Ethical Service Delivery to Culturally and Linguistically Diverse Populations: A Specific Focus on Gay, Lesbian, Bisexual, and Transgender Populations

2009 ◽  
Vol 16 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Tedd Masiongale
Keyword(s):  
Service Delivery ◽  
Urban Areas ◽  
Resistance To Change ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Clinical Practices ◽  
Current Trends ◽  
Specific Focus ◽  
Bisexual And Transgender ◽  
Diverse Groups

Abstract Purpose: Shifting demographics amid a growing population have given rise to a culturally and linguistically diverse client base. Professionals' recognition and understanding of effective service delivery with individuals from culturally and linguistically diverse groups is improving. Cultural competence is emerging as a necessary skill set for practitioners to deliver clinically competent services with diverse communities including the gay, lesbian, bisexual, and transgender (GLBT) population. Method: Current literature and Internet sources were used to gather demographic information analyze policy documents related to ethical service delivery and explore current trends and recommendations for appropriate service delivery with a specific focus on the GLBT population. Results and Conclusions: The demographic makeup of the U.S. population is rapidly changing. Professionals, especially those outside urban areas, are only beginning to understand and adapt their clinical practices to adequately serve the GLBT population. Despite some resistance to change and political maneuvering, which could be construed to contradict ethical service delivery, professionals are realizing that ethical service delivery that embraces a recognition of their own culture and that of the individuals they serve results in greater functional outcomes.

Culturally and Linguistically Diverse Populations: Serving GLBT Families in Our Schools

2009 ◽  
Vol 16 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Ashley M. Frazier
Keyword(s):  
Sexual Orientation ◽  
Cultural Competence ◽  
Service Delivery ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Diverse Populations ◽  
Cultural Issues ◽  
Willingness To Disclose ◽  
Bisexual And Transgender ◽  
Societal Changes

Abstract School speech-language pathologists (SLPs) are increasingly likely to serve children of gay, lesbian, bisexual, and transgender (GLBT) parents or GLBT students as cultural and societal changes create growth in the population and increased willingness to disclose sexual orientation. The American Speech-Language-Hearing Association (ASHA) has a progressive nondiscrimination statement that includes sexual orientation as a protected status and strongly urges the membership to develop cultural competence as a matter of ethical service delivery. The purpose of this article is to describe cultural competence in relation to GLBT culture, discuss GLBT parent and student cultural issues as they are important in parent-school or student-school relations, and to provide suggestions for increasing sensitivity in these types of interactions. A list of resources is provided.

How do you warn them if they speak only Spanish? Challenges for organizations in communicating risk to Colonias residents in Texas, USA

2014 ◽  
Vol 23 (5) ◽  
pp. 533-550 ◽  
Author(s):  
Sudha Arlikatti ◽  
Hassan A. Taibah ◽  
Simon A. Andrew
Keyword(s):  
Nonprofit Organizations ◽  
Online Survey ◽  
Linguistically Diverse ◽  
Risk Information ◽  
Culturally And Linguistically Diverse ◽  
Future Research ◽  
Snowball Sampling ◽  
Content Type ◽  
Diverse Groups ◽  
Communicating Risk

Purpose – The purpose of this paper is to examine the information channels used by public and nonprofit organizations to communicate disaster risk information to Colonias residents in Hidalgo County, Texas. It seeks to find creative and proactive solutions for organizations to improve risk education to these constituents. Design/methodology/approach – Initially a snowball sampling technique was used to conduct six face-to-face interviews. This was followed by an online survey sent to 64 reputational referrals, of which 23 completed the survey, generating a response rate of 34 percent. A comparative analysis between public and nonprofit organizations and the Fischer's exact test were employed to analyze the data. Findings – Channel preferences for providing risk information varied with public organizations using the television (TV) and the nonprofit organizations using bilingual staff for outreach. The television, radio, public events, and bilingual staff were considered to be the most effective while social media (Facebook, Twitter, and city web sites) was not considered at all by both groups. Lack of funding and staffing problems were identified as the primary challenges. Research limitations/implications – One limitation is that the paper focusses on organizations serving Spanish speakers in the Texas Colonias. Future research needs to investigate how other localities at border sites where culturally and linguistically diverse groups might reside, receive and understand risk information. The role of cross-national organizations in creating internationally coordinated plans for disaster communication should also be explored. Originality/value – It highlights the challenges faced by organizations in communicating risk, especially in border communities where culturally and linguistically diverse groups reside.

Literature review: considerations in undertaking focus group research with culturally and linguistically diverse groups

2007 ◽  
Vol 16 (6) ◽  
pp. 1000-1011 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
Leila Gholizadeh ◽  
Michelle DiGiacomo ◽  
Jane Phillips ◽  
Patricia M Davidson
Keyword(s):  
Focus Group ◽  
Literature Review ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Focus Group Research ◽  
Group Research ◽  
Diverse Groups

Service Delivery to Culturally and Linguistically Diverse Exceptional Students in Rural School Districts

1994 ◽  
Vol 13 (4) ◽  
pp. 37-45 ◽  
Author(s):  
Jozi De Leon ◽  
Jack Cole
Keyword(s):  
Special Education ◽  
School Districts ◽  
Service Delivery ◽  
Linguistically Diverse ◽  
Rural School ◽  
Culturally And Linguistically Diverse ◽  
Rural School Districts ◽  
Exceptional Students ◽  
Educational Diagnosticians ◽  
Bilingual Special Education

Bilingual special education programs have been established in many school districts across the country to address the unique needs of culturally and linguistically diverse exceptional students (CLDE). Rural school districts may have difficulty meeting the specialized needs of CLDE students due to the limited availability of resources, especially individuals trained in bilingual special education. This study examines the availability of programs which could serve CLDE students, the training of personnel in these programs, and whether educational diagnosticians and speech language pathologists (SLPs) apply procedures which take into account language and cultural factors. The authors suggest that rural school districts can provide service delivery if special educators are trained in cultural and language areas while bilingual and English as a second language (ESL) teachers are trained in exceptionalities.

Speech-Language Pathologists’ Perceived Competence in Working With Culturally and Linguistically Diverse Clients in the United States

2020 ◽  
pp. 152574012091520
Author(s):  
Sabiha Parveen ◽  
Siva priya Santhanam
Keyword(s):  
United States ◽  
Service Delivery ◽  
Linguistically Diverse ◽  
The United States ◽  
Perceived Competence ◽  
Culturally And Linguistically Diverse ◽  
English Speakers ◽  
Speech Language Pathologists ◽  
Preservice Training ◽  
English Speaking

A clinician’s perceived competence determines his or her ability to attain clinical outcomes and persevere through challenging situations. This study examined the perceived competence of 337 speech-language pathologists (SLPs), including monolingual and bilingual, working with culturally and linguistically diverse (CLD) clients within the United States. Results indicated comparable competence levels of both monolingual and bilingual SLPs in their service delivery to monolingual English-speaking clients. However, bilingual SLPs reported significantly higher competency than monolingual SLPs while working with non-English-speaking clients in different areas of service delivery, including speech and language assessment, dealing with challenging clinical situations, and responding to questions regarding intervention outcomes. It is likely that language concordance, awareness, and understanding of linguistic and cultural expectations of non-English-speakers help surpass communication barriers leading to increased perceived competence among bilingual SLPs. This study summarizes persisting challenges in service delivery of CLD populations and possible recommendations for preservice training of SLPs.

Negotiating norms, navigating care: findings from a qualitative study to assist in decreasing health inequity in cardiac rehabilitation

2011 ◽  
Vol 35 (2) ◽  
pp. 185 ◽  
Author(s):  
Abbas Haghshenas ◽  
Patricia M Davidson ◽  
Arie Rotem
Keyword(s):  
Qualitative Study ◽  
Cultural Competence ◽  
Service Delivery ◽  
Cardiac Rehabilitation ◽  
Care Delivery ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Health Providers ◽  
Culturally Competent ◽  
Diverse Backgrounds

Purpose. People from culturally and linguistically diverse backgrounds (CaLDBs) have lower rates of participation in cardiac rehabilitation (CR). Systematically evaluating barriers and facilitators to service delivery may decrease health inequalities. This study investigated approaches for promoting cultural competence in CR. Methods. A qualitative study of 25 health practitioners was undertaken across three CR programs using a purposive sampling strategy. Interviews and participant observation were undertaken to identify factors to promote culturally competent care. Results. Three key foci were identified for implementing cultural competence approaches: (1) point of contact; (2) point of assessment; and (3) point of service. Based upon study findings and existing literature, a conceptual model of cultural competency in CR was developed. Conclusion. Culturally competent strategies for identifying and tailoring activities in the CR setting may be a useful approach to minimise health inequities. The findings from this study identified that, in parallel with mainstream health services, CR service delivery in Australia faces challenges related to cultural and ethnic diversity. Encouragingly, study findings revealed implementation and integration of culturally competent practices in rehabilitation settings, in spite of significant odds. What is known about the topic? Cultural competence can improve the ability of health systems and health providers to deliver appropriate services to diverse populations in order to reduce disparities and improve health outcomes. What does this paper add? Description of cardiac rehabilitation practitioners’ interaction and views on interacting with patients from culturally and linguistically diverse backgrounds. An empirically derived model of cultural competence identifying key points of intervention. What are the implications for practitioners? This model improves practitioner’s ability to address diverse needs of individuals from culturally and linguistically diverse backgrounds and improve equity in health care delivery in Australia.

Sign in / Sign up

Export Citation Format

Share Document