Cultural Competence and Individualized Care in Service Provision
Cultural Competence and Individualized Care in Service Provision
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服务提供中的文化能力和个性化护理
DOI：
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
BraVada Garrett
中科院分区：
文献类型：
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作者：
BraVada Garrett
无家可归的美国人，特别是那些有孩子的人，正变得越来越多样化。随着他们的多样性增加，提供者也应该努力以更适合文化的方式促进他们的过渡，以适应这些家庭。因此，本章实现了三个目标。第一，本章重点关注历史上被边缘化的家庭在无家可归者中所占比例过高的问题。通过案例的使用，它探讨了文化和文化能力的概念，因为它们涉及到提供文化适应服务，无家可归的家庭。第二，本章讨论了家庭在试图获得适足住房资源时面临的个人和系统性障碍（包括压迫反应Syndrome的发展）。从经济差距，父母的健康，健康/心理健康系统的不信任，历史创伤，暴露于暴力和不良的童年经历的障碍进行了讨论。最后，本章回顾了为无家可归的父母提供的有希望的方案。提供案例说明系统如何克服障碍，提供文化上胜任的服务，包括父亲，提供全面的支持（如儿童保育，膳食，交通和财政津贴），解决青少年的需要，父母的愤怒/压力，社区暴力，创伤，以及文化肯定和社区参与战略。总之，据推测，文化上胜任的服务提供系统的家庭谁经历无家可归必须以家庭为导向，以家庭为中心，文化肯定，和创伤知情。
The population of Americans without homes, especially those with children, is becoming increasing diverse. As their diversity increases, so should provider efforts to accommodate those families by facilitating their transitions in more culturally appropriate ways. Thus, three objectives are met through this chapter. First, this chapter focuses on the disproportional representation of historically marginalized families among those who experience homelessness. Through the use of case examples, it explores the notions of culture and cultural competence as they relate to providing cultural adaptations in services to homeless families. Second, this chapter addresses both the personal and systemic barriers (including the development of Oppression Reaction Syndromes) that families face in their attempts to access adequate housing resources. Barriers ranging from economic disparities, parental wellness, distrust of health/mental health systems, historical trauma, exposure to violence, and adverse childhood experiences are discussed. Finally, this chapter reviews promising programs for parents experiencing homelessness. Case examples are provided to illustrate how systems can overcome barriers by offering culturally competent services that include fathers, provide holistic support (such as childcare, meals, transportation access, and financial stipends), address the needs of adolescents, parental anger/stress, community violence, trauma, as well as cultural affirmation and community engagement strategies. In conclusion, it is surmised that culturally competent service delivery systems for families who experience homelessness must be family-directed, family-centered, culturally affirming, and trauma-informed.
影响因子：
16.4
作者：
Steele, CM
通讯作者：
Steele, CM