22: Cultural Competence

Question 1

Whose goal is more important, patient or doctor?

Answer 1

Patient’s goal!

Question 2

B&W Ointment

Answer 2

Used frequently in the Amish community to treat wounds (just something to be aware of)

Question 3

Black Cohosh

Answer 3

Used for hot flashes, but has unopposed estrogen, so can cause uterine bleeding and cancer. Some pts dont realize this - it’s important to educate patients when things like this arise

Question 4

LGBTQIA+ vulnerability to social stress

Answer 4

This population is much more vulnerable to social stress, making them much more likely to smoke or to explore drug/alcohol self-treatment

Question 5

Definition of Trauma

Answer 5

( Individual trauma results from an event, series of events, or set of circumstances experienced by an individual ) (as physically or emotionally harmful or life-threatening) (with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well being)

Question 6

Trauma-Informed Care

Answer 6

Adoption of principles that promote a culture of safety, empowerment, and healing

Question 7

What percent of clients in public behavioral health care settings have experienced trauma?

Answer 7

90%

Question 8

10 types of childhood trauma: 5 personal types

Answer 8

1. Physical abuse
2. Verbal abuse
3. Sexual abuse
4. Physical neglect
5. Emotional neglect

Question 9

10 types of childhood trauma: 5 related to family members

Answer 9

1. Parent who’s an alcoholic
2. Parent who’s a victim of domestic violence
3. Family member in jail
4. Family member with mental illness
5. Disappearance of parent through divorce/death/abandonment

Question 10

Six steps to trauma approach

Answer 10

1. Safety
2. Trustworthiness and transparency
3. Peer support
4. Collaboration and mutuality
5. Empowerment, voice, and choice
6. Cultural, historical, and gender issues