Cultural Competence Resources

LACDMH Strategies to reduce mental health disparities and increase health equity

• • • Outreach & Engagement
    • Community education to increase mental health awareness and decrease stigma
    • Multi-lingual/multicultural materials
    • Collaboration with faith-based and other trusted community entities/groups
    • School-based services
    • Field-based services
    • Programs and projects that target specific ethnic and language groups
    • Designating and tracking ethnic targets for Full Service Partnerships (FSP)
    • Flexibility in FSP enrollment such as allowing “those living with family” to qualify as “at-risk of homeless”
    • Countywide FSP Networks to increase linguistic and cultural access
    • Integrated Supportive Services
    • Co-location with other county departments (DCFS, DPSS, DHS)
    • Interagency Collaboration
    • Consultation to gatekeepers
    • Trainings/case consultation
    • Provider communication and support
    • Multi-lingual/multi-cultural staff development and support
    • Evidence-based Practices/Community-defined Evidence for ethnic populations
    • Investments in learning
    • Increase mental health service accessibility to underserved populations
    • Physical health, mental health and substance abuse service integration
    • Utilizing community’s knowledge and capacity to identify and prescribe ways of promoting health and well-being from within
    • Implementation of new departmental policies and procedures that improve the quality and timeliness of mental health services
    • Implementation of new technologies to enhance the Department’s service delivery
    • Creation of new committees, subcommittees and taskforces that address cultural and linguistic competent service delivery.
    • Health Agency level collaborations to enhance the cultural and linguistic competence within and across Departments of Health Services, Mental Health, and Public Health

    LACDMH Cultural Competency Policies and Procedures

    • • • Policy 200.02 – Interpreter Services for the Deaf and Hard of Hearing Community
        • Policy 200.03 – Language Translation and Interpretater Services
        • Policy 200.09 – Culturally and Linguistically Inclusive Services
        • Policy 602.01 – Bilingual Bonus
        • Parameters for Clinical Care:
          • Delivery of Culturally Competent Clinical Services
          • Peer Advocates
          • Spiritual Support
          • Family Inclusion
          • Assessment and Treatment of Individuals with Co-Occurring Intellectual Disabilities
          • Treatment of Co-Occurring Substance Use Disorders

          Federal Governing Regulations

          • Title VI of the Civil Rights Act of 1964
          • Title 42 – Public Health, Part 438.10, Managed Care
          • Executive Order 13166, August 2000
          • The National Standards for Culturally and Linguistically Appropriate Services (CLAS), U.S. Department of Health & Human Services, Office of Minority Health, 2013

          State Governing Regulations

          1. • Cultural Competence Plan Requirements (CCPR)
             • Dymally-Alatorre Bilingual Services Act 1973
             • CA Welfare & Institutions Code, Sections 14684(a)(9)
             • The CA State DMH – Title 9, California Code of Regulations, Section 1810.410
             • The Mental Health Services Act

          Cultural Competency 101 Training

          Part 1: Basic definitions, regulations related to cultural competency, LACDMH strategies to reduce mental health disparities, and LACDMH demographical and client utilization data [Duration: 37 minutes]

          Part 2: Cultural humility, client culture, stigma, elements of cultural competency in service delivery, and resources [Duration: 30 minutes]

          Part 3: Cultural competency scenarios and group discussion [Duration: 18.5 minutes]