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Cultural Adaptation • Assessment Tools
Numerous instruments have been developed to help organizations and
clinicians assess their cultural competence. They are useful for
evaluating one's areas of strengths and weaknesses as a culturally
competent provider or organization at the start of a cultural competence
initiative and tracking one's development in these areas over time.
This resource
list includes some examples of the following types of cultural competence
tools:
•
Organizational Tools: Organizational
Tools are completed by administrators to assess their organization's
level of cultural competence at an administrative level.
•
Provider Tools: Provider
tools are completed by clinicians to assess their cultural competence
in working with clients.
•
Client Tools: Client
tools are completed by clients to assess their experience of the
organization and/or clinician's cultural competence.
Organizational
Tools
Cultural
Competency Assessment Scale
The Cultural
Competency Assessment Scale (Siegel, Hoagland, Chambers) was derived
from the work of the two-phase SAMHSA -funded project in which
performance measures of cultural competency in behavioral healthcare
settings were selected and benchmarked. An expert panel of persons
from the four major racial/ethnic groups in the U.S., experts
in cultural competence, providers, consumers and planning persons
guided the work, as did consumer focus group reviews. A small
group of these panel members used the measures and their benchmarks
to set the criteria to be measured, and these became the basis
of the scale. For each area, an agency's performance is rated
on a five-point scale. The rating of "5" on an item represents
the ideal condition that the expert panel felt was attainable.
To request a copy of the Cultural Competency Assessment Scale,
contact Gary Haugland by e-mail or phone: 845 398-6580.
Cultural
Competence Self-Assessment Questionnaire: A Manual for Users
The Cultural
Competence Self-Assessment Questionnaire (CCSAQ; Mason, 1995)
is designed to assist service agencies working with children with
disabilities and their families in self-evaluation of their cross-cultural
competence. The measure is based on the Child and Adolescent Service
System Program Cultural Competence Model, which describes cultural
competency in terms of four dimensions: attitude, practice, policy,
and structure. Introductory material notes ways the CCSAQ has
been used to identify an agency's cultural competence training
needs in a variety of agencies in seven states. Individual sections
of the manual provide information on the application and administration
of the measure, its outcomes, its reliability, its content validity,
the scoring guide, and presentation of resulting data in a comprehensible
format. Implications for training are discussed. Appendices include
two different versions of the questionnaire--one for direct service
providers and one for administrative staff. The measure contains
questions in the following areas: knowledge of communities; personal
involvement; resources and linkages; staffing; service delivery
and practice; organizational policy and procedures; and reaching
out to communities.
May be
ordered for $ 8.00 /copy from:
Research and Training Center on Family Support and Children's
Mental Health
Portland State University, P.O. Box 751, Portland, OR 97207
Phone: (503) 725-4040; Fax: (503) 725-4180
Email: rtcinfo@rri.pdx.edu; URL: http://www.rtc.pdx.edu/
State
Mental Health Agency Cultural Competence Activities Assessment (PDF)
This assessment
was developed by the National Association of State Mental Health
Program Directors and the National Technical Assistance Center
for State Mental Health Planning based on discussion at two expert
meetings. The assessment consists of questions appropriate for
state mental health agencies in ten areas of cultural competency.
The categories include the Commissioner's Personal Leadership,
Staff and Stakeholder Commitment, Responsibility for Cultural
Competence, Cultural Competence Advisory Committee, Organizational
Self-Assessment, Data Analysis, Cultural Competence Plan, Linguistic
Competence, Standards and Contractual Requirements, and Resources.
The assessment
can be found on page 16 of the Final Report for Cultural Competency:
Measurement as a Strategy for Moving Knowledge into Practice in
State Mental Health Systems (September 2004). Use link above to
obtain the report.
Cultural
Competency Assessment Tool
The Cultural
Competency Assessment Tool was prepared by the Vancouver Ethnocultural
Advisory, Vancouver, British Columbia Ministry for Children
and Families. It is a comprehensive tool to assist community based
agencies in becoming more culturally competent. It is not meant
to be used as a pass/fail mechanism, but rather as a way to identify
strengths and weaknesses, and to develop an action plan for improvement.
It is organized into seven areas of impact, including Organizational/Foundation
Statement and Documents, Program Policies and Procedures, Program
Practices, Personnel Policies and Practices, Skills and Training,
Organizational Composition and Climate, and Community Consultation
and Communication.
The tool
can be found at the link above and includes an introduction, definitions,
instructions for use, and other resources, along with the assessment
tool itself.
Assessment
of Organizational Cultural Competence
The Association
of University Centers on Disabilities provides this assessment
tool through their multicultural council. The tool is used to
identify an organization's strengths and needs for further training
and program development to become more culturally competent. It
consists of information about cultural competence within the organization,
administration, clinical services, research and program evaluation,
technical assistance and consultation, education and training,
and community and continuing education.
The assessment
tool is available through the link above.
Program
Self-Assessment Survey for Cultural Competence
The Program
Self-Assessment Survey for Cultural Competence survey (Weiss CI,
Minsky S, 1994) was developed by the Multicultural Services Advisory
Committee to assist mental health programs in delivering culturally
competent care. The survey is aimed at assessing an organization's
ability to address the needs of culturally diverse groups, focusing
on policy development. The survey assesses an organization's level
of cultural competency by reviewing program policies and practices.
Survey questions address organizational practices related to client
diagnosis and assessment, physical characteristics of the facility,
staff recruitment, and client participation. The scores are tallied
to create a program profile.
The tool
can be found at the link above, by searching for the name "Weiss"
and the name of the survey.
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Provider
Tools
Provider
Self-Assessment Survey
The Provider
Self-Assessment Survey (Tirado, 1996) is designed to assess the
knowledge and skills/attitudes of providers. The reference for
the tool is as follows: Tirado, M. (January, 1996). Tools for
Monitoring Cultural Competence in Health Care. Latino Coalition
for a Healthy California. San Francisco, CA.
The tool
can be found at the link above, by searching for the name "Tirado"
and the name of the survey.
Cultural
Competence Health Practitioner Assessment
The Cultural
Competence Health Practitioner Assessment (CCHPA) was developed
by the National Center for Cultural Competence (NCCC) at the request
of the Bureau of Primary Health Care, Health Resources and Services
Administration, U.S. Department of Health and Human Services.
The CCHPA is intended to enhance the delivery of high quality
services to culturally and linguistically diverse individuals
and underserved communities. It is also intended to promote cultural
and linguistic competence as an essential approach for practitioners
in the elimination of health disparities among racial and ethnic
groups. The assessment tool is available on-line, and contains
6 subscales: Values and Belief Systems, Cultural Aspects of Epidemiology,
Clinical Decision-Making, Life Cycle Events, Cross-Cultural Communication,
and Empowerment/Health Management.
The tool
can be accessed using the link above.
Cultural
Competence Self-Test
This self-test
was developed by Tawara D. Goode of the Georgetown University
Child Development Center. Its 30 questions relate to Physical
Environment, Materials & Resources, Communication Style, and Values
and Attitudes. It can assist practitioners in identifying areas
in which they might improve the quality of their services to culturally
diverse populations.
The tool
can be access through the American Academy of Family Physicians
website, using the link above.
Cultural
Competency Organizational Assessment Tool
This tool
was developed by Lumetra to assist health care organizations in
conducting a Cultural Competency Self-Assessment in order to assess
their cultural competence, ensuring the promotion of quality services
to diverse groups. The protocol includes information on how to
conduct a self-assessment, steps in the process, how to use the
results, and other practical information.
The protocol
is available at the Lumetra website, using the link above. The
assessment tool and a scoring table are both available.
Individual
Assessment of Cultural Competence
The Association
of University Centers on Disabilities provides this assessment
tool through their multicultural council. The tool is used to
assist individuals in reflecting upon and examining their journey
toward cultural competence.
The assessment
tool can be accessed through the link above, and is located toward
the bottom of the web page. It can be easily found by searching
for the tool name.
Staff
Survey on Cultural Competence (PDF)
The Staff
Survey on Cultural Competence (U.S. Department of Health and Human
Services, 1994) collects information on internal perceptions of,
and experience with, the cultural competence of the organization
and the services it provides. The questionnaire should be administered
by organizational leaders to current and former staff, volunteers,
board members, and administrators not directly involved in initiating
the process. The questions are organized in terms of organizational
environment, program management and operations, outreach and community
involvement, service delivery, and overall agency competence.
The survey
is available through the U.S. D.H.H.S. website on page 55 of the
document accessed through the link above.
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Client
Tools
Patient
Satisfaction Survey
This is a
cultural competency tool that was sponsored by the U.S. Department
of Health and Human Services Administration, Office of Minority
Health. The Patient Satisfaction Survey is designed to assess
whether an organization is linguistically competent, from the
perspective of the client. The reference for the tool is as follows:
Tirado, M. (January, 1996). Tools for Monitoring Cultural Competence
in Health Care. Latino Coalition for a Health California. San
Francisco, CA.
The tool
can be found at the link above, by searching for the name "Tirado"
and the name of the survey.
Community
Survey on Cultural Competence (PDF)
This survey
by the U.S. Department of Health and Human Services (1994) collects
information on external perceptions of, and experience with, the
cultural appropriateness of the organization and the services
it provides. The questionnaire should be administered by organizational
leaders to individuals and organizations in the community, including
those with both direct and indirect ties to the agency.
The survey
is available through the U.S. D.H.H.S. website on page 75 of the
document accessed through the link above.
Youth
and Family Survey on Cultural Competence (PDF)
This youth
and family survey by the U.S. Department of Health and Human Services
(1994) collects information on consumer perceptions of, and experience
with, the cultural competence of the organization and the services
it provides. The questionnaire should be completed by the youth
served by the organization, and can be administered as part of
the agency's standard exit interview process, or later, during
follow-up visits or conversations.
The survey
is available through the U.S. D.H.H.S. website on page 61 of the
document accessed through the link above.
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Program •
Expert Panels • Assessment
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