University of Toronto, Toronto, ON, Canada.
Transcult Psychiatry. 2012 Apr;49(2):165-84. doi: 10.1177/1363461512439740.
Cultural competence is increasingly recognized as an essential component of effective mental health care delivery to address diversity and equity issues. Drawing from the literature and our experience in providing cultural competence consultation and training, the paper will discuss our perspective on the foundational concepts of cultural competence and how it applies to a health care organization, including its programs and services. Based on a recent consultation project, we present a methodology for assessing cultural competence in health care organizations, involving mixed quantitative and qualitative methods. Key findings and recommendations from the resulting cultural competence plan are discussed, including core principles, change strategies, and an Organizational Cultural Competence Framework, which may be applicable to other health care institutions seeking such changes. This framework, consisting of eight domains, can be used for organizational assessment and cultural competence planning, ultimately aiming at enhancing mental health care service to the diverse patients, families, and communities.
文化能力越来越被认为是有效提供精神卫生保健服务的一个重要组成部分，以解决多样性和公平问题。本文借鉴文献和我们在提供文化能力咨询和培训方面的经验，讨论我们对文化能力的基本概念的看法，以及它如何适用于医疗保健组织，包括其计划和服务。基于最近的一个咨询项目，我们提出了一种用于评估医疗保健组织文化能力的方法，该方法结合了定量和定性方法。讨论了从文化能力计划中得出的主要发现和建议，包括核心原则、变革策略和组织文化能力框架，这可能适用于其他寻求此类变革的医疗保健机构。该框架由八个领域组成，可用于组织评估和文化能力规划，最终目的是增强对不同患者、家庭和社区的精神卫生保健服务。
