The Impact of Culture on Parental Perceptions about Autism Spectrum Disorders: Striving for Culturally Competent Practices

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Brenda L. Barrio ◽  
Yun-Ju Hsiao ◽  
Nydia Prishker ◽  
Callie Terry

AbstractDespite the increasing number of children from culturally and linguistically diverse (CLD) backgrounds in the United States, limited research exists synthesizing what is known about the prevalence and diagnosis of autism spectrum disorder (ASD) in these communities. Children from culturally and linguistically diverse backgrounds are disproportionately diagnosed with ASD and, there is a need for practitioners and educators to be culturally competent at addressing challenges and practices related to ASD for children and youth. The purpose of this paper is to review the literature related to parental perspectives on ASD, in children from a wide range of culturally diverse backgrounds to provide information and resources to practitioners about the importance to strive for cultural competence in practice-related work.

2017 ◽  
Vol 50 (5) ◽  
pp. 483-501 ◽  
Author(s):  
Elizabeth Cramer ◽  
Mary E. Little ◽  
Patricia Alvarez McHatton

In the more than 60 years since the Brown v. Board of Education ruling, the United States has been struggling to assure educational equality for all learners. This article will review how attempts at equality such as accountability and standardization movements have failed to close opportunity gaps for vulnerable and marginalized groups, particularly for students with disabilities from culturally and linguistically diverse backgrounds. Critical issues are raised about current reforms, in order to broaden educational conversations for a deeper analysis, recognizing the implications for sustained, comprehensive solutions.


Author(s):  
Jaumeiko J. Coleman

Abstract Research indicates that close to half of infants, toddlers and preschool children enrolled in early intervention programs funded by the Individuals with Disabilities Education Act have a communication disorder. In addition, a substantial number of children, particularly in the infant and toddler population, are from culturally and linguistically diverse backgrounds. Audiologists and speech-language pathologists are charged with providing culturally-competent, evidence-based services to all clients. Given the federal, state, and local demand for accountability in practices, clinicians need guidance on treatment outcomes pertaining to the culturally and linguistically diverse early intervention populations with communication disorders.


2020 ◽  
Vol LII (2) ◽  
pp. 46-51
Author(s):  
Laisan M. Мukharyamova ◽  
Janna V. Saveljeva ◽  
Vladimir D. Mendelevich

Aim.Identification of awareness in doctors of different specialties (pediatricians, child psychiatrists, neurologists) on a wide range of issues of diagnosis, etiology, therapy of children with ASD. Methods.There was a survey conducted on the authors questionnaire. It was answered by 400doctors working in the large, medium, and small cities and towns in 35subjects of the Russian Federation, representing all Federal districts. In the sample there were pediatricians (53%), psychiatrists (24.2%), neurologists (14.7%), 8.2% did not specify a specialty. 89.2% of respondents are women and 10.2% are men. Results.70% of doctors believe that the number of children with ASD has increased dramatically in recent years. A fifth of respondents found it difficult to answer, 10% said that the number remained the same. The distribution of responses to the question by the profile of specialists indicates the relationship of variables. Neuropathologists and psychiatrists more often chose the answer option increased sharply (2=32.528, p0.01). The distribution of different specialists opinions on the factors that cause changes in the number of children with ASD in society did not have statistically significant differences. About 40% of pediatricians, neurologists, psychiatrists, and other doctors chose the factors improvement of quality in diagnostic procedures and increasing availability of medical care; about a third noted reducing child mortality and, as a result, increasing diversity, about a quarter chose an environmental impact, changing the rules of medical statistics. It is alarming that when asked about the impact of vaccinations on the occurrence of autism, only 46.9% indicated that this is a myth, about 2.8% indicated that autism is a reaction to vaccination, the majority of respondents (50.3%) chose the option that there is not enough data in medicine to confirm or disprove this position. Conclusions.The results of the study allow us to conclude that it is necessary to increase the awareness of doctors about the current state of research on the problem of ASD. Educational programs are needed taking into account not only medical data but also approaches developed in the social Sciences.


2011 ◽  
Vol 35 (2) ◽  
pp. 185 ◽  
Author(s):  
Abbas Haghshenas ◽  
Patricia M Davidson ◽  
Arie Rotem

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.


2017 ◽  
Vol 21 (1) ◽  
pp. 32-47 ◽  
Author(s):  
Amy Heineke ◽  
Aimee Papola-Ellis ◽  
Sarah Cohen ◽  
Kristin Davin

Across the globe, schools serve students from increasingly diverse backgrounds, including those still learning the dominant language. But schools have struggled to maintain pace with the changing population, resulting in a lack of prepared teachers and subsequent gaps in student achievement. In this article, we share a theoretically grounded and research-based approach to build capacity in linguistically diverse schools through multi-faceted professional development (PD) efforts with teachers and leaders. Based on a 3-year project that successfully built foundations, structures, and supports for culturally and linguistically diverse (CLD) students in 32 urban schools in the United States, we provide readers with pertinent foci and facets to design and implement linguistically responsive practice and PD.


Author(s):  
Amy Hasselkus

The need for improved communication about health-related topics is evident in statistics about the health literacy of adults living in the United States. The negative impact of poor health communication is huge, resulting in poor health outcomes, health disparities, and high health care costs. The importance of good health communication is relevant to all patient populations, including those from culturally and linguistically diverse backgrounds. Efforts are underway at all levels, from individual professionals to the federal government, to improve the information patients receive so that they can make appropriate health care decisions. This article describes these efforts and discusses how speech-language pathologists and audiologists may be impacted.


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