Culturally Competent Assessment

Question 1

What is a culturally competent assessment?

Answer 1

a combination of evidence-based guidelines for assessment and a cultural competency framework

Question 2

What are common diagnostic errors?

Answer 2

Confirmatory strategy

Attribution Error

Judgmental heuristics

Diagnostic overshadowing

Question 3

What is confirmatory strategy?

Answer 3

Paying attention to data that supports their hypothesis and ignores data that refuses it

Question 4

What is attribution error?

Answer 4

Undue emphasis on internal causes regarding the problem and neglecting environmental or sociocultural explanations.

Question 5

What is judgmental heuristics ?

Answer 5

commonly used quick decision rules (example: assuming personality characteristics based off birth order)

Question 6

What is diagnostic overshadowing?

Answer 6

Problem receives inadequate treatment because attention is diverted to a more salient characteristic.

Question 7

List some dangers of stereotyping.

Answer 7

applying general cultural information without assessing individual difference.

cookbook approach

Question 8

Cultural competence avoids this stereotyping. What is cultural competence?

Answer 8

Awareness

Knowledge

skills

Question 9

Examples of awareness

Answer 9

What assumptions am I making about the client?

How is my privledge influencing how I am conceptualizing the client?

Dont as Am I biased here but How am I biased here?

Question 10

Examples of knowledge

Answer 10

What do I know about the client’s group?

What are within group differences that I might see?

How doe their acculturation level, degree of ID and unique personal experience affect their presentation ?

Question 11

Examples of skills?

Answer 11

Individualize relationship skills and evaluate the effectiveness of our verbal and non verbal interaction with the client.

Do I need to serve as an advisor, consultant, or advocate here?

Question 12

How to have a collaborative approach?

Answer 12

Give the opportunity to share their beliefs, perspectives, and expectations

Work together to construct an accurate definition of the problem

Question 13

What is the term that acknowledges that both the client and the counselor are embedded in systems such as family, work, and culture.

Answer 13

Contextual Viewpoint

Question 14

Culturally sensitive intake interviews - Identifying information

Answer 14

Other than demographic information and inquiries about cultural groups to which the client feels connected, also ask about primary language use in the home.

Question 15

Culturally sensitive intake interviews - Presenting problem

Answer 15

Obtain his/her perception of the problem and be sure to consider issues such as prejudice or oppression.

Question 16

Culturally sensitive intake interviews - History of Presenting problem

Answer 16

Get a chronological account of the problem and understand how cultural issues might be related to the problem.

Question 17

Culturally sensitive intake interviews -Substance use history

Answer 17

What are the alcohol- and substance-use patterns of family members and close friends?

Question 18

Culturally sensitive intake interviews - Psychological history

Answer 18

Be sure to assess social background, values and belief

Question 19

Culturally sensitive intake interviews - Abuse history

Answer 19

Always ask questions around physical, sexual and emotional abuse history.

Question 20

Culturally sensitive intake interviews - Strengths

Answer 20

Identify culturally relevant strengths such as pride in one’s identity or culture.

Question 21

Culturally sensitive intake interviews - Medical History

Answer 21

Assess medical or physical conditions that may be related to psychological problems; inquire about indigenous healing practices.

Question 22

Examples on collaborating on intervention strategies

Answer 22

should be based off qualities possessed by counselors, client characteristics and techniques

should not be rigidly applied

Question 23

Results of collaborating intervention strategies?

Answer 23

Consensus between counselor and client allows the therapeutic relationship to strengthen

Client therefore develops confidence in the treatment as well as hope and optimisim

Question 24

Collaborative Conceptualization Model (first 3 steps)

Answer 24

1. Use clinician skill and client perspective to understand the problem
2. Collaborate and jointly define the problem
3. Jointly formulate a hypothesis regarding the problem

Question 25

Collaborative Conceptualization Model (steps 4-7)

Answer 25

4. jointly develop ways to confirm or disconfirm the hypothesis
5. Test out hypothesis using client and counselor as evaluators
6. if conceptualization appears valid, develop a treatment plan
7. if hypothesis is not borne out, we collect additional data and formulate new, testable hypothesis