Cultural competence, fluency, humility, insight… Exploring AETC Provider Training and Efforts FTCC Meeting Presented by Durrell Fox – July 14, 2010 NEHEC-MAI Project Director New England AIDS Education and Training Center

Presentation snapshot Background on National AETC Cultural Competency Workgroup Discuss National Minority AETC BE SAFE training model Describe two examples of regional cultural competency training programs Conclusion

Cultural Competency & Multicultural Care Workgroup National AETC Network Cultural Competency & Multicultural Care Workgroup

AETCs Train In Every State and Territory

AETC National Resource Center Workgroup aidsetc.org CC workgroup for 2 years made up of approx. 30 reps. We explored CC definitions, resources and training efforts Development of CC teaching cases Health literacy as factor in CC care access Development of training exchange to disseminate findings

Workgroup guiding principles Cultural IDs influence our thoughts, behaviors, we may ID with many groups Cultures are always changing and HIV education & training should reflect this Development of culturally appropriate training materials & CBA programs for providers should include expanded view of cross cultural competence…

Workgroup guiding principles cont Providers need to gain better understanding of general cultural starting points for approaching, learning about and interacting within different cultures Training should help providers develop competencies and skills for intercultural understanding Expand on cultural fluency…using evolving areas of health literacy…

CC Workgroup outcomes accessible @ aidsetc.org Research and sharing of resources and “promising practices” across network Guiding principles document Health Literacy in HIV Care case studies CC Organizational Self Assessment Question Bank CC resource lists and training tools …

Focus on National Minority AETC BE SAFE cultural Competency Education and Training Model

BE SAFE @ nmaetc.org Help providers gain greater understanding & awareness of how culture may influence their attitudes, behavior and polices on health care A framework that used culturally pluralistic content and perspectives based on 6 core elements to guide providers sin caring for patients lf all races

BE SAFE @ nmaetc.org B = Barriers to care – addresses real and perceived gaps to providing quality care E = Ethics – addresses the morality of beliefs, values and ethical considerations to providing CC care and services S = Sensitivity – addresses provider need to examine their own prejudices and biases

BE SAFE @ nmaetc.org A = Assessment – collecting and examining relevant data F = Facts – acknowledges that full assessment requires understanding of physiology, behavior and patients perception of his/her illness E = Encounters – addresses the fact the providers have a duty to achieve effective encounters will all of their patients

Examples of CC training approaches in New England

Efforts in New England Onsite monthly programs that integrate CC and cross cultural communications CC workshop/conference training series that explores specific populations CC workshops/conferences that focus on cross cultural communication and cultural orientations

Several sites explore populations CC trainings focused on MSM and Transgender populations of color, Sub-Saharan Africans, Latinos, Asians, African Americans, Youth, HIV Over Fifty… Provide a comprehensive understanding of how cultural and social factors influence the ways specific populations are at risk for HIV & engage in HIV/health care services Looks at resiliency and other attributions

Latin American Health Institute explores CC communications A model of communication that enhances delivery of care through practical applications in cross-cultural communication Helps providers ID and match communications styles with patients Offers 5 essential cultural orientations that are universal in nature Live & Learn-Communication & Essential Cultural Orientation (ECO) Models

Conclusion Some CC training focuses on understanding different groups “broad” cultural frameworks Some focus on respect, honoring and valuing diversity in cultures Some assist in assessing and understanding the role cultures play in providing and receiving care All have their merits and a mix of these “types” of CC trainings may be best approach

New England HIV Education Consortium Contact Information Durrell Fox New England HIV Education Consortium @ NEAETC, UMMS, CWM, CHPR 333 South Street Shrewsbury, MA 01545 www.neaetc.org (Phone) 617-262-5657 (Fax) 508-856-5294 Email: Dfoxnehec@ol.com