Improving Cultural Competence Part 3 (5 credit hours)

The course is divided into three modules.  This is module 3 and covers Chapters 5 and 6.

Program Summary:  Did you know that fifty percent of culturally diverse clients will end treatment or counseling after one visit (Sue and Sue 2013e)?  This course explores the ongoing and dynamic process of developing cultural competence in clinical practice.  The course highlights the importance of self-awareness, culturally appropriate knowledge, cross-cultural communication, culturally responsive treatment, and culturally responsive policies.  The course discusses behavioral health treatment for specific racial and ethnic groups and also explores drug cultures and the culture of recovery.  Sue’s (2001) multidimensional model for developing cultural competence is featured.

Chapter 5:  This chapter reviews counseling and treatment patterns for 5 major ethnic/racial groups:  African and Black Americans; Asian Americans, Native Hawaiians, and other Pacific Islanders; Hispanics and Latinos; Native Americans; and White Americans.  The chapter explores different beliefs and attitudes about treatment, treatment considerations, and culturally congruent interventions, providing a general framework for understanding various groups.

Chapter 6:  This chapter examines the role of drug cultures in substance abuse and treatment.  The chapter explores the process of finding alternatives to drug cultures and developing a culture of recovery.

This course is recommended for social workers, counselors, and therapists and is appropriate for beginning and intermediate levels of practice.  

Find the reading at:

Course Reading:  A Treatment Improvement Protocol:  Improving Cultural Competence/ Chapters 5 and 6

Publisher:  Substance Abuse and Mental Health Services Administration

Course Objectives:  To enhance professional practice, values, skills, and knowledge by identifying key issues related to 1) treatment considerations for  major racial and ethnic groups 2) drug cultures and the culture of recovery.

Learning Objectives:  Chapter 5/ Identify strengths of African American families.  Describe factors in assessing shame in Asian American clients.  Describe the ‘healing forest’ model for Native Americans.  Chapter 6/ Describe the role of drug cultures in substance abuse treatment.  Identify ways to assess for drug cultures.  Identify alternatives to drug cultures and the culture of recovery.

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1: For questions 1-62, please refer to Chapter 5.  Alcohol consumption among ________________ women increases as they grow older.
2: Black American substance use __________ with age.
3: ___________ use is more prevalent among Blacks than White Americans or Latinos.
4: Compared with White Americans, African Americans are more likely to receive treatment for
5: Compared with White Americans, African Americans are more than three times as likely to be hospitalized for
6: Compared with White Americans, African Americans report ______________ lengths of stay in treatment.
7: Compared with White Americans, African Americans and Latinos are more likely to receive ____________ .
8: African Americans, when receiving the same amount of services as White Americans, are _________ likely to be satisfied with those services.
9: According to Exhibit 5-1 Core Culturally Responsive Principles in Counseling African Americans, recovery is framed within
10: Longshore and Grills describe a culturally specific motivational intervention  for African Americans that makes use of the core African American value of
11: Counselors working with African American families should be willing to use
12: Group therapy can be an important treatment component for African Americans due to all of the following except:
13: Research suggests that African Americans who attend 12-Step programs
14: According to NESARC data, African Americans are twice as likely as Latinos and nearly three times as likely as White Americans to receive __________ for their drug use.
15: Which of the following reflects Asian cultures' perspective on substance use?
16: Excessive alcohol use, intoxication, and substance use disorders are more prevalent among
17: According to the National Latino and Asian American Study, Asians who are __________ acculturated are at greater risk for prescription drug abuse.
18: Substance abuse appears higher for
19: Research has regularly found that, of all major racial/ethnic groups in the US, Asian Americans have the ___________ rates of alcohol use disorders.
20: Most Asian American views focus on the importance of all of the following except:
21: Asian Americans are more likely to present with
22: Asian Americans who first seek help for psychological problems are less likely to consult
23: Compared with the general population, Asian Americans are ____________ likely to have confidence in their medical practitioners.
24: In Asian cultural groups, the physical and emotional aspects of an individual's life are
25: Many Asian American clients expect counselors to be
26: The norm in Asian families is that ________________ must be shared only among family members.
27: Asian Americans are twice as likely as other Americans to report making use of
28: About 45% of Asian Americans are
29: Latinos include more than ____________ national and cultural subgroups that vary by national origin, race, generational status in the US, and socioeconomic status.
30: For many Latino men _________ drinking is discouraged and seen as deviant.
31: Substance abuse problems are judged much more harshly for
32: Many Latinos often 'age out' of heavy drinking after frequent and heavy alcohol use in their 20s.
33: Which of the following is a barrier to treatment entry for Latinos?
34: Some Latino cultural groups view time as
35: Which of the following four main themes surrounding general counseling issues and programmatic strategies for Latinos may be especially important for undocumented workers or recent immigrants?
36: What term refers to the centrality of the family in Latino culture?
37: Family therapy with Latinos should focus on
38: Mutual-help groups that practice terapia dura endorse family values related to 
39: There are _______________ federally recognized American Indian Tribes.
40: Most Tribes first encountered the use of alcohol when they encountered
41: Native American recovery movements have often viewed substance abuse as a result of cultural conflict between
42: American Indians and Alaska Natives have higher rates of
43: The most common pattern of abusive drinking among American Indians appears to be binge drinking followed by ___________ periods of abstinence.
44: Native Americans are about ______________ times more likely than White Americans to have a lifetime diagnosis of an alcohol use disorder.
45: Native American communities have experienced severe
46: Among Native Americans, which of the following is not a commonly cited reason for not attending behavioral health treatment?
47: Native Americans were _____________ likely to enter treatment as a result of criminal justice referrals than were White Americans or African Americans.
48: Using Exhibit 5-3, which of the following best describes Coyhis' 'healing forest' model?
49: An essential step to culturally competent practice is to
50: Using Advice to Counselors:  Counseling Native Americans, when working with Native American clients, all of the following are recommended except:
51: The Native American concept of family can include
52: Which of the following best describes when members sit in a circle and a symbolic item is passed around and each person speaks when he or she is handed the item?
53: American Indian philosophy sees the great forces of life and nature as
54: The Native American Wellbriety movement is a modern, indigenous
55: The spiritual traditions of Native Americans are conceived of as
56: White Americans tend to perceive drug use as an activity that occurs _________ their families and communities.
57: Rates of current alcohol use were ____________ for White Americans than for every other major ethnic/racial group.
58: White Americans are _________ likely than African Americans or Latinos to have an alcohol use disorder.
59: White Americans are __________ likely than African Americans or Latinos to meet diagnostic criteria for a drug use disorder at some point during their lives.
60: White Americans are ___________ likely to receive mental health treatment or counseling than other racial/ethnic groups.
61: According to 2010 NSDUH data regarding people who recognized a need for substance abuse treatment in the prior year but did not receive it, White Americans were more likely than members of other major racial/ethnic groups to state that it was because
62: White American families in therapy can have trouble adjusting to work that focuses on
63: For questions 63-72, please refer to Chapter 6.  In the scenario about Lisa, her counselor recommends that she
64: Using How to Identify Key Characteristics of a Drug Culture on pages 162-163, this exercise may be more aptly used in a group if
65: Using How to Identify Key Characteristics of a Drug Culture on pages 162-163, discussion in group settings should remain centered on
66: White's term, acultural addict, refers to someone who initiates and sustains their substance use in relative
67: Subcultures tend to focus on
68: In Exhibit 6-3, Stephens (1991) analyzed value statements from people addicted to ____________________.
69: For substance use and abuse, drug cultures serve as
70: ____________ adolescents and young adults find drug cultures particularly appealing.
71: Counselors can assess a client's relationship with a drug culture by talking to clients about
72: Behavioral health service providers need to help their clients

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Free State Social Work, LLC, provider #1235, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Free State Social Work, LLC maintains responsibility for this course. ACE provider approval period: 9/6/2021 - 9/6/2024. Social workers completing this course receive 5 continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.

G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course.  She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience.  She has lived and worked as a social worker in Chicago, Boston, and Kansas City.  She currently practices in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.