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Cultural Adaptation • Assessment Tools


Numerous instruments have been developed to help organizations and clinicians assess their cultural competence. They are useful for evaluating one's areas of strengths and weaknesses as a culturally competent provider or organization at the start of a cultural competence initiative and tracking one's development in these areas over time.

This resource list includes some examples of the following types of cultural competence tools:

Organizational Tools: Organizational Tools are completed by administrators to assess their organization's level of cultural competence at an administrative level.

Provider Tools: Provider tools are completed by clinicians to assess their cultural competence in working with clients.

 

Organizational Tools

Cultural Competency Assessment Scale
The Cultural Competency Assessment Scale (Siegel, Hoagland, Chambers) was derived from the work of the two-phase SAMHSA -funded project in which performance measures of cultural competency in behavioral healthcare settings were selected and benchmarked. An expert panel of persons from the four major racial/ethnic groups in the U.S., experts in cultural competence, providers, consumers and planning persons guided the work, as did consumer focus group reviews. A small group of these panel members used the measures and their benchmarks to set the criteria to be measured, and these became the basis of the scale. For each area, an agency's performance is rated on a five-point scale. The rating of "5" on an item represents the ideal condition that the expert panel felt was attainable.

To request a copy of the Cultural Competency Assessment Scale, contact Gary Haugland by e-mail or phone: 845 398-6580.

Cultural Competence Self-Assessment Questionnaire: A Manual for Users
The Cultural Competence Self-Assessment Questionnaire (CCSAQ; Mason, 1995) is designed to assist service agencies working with children with disabilities and their families in self-evaluation of their cross-cultural competence. The measure is based on the Child and Adolescent Service System Program Cultural Competence Model, which describes cultural competency in terms of four dimensions: attitude, practice, policy, and structure. Introductory material notes ways the CCSAQ has been used to identify an agency's cultural competence training needs in a variety of agencies in seven states. Individual sections of the manual provide information on the application and administration of the measure, its outcomes, its reliability, its content validity, the scoring guide, and presentation of resulting data in a comprehensible format. Implications for training are discussed. Appendices include two different versions of the questionnaire--one for direct service providers and one for administrative staff. The measure contains questions in the following areas: knowledge of communities; personal involvement; resources and linkages; staffing; service delivery and practice; organizational policy and procedures; and reaching out to communities.

May be ordered for $ 8.00 /copy from:
Research and Training Center on Family Support and Children's Mental Health
Portland State University, P.O. Box 751, Portland, OR 97207
Phone: (503) 725-4040; Fax: (503) 725-4180
Email: rtcinfo@rri.pdx.edu; URL: http://www.rtc.pdx.edu/

State Mental Health Agency Cultural Competence Activities Assessment (PDF)
This assessment was developed by the National Association of State Mental Health Program Directors and the National Technical Assistance Center for State Mental Health Planning based on discussion at two expert meetings. The assessment consists of questions appropriate for state mental health agencies in ten areas of cultural competency. The categories include the Commissioner's Personal Leadership, Staff and Stakeholder Commitment, Responsibility for Cultural Competence, Cultural Competence Advisory Committee, Organizational Self-Assessment, Data Analysis, Cultural Competence Plan, Linguistic Competence, Standards and Contractual Requirements, and Resources.

The assessment can be found on page 16 of the Final Report for Cultural Competency: Measurement as a Strategy for Moving Knowledge into Practice in State Mental Health Systems (September 2004). Use link above to obtain the report.

Assessment of Organizational Cultural Competence (PDF)
The Association of University Centers on Disabilities provides this assessment tool through their multicultural council. The tool is used to identify an organization's strengths and needs for further training and program development to become more culturally competent. It consists of information about cultural competence within the organization, administration, clinical services, research and program evaluation, technical assistance and consultation, education and training, and community and continuing education.

Program Self-Assessment Survey for Cultural Competence (Word doc)
The Program Self-Assessment Survey for Cultural Competence survey (Weiss CI, Minsky S, 1994) was developed by the Multicultural Services Advisory Committee to assist mental health programs in delivering culturally competent care. The survey is aimed at assessing an organization's ability to address the needs of culturally diverse groups, focusing on policy development. The survey assesses an organization's level of cultural competency by reviewing program policies and practices. Survey questions address organizational practices related to client diagnosis and assessment, physical characteristics of the facility, staff recruitment, and client participation. The scores are tallied to create a program profile.

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Provider Tools

Provider Self-Assessment Survey
The Provider Self-Assessment Survey (Tirado, 1996) is designed to assess the knowledge and skills/attitudes of providers. The reference for the tool is as follows: Tirado, M. (January, 1996). Tools for Monitoring Cultural Competence in Health Care. Latino Coalition for a Healthy California. San Francisco, CA.

Cultural Competence Health Practitioner Assessment
The Cultural Competence Health Practitioner Assessment (CCHPA) was developed by the National Center for Cultural Competence (NCCC) at the request of the Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. The CCHPA is intended to enhance the delivery of high quality services to culturally and linguistically diverse individuals and underserved communities. It is also intended to promote cultural and linguistic competence as an essential approach for practitioners in the elimination of health disparities among racial and ethnic groups. The assessment tool is available on-line, and contains 6 subscales: Values and Belief Systems, Cultural Aspects of Epidemiology, Clinical Decision-Making, Life Cycle Events, Cross-Cultural Communication, and Empowerment/Health Management.

Cultural Competence Self-Test
This self-test was developed by Tawara D. Goode of the Georgetown University Child Development Center. Its 30 questions relate to Physical Environment, Materials & Resources, Communication Style, and Values and Attitudes. It can assist practitioners in identifying areas in which they might improve the quality of their services to culturally diverse populations.

Individual Assessment of Cultural Competence (Word doc)
The Association of University Centers on Disabilities provides this assessment tool through their multicultural council. The tool is used to assist individuals in reflecting upon and examining their journey toward cultural competence.

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The University of Texas at Austin
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