Alex Zamora, LMSW Human Services Program Specialist

211 Idaho CareLine

Idaho Department of Health and Welfare

Monday, June 3, 2013

Licensed Master Social Worker – Idaho and Oregon

Idaho Dept. of Education Pupil Personnel Certificate

School Social Worker and School Counselor endorsements

Professional Experience:

Medical Social Worker

Home Health, Hospice, Hospital School Counselor

Psychotherapist

Drug and Alcohol Prevention Educator

Adjunct Professor

Community Volunteerism:

Idaho Hispanic Caucus

Idaho Latino Behavioral Health Conference

Idaho Advisory Council for HIV/AIDS

Understand different types of ethical decision making;

Have a general understanding of key components in the Latino community that can influence I&R interventions;

Know demographic statistics of Latinos influencing social services;

Apply Latino cultural elements to practice;

Address cultural stereotypes and myths and its influence on practice;

Apply Latino demographics, family, and cultural values on practice; and

Review NASW, ACA, and APA code of ethics related to cultural competency in practice.

1. Intuitive ethical judgment

Gut feeling

2. Critical-Evaluative ethical judgment

Deliberate

Problem solving followed by ethical principles

Autonomy Freedom and dignity

Nonmaleficence Do no harm

Beneficence Responsibility to do good

Fidelity Faithfulness to truth

Justice Obligation to act fairly

ACA preamble

“…Association members recognize diversity in our society and embrace a cross-cultural approach in support of worth, dignity, potential, and uniqueness of each individual.”

APA Principle D: Respect of People’s Rights and Dignity

“Psychologists are aware of and respect cultural, individual, and role differences… based on age, gender, gender identity, race, ethnicity, culture, national origin…”

NASW 1.05 Cultural Competence and Social Diversity

“Social workers should understand culture and its function in human behavior…”

AIRS Standard 1: Assessment and Referral Provision

“.. has procedures for managing challenging inquirers that recognize the right of inquirers to access… treatment that is professional, nonjudgmental and culturally appropriate…”

CULTURE COMPETENCE

a: the integrated pattern of human behavior that includes thought, speech, action, and artifacts and depends upon the human capacity for learning and transmitting knowledge to succeeding generations

b : the customary beliefs, social forms, and material traits of a racial, religious, or social group

The quality or state of being functionally adequate

1. Failure to take culture into account

2. Failure to acknowledge intra-culture differences

3. Failure to understand stereotypes

"Hispanic or Latino” refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race”

White

Latino

American Indian

Asian

African-American

Native Hawaiian/Pacific

Islander

Grew by 48% 51.9 million in 2011

California

14.1 million

Texas

9.8 million

Florida

4.4 million

New York

3.5 million

Illinois

2.1 million

26%

poverty rate

$39,000

median annual income

30%

without health insurance

27

median age

Mexican – 64.6%

Puerto Rican – 9.5%

Machismo

Dictates that men show power via strength and decision-making

Marianismo

Concept purity and moral strength

Familismo

Loyalty and protection of family

BICULTURALISM ACCULTURATION

Juncture of two cultures

Changes due to other culture

Needs Based Assessment - Idaho Partnership for Hispanic Health Issues among Latino community

Deficits navigating mental health system

Low level of Dx and Tx of mental health issues

Issues among practitioner community Lack cultural knowledge/competency training

211 Idaho CareLine 2013 Q1*

1,638 Spanish calls

Longer calls

*Not all Latinos speak only Spanish.

Address juncture/acculturation

Deconstruct meta-narratives

Emphasize family

Defer to ethical codes and principles

ACA preamble

“…Association members recognize diversity in our society and embrace a cross-cultural approach in support of worth, dignity, potential, and uniqueness of each individual.”

APA Principle D: Respect of People’s Rights and Dignity

“Psychologists are aware of and respect cultural, individual, and role differences… based on age, gender, gender identity, race, ethnicity, culture, national origin…”

NASW 1.05 Cultural Competence and Social Diversity

“Social workers should understand culture and its function in human behavior…”

AIRS Standard 1: Assessment and Referral Provision

“.. has procedures for managing challenging inquirers that recognize the right of inquirers to access… treatment that is professional, nonjudgmental and culturally appropriate…”

Questions?

Comments?

[appropriate] Jokes?

References

American Counseling Association (2005). ACA Code of Ethics. Retrieved November 8,

2011, from http://www.counseling.org/Resources/aca-code-of-ethics.pdf

American Psychological Association. (2002). American Psychological Association

ethical principles of psychologists and code of conduct. Retrieved November 8,

2011, from http://www.apa.org/ethics/code2002.html

Falicov, C. J. (2010). Changing Constructions of Machismo for Latino Men in Therapy:

“The Devil Never Sleeps.” Family Process, 49(3), 309-329.

Garza, Y. (2012, November). Reflecting on the past, envisioning the futures: A look at

play therapy basics and the nuances of a growing Hispanic culture. 2012 Idaho

Latino Behavioral Health Conference, Nampa, ID.

Idaho Partnership for Hispanic Health. (2011). Idaho Hispanic Mental Health

Disparities: Ada & Canyon Counties. Boise, ID: Retrieved from

http://www.idphh.org/IPHMH%20Final%20Report.pdf

Motel, S. & Patten, E. (2013, February 15). Statistical Portrait of Hispanics in the United

States, 2011. Pew Hispanic Center. Retrieved from

http://www.pewhispanic.org/2013/02/15/statistical-portrait-of-hispanics-in-the-

united-states-2011/

National Association of Social Workers. (1999). Code of ethics of the National

Association of Social Workers. Washington, DC. NASW Press. Retrieved

November 8, 2011, from https://www.socialworkers.org/pubs/code/code.asp

Organista, K. C. (2009). New Practice Model for Latinos in Need of Social Work

Services. Social Work, 54(4), 297-305.

Torres, L. & Rollock, D. (2009). Psychological Impact of Negotiating Two Cultures:

Latino Coping and Self-Esteem. Journal of Multicultural Counseling and

Development, 37, 219-228.

United States Census Bureau. (2013, March 14). State and County QuickFacts: USA.

Retrieved May 24, 2013, from http://quickfacts.census.gov/qfd/states/00000.html

Welfel, E.R. (2010). Ethics in counseling and psychotherapy: Standards, research, and

emerging issues (4th

ed.). Belmont, CA: Brooks/Cole.