historical and social context, physical or mental ability, age, gender, sexual orientation, or generational and acculturation status” (Cross-Cultural Care, 2012). People who work in the human service field must be able to deliver professional services and be able to work well

Relocating into a senior care facilities can be a frightening experience for the aging population. Getting familiar with new surroundings, new organization structure, and new people that can cause anxiety to rise. For a Lesbian, Gay, Bisexual, Transgender and Queer individual, this experience can be traumatic. The fear of harassment, hostility, and neglect by healthcare providers and caretakers can keep LGBTQ people from seeking care until their health begins to critically decline. LGBTQ cultural competency training is highly recommended for healthcare professionals and social service organizations. The greatest barrier that prevents quality health care for LGBTQ people is the lack of competence among the healthcare professionals.

I have learned that it is important that educators  and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency  as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of  diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown  University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.

In addition to the economic vulnerability of older adults, being a part of the LGBT community makes dealing with disparities connected to aging even more difficult because many LGBT elderly experience increased isolation due to a lifetime of stigma. Karen I. Fredriksen-Goldsen a Ph.D. professor and the director of Healthy Generations cited a study called Caring and Aging with Pride. In this study 2,560 demographically diverse LGBT older adults across the nation mention similar concerns related to Isolation, finding friend support, caregiving and health. Fredriksen-Goldsen mentions how LGBT older adults are

Cultural competence as it pertains to counseling is a vital skill to possess in today’s ever-changing society. Counseling is a high demand profession which involves interaction with person from all walks of life and all types of backgrounds. As we become more sensitive to cultural diversity around us, we must make an effort to understand those who are different from us. The lesbian, gay, bisexual and transgender or LGBT community has come to the forefront of our social consciousness with much media attention given to the issue of marriage equality in many states.

Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person

In the field of human services, “cultural competency” has become a common buzz meant to address in part the . The intention being, that workers are able to achieve some level of knowledge and training that prepares them to work with

This decision has affected people’s behavior as individuals and public institutions such as family, young, elderly, disabled, LGTB and those with pre-existing conditions. For example, Kates & Ranji (2014) report that health care access and coverage for the lesbian, gay, bisexual, and transgender (LGTB) community in the U.S. face opportunities and challenges when getting access to care. The authors report that LGBT individuals experience some discrimination because of their sexual orientation or gender identity, due to ongoing discrimination, access to health care have been limited to these people (Kaiser Family Foundation, 2014). LGBT individuals not only face discrimination when trying to receive care, but also face difficulties that limit them such as “barriers in obtaining insurance coverage, gaps in coverage, cost-related hurdles, and poor treatment by health care providers” (Kates & Ranji, 2014).

Some of the author’s major points are the lack of understanding of what cultural competence really means which is bringing confusion about ways it can be utilized in the social work field. The confusion of the utilization of cultural competence is leading to the lack of consensus concerning the effective training that providers should obtain and the population being served with the cultural competence skills lack clear description. According to the author, the most popular cultural competence intervention in the healthcare system is the cultural competency training which is for health care providers and the two approaches that have been utilized in creating the intervention are; the programs aimed at improving knowledge which is group specific,

The first step to achieving complete cultural competency is valuing diversity. It is a process that requires cultural humility. Unlike competency, cultural humility goes beyond simply being knowledgeable of differences, but having a humble desire to ensure a lifelong commitment to intercultural exchange (Tervalon & Murray-Garcia, 1998). I have witnessed some Americans oppose the idea of immigration and strongly believe that American services should not cater to immigrants. They believe that all foreigners should learn English and the United States should not accommodate their linguistic needs. These same people are aware of the cultural differences that exist in America, but lack cultural humility and appreciation for diversity, making it difficult for them to attain complete cultural competency. A public health professional cannot go into a community, assuming that everyone thinks and behaves like them. They must be open-minded, flexible, empathetic, and aware of the differences and similarities that exist. Therefore, cultural humility is a prerequisite in achieving cultural competence.

competence is an imperative aspect that practicing social workers need to employ when providing treatment to clients. Daniel’s treatment provider has to maintain cultural sensitivity when assisting him with obtaining a higher quality of life. Daniel’s ethnicity, age, sex, class, and veteran status require that the treatment provider have knowledge regarding Daniel’s diverse cultural background. Treatment providers that are working with specific populations such as the military must acquire knowledge surrounding the experiences of military personnel, families and children (Cederbaum et al., 2014).

Competency in multicultural social work is critical in advocating for services that clients benefit from and compliance with the standards and code of ethics set forth by the National Association of Social Worker’s (NASW).

Having knowledge of different cultures and how it affects people is utterly important for social workers. Cultural competence for me, means having an understanding and acquiring knowledge of different cultures in order to effectively serve different clients and to understand their complex needs. Social workers should routinely review the professional literature and participate in continuing education relevant to social work practice and social work ethics (NASW, 2008).

It is imperative that social workers become knowledgeable about their clients’ cultures and are culturally sensitive. In learning about their clients’ cultures, social workers need to be aware of how powerful and significant culture is in relating to clients’ behavior, values, and beliefs. Becoming culturally competent requires the ability to integrate awareness, knowledge, and skills while maintaining a positive working relationship with the client (Sue and Zane, 1987). Today, the concerns regarding cultural competency continue to accentuate the importance of preparing social workers for a diversified society.

Defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural and linguistic needs (Georgetown University, 2004) Cultural competence is an ideal that spans across not only healthcare, but also law enforcement. Utilizing the same mindset as the healthcare industry, law enforcement has the dubious task of deciphering how to provide a service meant for all and ensure that the needs of all citizens and businesses are met. According to Terry Cross (1988), culturally competent agencies are characterized by acceptance and respect for difference, continuing self-assessment regarding culture, careful attention to the dynamics of difference, continuous expansion of cultural knowledge and resources, and a variety of adaptations to service models in order to better meet the needs of minority populations. The culturally competent agency works to hire unbiased employees, seeks advice and consultation from the minority community and actively decides what it is and is not capable of providing to minority clients.