The chapter discusses elements of Afrocentricity; pointing out that Afrocentric scholars de-emphasize the marginalization of people of African ancestry and place them at the center of all discourses. It focuses on the need to contextualize a treatment framework that encompasses the confluence of a family’s idiosyncratic processes and the Nguza Saba, the seven principles of Kwanzaa. The chapter explores how an Afrocentric perspective can be used in family treatment with African Americans, and focuses on how the construct of intersectionality can be used to contextualize the lives of this group. It provides an overview of slavery, highlighting the multiple ways in which families have been affected. Slave trauma syndrome and posttraumatic slave syndrome are two relatively new constructs that are receiving attention from social scientists who have argued that the horrendous acts of physical and psychological violence perpetrated under the institution of slavery have culminated in psychic trauma.
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This chapter focuses primarily on domestic violence and social work practice with low-income immigrant women, particularly those who are undocumented. Impressive social and legal remedies were achieved for victims of domestic violence in the beginning of the women’s movement. However, legislative and regulatory changes were critically needed for domestic violence victims with immigrant and refugee status to ensure their ability to access needed social welfare services and public benefits such as income support, healthcare, employment, education, housing, and personal social services. In addition, social workers were challenged to develop new models of intervention and practice that addressed the needs of immigrant domestic violence victims. An understanding of how different immigrant communities view domestic violence can help social workers begin to reformulate their practice, advocate for policy changes, and formulate effective responses to assist battered immigrant women.
- Go to chapter: Using the Culturagram and an Intersectional Approach in Practice With Culturally Diverse Families
From the beginning of the profession, social workers have stressed the importance of respect for clients from diverse backgrounds. The most recent Code of Ethics advises social workers to understand cultural differences among clients, to demonstrate competence in working with people from different cultures, and to work against discrimination based on immigration status. This chapter discusses the culturagram, a family assessment instrument that grew out of the recognition that families are becoming increasingly culturally diverse and that social workers must be able to understand cultural differences among and within families. Completing a culturagram for a family can help a clinician develop a better understanding of the sociocultural context of the family, which can shed light on appropriate interventions to take with the family. The chapter examines the ten aspects of the culturagram and provides case vignettes.
Treatment outcome studies in the discipline of social work, psychology, and psychiatry have demonstrated the efficacy and effectiveness of differential psychotherapy approaches in addressing the psychological needs of individuals across the life span. Throughout the last four decades, scholar-practitioners have engaged in a professional quest to find evidence to support the efficacy of psychotherapy in ameliorating an array of clinical symptoms and levels of distress in identified patient or client populations. This chapter presents an overview of evidence-based practice with ethnically diverse clients. Predicated on an integrative understanding of evidence-based practice and cultural competency in mental health and clinical care settings, and on the importance of intersectionality as the guiding theoretical perspective for effective delivery of patient-centered services, it presents selected conceptual frameworks for the cultural adaptation of evidence-based treatments. The chapter highlights culturally adapted cognitive-behavioral therapy as an exemplar of evidence-based treatment for ethnic and racially diverse patient populations.
Suicide is a problem that knows no cultural boundaries. As the minority population in the United States continues to grow, it is essential for health and mental health providers to develop culturally relevant prevention and intervention efforts to address these at-risk populations. Risk and protective factors vary across culture and ethnicities, as do attitudes and perspectives regarding suicide acceptability. Intervention and prevention efforts should be guided by culturally relevant risk and protective factors for suicide and an understanding of attitudes toward suicide among the target population. This chapter explores the diverse demographic and ethnic profile of suicidal behavior in the United States and reviews known psychosocial risk factors for suicide within these cultural groups. It reviews the critical factors related to culture to be considered when conducting a risk assessment with suicidal clients. The chapter explores the treatment of suicidal individuals from culturally competent and evidence-based practice perspectives.
- Go to chapter: The Multicultural Triangle of the Child, the Family, and the School: Culturally Competent Approaches
The Multicultural Triangle of the Child, the Family, and the School: Culturally Competent Approaches
As cultural diversity increases in the United States, school social workers and psychologists are on the front lines of empowering children and families to deal effectively with a public school system that has the power to influence the lives of children and families in positive and negative ways. The development of bilingual, bicultural, and culturally competent social workers is critical for a positive interaction and healthy relationship among the child, the family, and the school systems, especially when a child demonstrates some form of learning difficulty. Culturally competent school clinicians play a central role in appreciating and dealing with the power, powerlessness, and unequal power relationships that are inherent in these systems. Empowering diverse families will result in vast numbers of children experiencing more satisfying and productive relationships with the educational system and will help them reconcile the various cultural challenges presented by the home, the community, and the school.
This chapter hopes to raise service providers’ knowledge by providing a framework for understanding immigration policies, with a focus on three particular newcomer populations: women, youth, and refugees. Understanding newcomer clients’ strengths as well as challenges, including legal immigration challenges, will allow providers to develop, in partnership with the client, a comprehensive action plan to move forward. The chapter provides a brief overview of key legal classifications in U.S. immigration law, such as definitions for undocumented, immigrant, and citizen. It focuses on women, youth, and refugees and their particular legal challenges as well as strengths. As refugees are a particularly vulnerable group, the chapter details the process for applying for refugee status and how service providers can support asylum seekers. It concludes with overall suggestions on cultural competency in serving newcomer communities.
Individuals of diverse cultures suffer from substance use disorders (
SUDs). These individuals and the families that love them face devastating adverse consequences. It is crucial for research to continue to develop best practices and policies that address the public health emergency that exists across all socioeconomic levels, races, genders, cultures, and so on. This chapter highlights the importance of addressing the current public health crisis of substance abuse and SUDswith various population groups from different cultural backgrounds. It emphasizes client-centered practice from an intersectional perspective with a special focus on families. Health practices and policies that decrease disparities in healthcare are important to the well-being of marginalized groups from different cultures. Culture and its impact on perceptions, beliefs, and behaviors of different groups are critical to developing evidence-based treatments for substance abuse that are efficacious.
This chapter highlights both the strengths of Arab American families and the challenges they face, as well as outline recommendations for clinical social work practice. It also highlights important similarities, differences, and false assumptions associated with Arab culture. It is essential to understand the culture of Arab American immigrants, their strengths and needs, their cultural attitudes toward mental health services, and the post-9/11 anti-Arab political climate before choosing an appropriate intervention approach. Based on these issues, social workers need to take into consideration the diverse cultural values held within the Arab community while practicing within mainstream American health delivery systems. Additionally, providers must educate themselves on Arabic culture and Islamic values. Finally, it is imperative that clinicians explore other appropriate approaches when dealing with Arab individuals, families, and communities that reflect on their experiences, such as linkages to immigration services or partnering with an imam for counseling.
- Go to chapter: Transracial Adoption and Transracial Socialization: Clinical Implications and Recommendations
Critical discourse on domestic adoption practices and the colonization of children of color via international adoption is ongoing, as adoption represents part of the larger narrative of historical oppression and institutionalized discrimination of communities of color domestically and internationally. The prevalence, continuation, and long-term outcomes of transracial adoption remain controversial. Considerable research over the past two decades has explored a variety of factors related to domestic and international transracial adoption. Extant research covers identity development of transracial adoptees, adoption microaggressions, names and identity for transracial adoptees, authenticity for transracial adoptees, and racial, ethnic, and cultural socialization of adoptees. This chapter provides a brief history of domestic and international transracial adoption practices, knowledge about transracial socialization patterns (i.e., racial, ethnic, and cultural) and their long term effects, and an understanding of the clinical implications of working with transracially adopted individuals. In addition, it provides a case vignette and discussion questions.