Cultural Competence in Evaluation

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LINKS TO RESOURCES ON CULTURAL COMPETENCE IN EVALUATION

The AEA Task Force on Cultural Competence in Evaluation has compiled the following links as a resource for evaluators. These links reflect efforts to address cultural competence across disciplines and areas of application. They also give evaluators a sense of the broad scope of work addressing cultural competence.

Periodically, we review the links below for accuracy and to ensure that each is live. However, links can go out of date quickly. Please contact us if you encounter a broken link, or if you have a suggestion for the site that we should consider adding.

Contents:

Cultural Competence in Major Clearinghouses and Archives
General Information on Cultural Competence
Geriatrics and Cultural Competence
Guidelines, Policies, Standards, and Statements on Cultural Competence
Healthcare and Cultural Competence
Management and Business and Cultural Competence
Mental Health and Cultural Competence
Research, Evaluation, and Assessment and Cultural Competence
Youth and Cultural Competence

Cultural Competence in Major Clearinghouses and Archives

Arizona Department of Health Services - Division of Behavioral Health
Cultural Competence Resources
This site contains many links to reports and resources. It states that in light of Arizona’s rapidly changing demographics, the delivery of behavioral health services by competent providers to cultural and linguistic racial and ethnic minority populations has become a priority.

Arizona Hispanic Center of Excellence
Hispanic Health Subject Guide on Cultural Competence
This is the Arizona Hispanic Center of Excellence's page on cultural competence. Many links are listed as resources for further information.

Awesome Library
Page on Cultural Competence
This is the Awesome Library's page on Cultural Competence, including multiple links to papers regarding cultural competence. A useful but somewhat dated resource.

Center for Cultural Competence
Homepage
The Center for Cultural Competence is a program of the Luz Academy and Luz Social Services, Inc. Their goal is to create a centralized hub to obtain and share information pertaining to culturally relevant theories, practices, and policies germane to charter schools with large Hispanic populations. A useful but somewhat dated resource.

Center for Effective Collaboration and Practice
Page on Cultural Competence
Developed by the The Center for Effective Collaboration and Practice, this page provides answers to frequently asked questions such as "How does Cultural Competence differ from Cultural Sensitivity/Awareness?" as well as a page with links for finding more information. The Center considers cultural competence one of their “issue areas.”

Commonwealth Fund
List of Resources on Cultural Competence
This is the Commonwealth Fund’s list of publications and reports on cultural competence and health care.

Dartmouth College Biomedical Library
Cultural Awareness in Healthcare Research Guide
This site provides links to areas such as: culturally sensitive health care, why cultural competence is important, interpersonal skills in promoting cultural sensitivity, and other areas of interest.

The Diversity in Philanthropy Project
Homepage
The Diversity in Philanthropy Project explores common principles and promising practices to expand diversity-focused practice. Information is also given on how philanthropic agencies can increase their investment in diversity in order to enhance effectiveness and impact of mission-based work. The site lists diversity reports, grant examples, case studies, data sets, testimonials, briefings, promising practices, toolkits, helpful resources and more. One case study of interest that is highlighted on the site is: Evaluation With a Diversity Lens: Exploring It Function and Utility to Inform Philanthropic Effectiveness

Foundation Center
Diversity in Philanthropy: A Comprehensive Bibliography of Resources Related to Diversity Within the Philanthropic and Nonprofit Sectors
This document provides references to literature that addresses different areas of diversity within philanthropy. References are also included for the practices of foundations and nonprofits, and theoretical issues. This document also provides practical how-to guides to philanthropy and grant-making within this area. References encompass traditions of giving among different racial groups, women, LGBT community, individuals with disabilities, economically disadvantaged individuals, and rural individuals; as well as articles on social justice & social change.

Georgetown University - Center for Child and Human Development
Page on Cultural and Linguistic Competence
This is Georgetown University Center for Child and Human Development’s cultural competence page. The Georgetown University Center for Child and Human Development (GUCCHD) has long provided leadership in cultural and linguistic competence. Through a variety of programs and projects, the GUCCHD has provided the vision, leadership, knowledge, training and technical assistance to increase the capacity of systems and programs serving a broad array of individuals and families to design, implement and evaluate culturally and linguistically competent service delivery systems. Here you will find many links, as well as recent publications.

Georgetown University - National Center for Cultural Competence
Homepage
The mission of the Natinal Center for Cultural Competence (NCCC) is to increase the capacity of health and mental health programs to design implement, and evaluate culturally and linguistically competent service delivery systems. The NCCC embraces a conceptual framework and model for achieving cultural competence based on the work of Cross et al. (1989).

Internet FAQ Archives
Page on Cultural Competence
This website lists many links to cultural competence resources, and gives brief explanations to what cultural competence is, the rational for it, and how to become culturally competent.

Lucile Packard Foundation for Children's Health
Cultural Competency: Resource List
This Cultural Competency Resource List was prepared by California Tomorrow as part of a 2006 gathering of Packard Foundation grantees. It includes annotated links to websites and organizations, translations services, and readings.

National Community Anti-Drug Coalition Institute (CADCA)
Site Search for "Cultural Competence"
This is a keyword search of the National Community Anti-Drug Coalition Institute's website. The search provides links to articles, presentations, and news from CADCA related to cultural competence.

National Prevention Information Network
Page on Cultural Competence
The National Prevention Information Network describes cultural competence and offers links to promote further learning.

State University of New York at Buffalo Health Science Library
Cultural Competence Resources Page
The University at Buffalo lists links to cultural competence resources.

US Department of Health and Human Services - Health Resources and Services Administration
Cultural Competence Resources for Health Care Providers
This webpage links to training, research, and assessment tools, among other resources.

University of California, San Francisco Department of Medicine
Site Search for "Cultural Competence"
This webpage includes a plethora of links related to cultural competence compiled by the University of California, San Francisco, Department of Medicine.

University of Iowa Hardin Library for the Health Sciences
Cultural Competence Page
This webpage lists an abundance of suggested books, videos, assessment tools, curriculum resources, and additional links pertaining to cultural competence.

General Information on Cultural Competence

Arizona Hispanic Center of Excellence
Hispanic Health Subject Guide on Cultural Competence
This is the Arizona Hispanic Center of Excellence's page on cultural competence. Many links are listed as resources for further information.

Awesome Library
Page on Cultural Competence
This is the Awesome Library's page on Cultural Competence, including multiple links to papers regarding cultural competence. A useful but somewhat dated resource.

Center for Cultural Competence
Homepage
The Center for Cultural Competence is a program of the Luz Academy and Luz Social Services, Inc. Their goal is to create a centralized hub to obtain and share information pertaining to culturally relevant theories, practices, and policies germane to charter schools with large Hispanic populations. A useful but somewhat dated resource.

Center for Effective Collaboration and Practice
Page on Cultural Competence
Developed by the The Center for Effective Collaboration and Practice, this page provides answers to frequently asked questions such as "How does Cultural Competence differ from Cultural Sensitivity/Awareness?" as well as a page with links for finding more information. The Center considers cultural competence one of their “issue areas.”

Commonwealth Fund
List of Resources on Cultural Competence
This is the Commonwealth Fund’s list of publications and reports on cultural competence and health care.

Henry J. Kaiser Family Foundation
Compendium of Cultural Competence Initiatives in Health Care
The compendium was prepared in response to the many requests from the media and others to define cultural competency and identify efforts underway in this emerging field.

National Consumer Supporter Technical Assistance Center
A Cultural Competency Toolkit: Ten Grant Sites Share Lessons Learned
The National Consumer Supporter Technical Assistance Center reports on a cultural competency toolkit and what ten grant sites learned from one another.

National Multicultural Institute
Homepage
NMCI's mission is to work with individuals, organizations, and communities in creating a society that is strengthened and empowered by its diversity. Through its initiatives, NMCI leads efforts to increase communication, understanding and respect among people of diverse backgrounds and addresses some of the important systemic issues of multiculturalism facing our society.

National Prevention Information Network
Page on Cultural Competence
The National Prevention Information Network describes cultural competence and offers links to promote further learning.

National Science Teachers Association (NSTA)
Position Statement on Multicultural Science Education
NSTA believes that if our nation is to maintain a position of international leadership in science education, NSTA must work with other professional organizations, institutions, corporations, and agencies to seek the resources required to ensure science teaching for all learners.

State University of New York at Buffalo Health Science Library
Cultural Competence Resources Page
The University at Buffalo lists links to cultural competence resources.

Geriatrics and Cultural Competence

American Society on Aging
ASA Cultural Competency Article Search
The American Society on Aging lists multiple articles on cultural competence.

US Department of Health and Human Services - Administration on Aging
Resource Page on Tools and Resources
This page provides resources on Diversity, Cultural Competency, Translated Materials, and Lesbian, Gay, Bisexual, and Transgender issues related to aging.

Guidelines, Policies, Standards, and Statements on Cultural Competence

American Academy of Family Physicians (AAFP)
Cultural Proficiency Guidelines
The AAFP believes in working to address the health and educational needs of our many diverse populations. This page includes a list of issues to consider in preparing informational or continuing medical education material and programs has been developed to ensure cultural proficiency and to address specific health issues as they relate to special populations of patients and providers.

American Academy of Pediatrics (AAP)
Culturally Effective Pediatric Care
AAP published in Pediatrics its far-reaching policy statement, “Ensuring Culturally Effective Pediatric Care: Implication for Education and Health Policy.” This policy statement embraces a broad definition of “culture,” that includes the traditional concepts of race and ethnicity, but also extends to sexual orientation, socioeconomic status, religious beliefs, language, customs, gender, and other distinct attributes. Click on "Policy Statements" on the right side to access this, and other, such statements from AAP.

American Anthropological Association (AAA)
Statement on Race
This statement was adopted by the Executive Board of the American Anthropological Association, acting on a draft prepared by a committee of representative American anthropologists. It does not reflect a consensus of all members of the AAA, as individuals vary in their approaches to the study of race.

American Evaluation Association (AEA)
Cultural Reading of the Program Evaluation Standards (2nd Edition)
This site presents the Final Report of the Diversity Committee of the American Evaluation Association, approved by the AEA Board, November 2004. A Cultural Reading of The Program Evaluation Standards (2nd edition). This site contains the primary source materials, intermediate working documents and final reports of the Diversity Committee’s Cultural Reading Task Force as well as an opening orientation to the work of the Task Force and its many participants. The purpose of the cultural reading was to review The Program Evaluation Standards (2nd edition) with respect to coverage of cultural diversity, treatment of cultural concerns, and attention to cultural competence. The Joint Committee on Standards for Educational Evaluation considered this resource in developing the third edition of The Program Evaluation Standards (2010). Throughout this reflection, culture is broadly defined, inclusive of race, ethnicity, gender, age, sexual orientation, social class, disability, language, and educational level or disciplinary background. It includes both individual characteristics and those of a group or collective (e.g., community or organizational culture).

Guiding Principles for Evaluators
First developed in 1994 and revised in 2004, the Guiding Principles for Evaluators of the American Evaluation Association provide guidance on sound, ethical evaluation practice. Cultural Competence is explicitly addressed in section B. Competence, and cultural diversity is included in D. Respect for People. Section E. Responsibilities for General and Public Welfare addresses equity, fairness and the public interest.

American Nursing Association
Ethics and Human Rights
This page lists multiple statements from the American Nursing Association on Ethics and Human Rights including its position statement on cultural diversity in nursing practice. This statement describes the features of an operational definition of cultural diversity as it is expressed in nursing practice, education, administration and research.

American Physical Therapy Association
Guidelines for the Committee on Cultural Competence
The American Physical Therapy Association gives tips on how to increase cultural competency.

American Psychological Association (APA)
Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations
This page provides guidelines, illustrative statements, and references related to psychologist's work with ethnic, linguistic, and culturally diverse populations. The Guidelines, authored by the Task Force on the Delivery of Services to Ethic Minority Populations, represent general principles that are intended to be aspirational in nature and are designed to provide suggestions to psychologists in working with ethnic, linguistic, and culturally diverse populations.

American Sociological Association (ASA)
Diversity Statement
The ASA Council has approved the diversity statement to guide the organization in seeking members to serve as candidates for election and appointees to committees.

Commission to End Health Care Disparities
Addressing Health Care Disparities
This report of the Commission to End Health Care Disparities discusses the singular goal of ending disparities and presents ten core principles to guide policies that address racial and ethnic health care disparities. These principles guide specific strategies, including improving diversity and competence within the healthcare systems and its workforce.

International Federation of Social Workers
International Policy on Indigenous Peoples
This website presents the International Policy on Indigenous Peoples of the International Federation of Social Workers (IFSW). This policy statement is based upon and consistent with the principles of the Draft United Nations Declaration on the Rights of Indigenous Peoples, 1994.

The Minnesota Department of Human Services (DHS)
Guidelines for Culturally Competent Organizations
This is a link to the “Policy and Overview: The Minnesota Department of Human Services (DHS),” which encourages health and human services providers and organizations to demonstrate their ability to serve diverse populations before they serve individuals from diverse cultures. The organization and its personnel are always accountable for culturally appropriate services.

National Association of Social Workers (NASW)
NASW Standards for Cultural Competence
These standards were prepared by the NASW National Committee on Racial and Ethnic Diversity. It is a document about NASW's commitment to social justice for all. It states that discrimination and prejudice directed against any group are damaging to the social, emotional, and economic well-being of the affected group and of society as a whole. NASW has a strong affirmative action program that applies to national and chapter leadership and staff. It supports three national committees on equity issues: the National Committee on Women's Issues, National Committee on Racial and Ethnic Diversity and the National Committee on Gay, Lesbian and Bisexual Issues.

Indicators for the Achievement of the NASW Standards for Cultural Competency
This document gives descriptors, indicators, and interpretations about what culturally competent social work practice should look like for each cultural competence standard. The NASW "supports and encourages the development of standards for culturally competent social work practice, a definition of expertise, and the advancement of practice models that have relevance for the range of needs and services represented by diverse client populations."

National Association of State Mental Health Program Directors (NASMHPD)
Position Statement On Culturally Competent And Linguistically Appropriate Mental Health Services
NASMHPD recognizes that state mental health agencies face a growing challenge to accommodate an increasingly diverse constituency for mental health services nationwide. The provision of culturally and linguistically appropriate and accessible mental health services regardless of race, gender, age, disability, sexual orientation, national origin, language, religion or socioeconomic status challenges state mental health agencies to develop, expand, and evaluate effective, culturally competent services and treatment methods.

Cultural Competency: Measurement as a Strategy for Moving Knowledge into Practice in State Mental Health Systems - Final Report (from the National Technical Assistance Center for State Mental Health Planning)
A report from the National Technical Assistance Center for the State Mental Health Planning entitled Cultural Competency: Measurement as a Strategy for Moving Knowledge into Practice in State Mental Health Systems.

National Mental Health Association (NMHA)
Position 18: Cultural and Linguistic Competency in Mental Health Systems
NMHA position statement notes that it is essential that all aspects of mental health systems be reflective of the diversity of the communities that they serve and that mental health agencies strive to become and remain culturally and linguistically competent.

National Science Teachers Association (NSTA)
Position Statement on Multicultural Science Education
NSTA believes that if our nation is to maintain a position of international leadership in science education, NSTA must work with other professional organizations, institutions, corporations, and agencies to seek the resources required to ensure science teaching for all learners.

Society for Public Health Educators
Code of Ethics for the Health Education Profession
This site contains the Code of Ethics for the Health Education Profession. The Health Education profession is dedicated to excellence in the practice of promoting individual, family, and organizational and community health. Guided by common ideals, health educators are responsible for upholding the integrity and ethics of the profession as they face the daily challenges of making decisions. By acknowledging the value of diversity in society and embracing a cross-cultural approach, Health Educators support the worth, dignity, potential and uniqueness of all people. The Code of Ethics provides a framework of shared values within which Health Education is practiced. The Code of Ethics is grounded in fundamental ethical principles that underlie all health care services: respect for autonomy, promotion of social justice, active promotion of good and avoidance of harm. The responsibility of each health educator is to aspire to the highest possible standards of conduct and to encourage the ethical behavior of all those with whom they work. Regardless of job title, professional affiliation, work setting or population served, Health Educators abide by these guidelines when making professional decisions.

US Department of Health and Human Services - Agency for Healthcare Research and Quality
Homepage
There are many files and pages to be viewed regarding cultural competence here. Type “cultural competence” into the search box to bring up the many articles, including one on the CLAS (culturally and linguistically appropriate services) standards and cultural competence research agenda projects.

US Department of Health and Human Services - Office of Minority Health
Cultural Competency Section
The Office of Minority Health (OMH) has a cultural competency section on their website. The page gives access to resources and guides on providing culturally competent and patient-centered care across various health sectors. Also provided on the site are policies, initiatives, and laws that OMH has been a part of to combat health disparities. Links to organizations and programs dedicated to delivering culturally competent care are also provided, as well as training opportunities for health care professionals.

National Standards on Culturally and Linguistically Appropriate Services
This page contains the document Assuring Cultural Competence in Health Care: Recommendations for National Standards and an Outcomes-Focused Research Agenda. This project makes recommendations for national standards for culturally and linguistically appropriate services (CLAS) in health care. Based on an analytical review of key laws, regulations, contracts, and standards currently in use by federal and state agencies and other national organizations, these standards were developed with input from a national advisory committee of policymakers, health care providers, and researchers. Each standard is accompanied by commentary that addresses the proposed guideline's relationship to existing laws and standards, and offers recommendations for implementation and oversight to providers, policymakers, and advocates.

A Physician's Practical Guide to Culturally Competent Care
This online guide contains information regarding the increasing diversity of the United States' population, and how physicians are more and more likely to encounter situations that require the delivery of culturally competent care, access to a vast array of language services, and supportive healthcare organizations.

Healthcare and Cultural Competence

American College of Emergency Physicians
Cultural Awareness and Emergency Care
Cultural competence is the ability of the health care providers to understand and respond to the cultural needs brought by patients to the health care encounter. Cultural competency is directly related to the physician’s ability to understand a patient’s history and presenting symptoms and to prescribe a treatment plan mutually agreed on by the patient and physician.

American Physical Therapy Association
Guidelines for the Committee on Cultural Competence
The American Physical Therapy Association gives tips on how to increase cultural competency.

Association of American Medical Colleges (AAMC)
Tool for Assessing Cultural Competence Training (TACCT)
The Tool for Assessing Cultural Competence Training (TACCT) is an instrument that allows medical schools to examine the extent which cultural competence training is integrated into their curriculum. This tool assists schools in identifying and determining what components may be missing from their program of study. The goal of the tool is to increase the amount of cultural competence training in an given curricula so that health care professionals are given resources to provide the most comprehensive continuum of service to diverse populations.

Cultural Competencey Education for Medical Students: Assessing and Revising Curriculum
This document addresses the importance of providing medical students with a culturally competent curriculum. It outlines what it means to be culturally competent, what should be included in a medical school curriculum to address diversity, and it also includes how to assess students’ level of cultural competence through their attitudes, knowledge, and skills. The document describes how to use the Tool for Assessing Cultural Competence Training (TACCT), as well as how to develop and implement a culturally competent curriculum.

Association of Minority Health Professions Schools (AMHPS)
Cultural Competence and The Prevention Of Sexually Transmitted Diseases
This 2004 document describes the importance of culturally competent service in combating the transmission of sexually transmitted diseases. To promote culturally competent service, it cites that health care facilities use culturally relevant videotapes, utilize a diverse staff to educate the public and encourage certain safe practices, provide translation services, employ community workers who serve as advocates, and provide culturally competent trainings to employees. The document also provides recommendations on how to implement culturally competent prevention strategies and interventions. References are also provided.

athealth.com
Cultural Competence
This link is to athealth.com’s Friday's Progress Notes on cultural competence from March 16, 2001, Vol. 5 Issue 6. There are five articles related to cultural competence and physical and mental health. In addition, the Practitioner Home Page speaks of culturally competent mental health service providers as specially trained in specific behaviors, attitudes, and policies that recognize, respect, and value the uniqueness of individuals and groups whose cultures are different from those associated with mainstream America. There are further links to explore from the Practitioners Home Page, which is located at http://www.athealth.com/practitioner/.

Bright Futures
Cultural Competence Assessment - Primary Care (CCA-PC)
The Cultural Competence Assessment - Primary Care (CCA-PC) can be administered to families to elicit feedback about their experiences with their children’s health care. Knowledge of a family’s experiences and perceptions is a critical factor in improving cultural competence in the practice setting.

The California Endowment
A Manager's Guide to Cultural Competence Education for Health Care Professionals
This guide provides information on how to facilitate culturally competent trainings for health care professionals. It outlines the differences between cultural competence trainings and work force diversity trainings, as well as emphasizing that cultural competence is a ‘developmental process.’ The document gives tips on how to structure a cultural competence and what types of support and resources to consider based on the needs and cultural atmosphere of a particular organization. The guide provides a number of resources, such as individual cultural competence trainers, manuals, websites, and cultural competency training models.

Resource Page on Multicultural Health Evaluation
This website provides publications and resources on conducting Multicultural Health Evaluations and leader’s perspectives on Culturally Competent Evaluation. Documents listed on the site provide an overview of the history of multicultural evaluations, changes leading to more culturally competent evaluations, challenges and issues with conducting Multicultural evaluations, and opportunities to enhance Multicultural and Culturally Competent evaluations. Expert reports and perspectives from the field are also given on this site.

Center for Health and Heath Care in Schools
Caring Across Cultures: Achieving Cultural Competence in Health Programs at School Survey Results
The Center for Health and Heath Care in Schools writes about school health issues in terms of a lack of cultural competence. Research has documented that ethnic and racial minorities in the U.S. are less likely to have access to health care, more likely to experience health problems, and frequently unable to get the best help available from the health care system. To build health programs that benefit all students, health programs at school must take into account the needs of their culturally diverse communities. Several additional documents are listed.

Commonwealth Fund
List of Resources on Cultural Competence
This is the Commonwealth Fund’s list of publications and reports on cultural competence and health care.

Cross Cultural Health Care Program
Homepage
Since 1992, the CCHCP has been addressing broad cultural issues that impact the health of individuals and families in ethnic minority communities in Seattle and nationwide. Through a combination of cultural competency trainings, interpreter trainings, research projects, community coalition building, and other services, the CCHCP serves as a bridge between communities and health care institutions to ensure full access to quality health care that is culturally and linguistically appropriate.

culturaldiversity.org
Transcultural Nursing
This is a webpage devoted to transcultural nursing. It attempts to share with nurses and other healthcare professionals’ experiences and thoughts concerning the complexities involved in caring for people from diverse cultural backgrounds. The hope is to give some idea of the range of cultural behaviors and the need to understand people's actions from their own cultural perspective in health and illness.

Dental School Accreditation Standard
Research Shows Cultural Competency Training Needed
The current Dental School Accreditation Standard states that “graduates must be competent in managing a diverse patient population and have interpersonal and communication skills to function successfully in a multicultural work environment.” The Liaison Committee for Medical Education (accrediting authority for US and Canadian medical schools) developed two particularly relevant statements promoting education of culturally competent practitioners.

Diversity Rx
Homepage
Diversity Rx is supported by The National Conference of State Legislatures (NCSL), Resources for Cross Cultural Health Care (RCCHC), and Henry J. Kaiser Family Foundation of Menlo Park, CA. This site is dedicated to promoting language and cultural competence to improve the quality of health care for minority, immigrant, and ethnically diverse communities. There are many resources regarding cultural competence on this site.

Georgetown University - National Center for Cultural Competence
Homepage
The mission of the National Center for Cultural Competence (NCCC) is to increase the capacity of health and mental health programs to design implement, and evaluate culturally and linguistically competent service delivery systems. The NCCC embraces a conceptual framework and model for achieving cultural competence based on the work of Cross et al. (1989).

Greater Awareness for Idaho Nurses (GAIN)
Homepage
This website reflects the Department of Nursing at Boise State University’s initiative to increase the number of culturally competent nurses, as well as incorporating a culturally competent curriculum within the school’s nursing program of study. The website has numerous links to cultural and ethnic resources, demographics and stats, educational opportunities, theory, trainings, refugee resources, case studies, and general cultural competence resources. Articles, books and DVDS are also listed on the site.

Management Sciences for Health
The Provider’s Guide to Quality and Culture
This website is designed to assist healthcare organizations throughout the United States in providing high quality, cultural competent services to multi-ethnic populations. This site provides expanded health information for 9 cultural groups (African Americans, Arab Americans, Asian Americans, Central Asians, Hispanics/Latinos, Muslims, Native Americans, Pacific Islanders, South Asians), with references and links for each group.

Migrant Clinician’s Network
Cultural Competency
The Migrant Clinician’s Network lists many links regarding cultural competence in practice. The need for cultural competency pertains to both individual clinicians and staff as well as to the health care organization as a whole. This need is not new, but it has received greater emphasis recently as a result of several factors.

National Heath Care for the Homeless Council
Addressing Cultural and Linguistic Competence in the Healthcare for the Homeless (HCH) Setting: A Brief Guide
The guide states that although many people think that culture refers only to the knowledge, attitudes, beliefs, and behaviors influenced by race or ethnicity, the concept also includes factors such as age, gender, socioeconomic status, level of education, physical capacity, spirituality and religion, sexual orientation, and regional influences. This broad definition takes into account what HCH providers strive to do on a daily basis: skillfully deal with the individual concerns presented by each client.

National Medical Association - National Colloquium on African American Health
Cultural Competency
The National Colloquium on African American Health produced a report on promoting a culturally competent health care system in order to combat health disparities. Highlighted are an overview and key components of cultural competency and cultural transmission. Also included is the National Medical Association’s plan to incorporate cultural competency into its policy, training, delivery service, and continued education of health professionals.

Rural Assistance Center
Cultural Competence and Limited English Proficiency
Culturally and linguistically competent health and human services are essential for America’s diverse populations. They write about cultural competence as describing the ability of service delivery systems to provide quality assistance to clients with diverse values, beliefs, or traditions, including tailoring delivery to meet their social, cultural, and linguistic needs. It is a set of behaviors, attitudes, and policies that come together in an agency or among professionals enabling them to work effectively in cross-cultural situations.

US Department of Health and Human Services - Office of Minority Health
Cultural Competency Section
The Office of Minority Health (OMH) has a cultural competency section on their website. The page gives access to resources and guides on providing culturally competent and patient-centered care across various health sectors. Also provided on the site are policies, initiatives, and laws that OMH has been a part of to combat health disparities. Links to organizations and programs dedicated to delivering culturally competent care are also provided, as well as training opportunities for health care professionals.

US Department of Health and Human Services - womenshealth.gov
Health Professionals' Role in Women's Health
This is the US Department of Health and Human Services’ website entitled womenshealth.gov, which is the Federal Government’s source for women’s health information. This site states that cultural competency in health refers to being aware of cultural differences among diverse racial, ethnic, and other minority groups, respecting those differences, and taking steps to apply that knowledge to professional practice.

Management and Business and Cultural Competence

Alliance for Non-Profit Management
Cultural Competency in Capacity Building
These resources are relevant to nonprofit leadership and management, capacity building for nonprofit effectiveness, and the work of transforming the sector to generate large-scale change.

Mental Health and Cultural Competence

Multiethnic Advocates for Cultural Competence (MACC)
Homepage
Their mission is to enhance the quality of care in Ohio’s behavioral health system and to incorporate cultural competence into systems and organizations that provide care to Ohio’s most vulnerable and at-risk populations. There are a variety of resources listed on the webpage.

National Association for School Psychologists (NASP)
Culturally Competent Practice
NASP reaffirms its commitment to promote inclusive educational environments that respect and respond to differences in race, culture, ethnicity, and language. Through partnerships, recruitment efforts, bilingual publications, training, online resources, and advocacy, NASP promotes cultural competence in every area of school psychological service delivery. The website provides definitions for culture, cultural competence, as well as resources for cultural competence practice.

The Suicide Prevention Research Center (SPRC)
Suicide Prevention Resource Center Online Library
The Suicide Prevention Research Center (SPRC) is an Online Library that is a searchable database of the SPRC library collection and contains a detailed record for each resource. Resources are selected by professional librarians from a variety of sources such as published works, peer-reviewed research, curricula, and web-based resources and are aimed at promoting suicide prevention efforts, fostering prevention networks, and providing information on the scope of the suicide problem. This particular page contains resources on cultural competence and suicide.

Materials on How to Work Effectively With Different Populations
The Suicide Prevention Research Center (SPRC) provides a library homepage dedicated to cultural competence. It gives access to resources on how to successfully deliver and design culturally appropriate suicide prevention programs. A wide variety of resources are given for various populations and cultures.

US Department of Health and Human Services - Substance Abuse and Mental Health Services Administration (SAMHSA) National Health Information Center
Culture and Ethnicity Topic Links
Additional resources can be found by searching the key words “cultural competence” in their search box.

Western Interstate Commission on Higher Education (WICHE)
Cultural Competence Standards in Managed Mental Health Care
These cultural competence documents were produced under the auspices of the Western Interstate Commission for Higher Education (WICHE) Mental Health Program and the Center for Mental Health Services (CMHS) of the Substance Abuse and Mental Health Services Administration, and are part of the CMHS Managed Care Workforce Training Initiative of the University of Pennsylvania School of Medicine. Standards, guidelines and cultural competencies for managed behavioral health services for racial/ethnic populations were produced by four national panels with the recognition that in order to provide individualized mental health services, consumers should be viewed within the context of their cultural group and their experiences from being part of that group. These documents include a core set of standards for delivering culturally competent services, followed by ethnic-specific system and clinical standards and guidelines for African Americans, Asian and Pacific Islander Americans, Latinos, and Native Americans.

Research, Evaluation, and Assessment and Cultural Competence

American Speech-Language-Hearing Association
Self-Assessment for Cultural Competence
The website states that demographic and caseload changes related to culturally/linguistically diverse (CLD) populations require cultural competence in order to provide clinically competent services. ASHA resources were developed to help you reflect on your current level of cultural competence to increase and improve service delivery.

Bright Futures
Cultural Competence Assessment - Primary Care
The Cultural Competence Assessment - Primary Care (CCA-PC) can be administered to families to elicit feedback about their experiences with their children’s health care. Knowledge of a family’s experiences and perceptions is a critical factor in improving cultural competence in the practice setting.

British Columbia, Canada, Ministry for Children and Families
Cultural Competency Assessment Tool
The Ministry for Children and Families lists a Cultural Competency Assessment Tool, which was prepared by the Vancouver Ethnocultural Advisory Committee of the Ministry for Children and Families.

Claremont Graduate University and the Irvine Foundation
Campus Diversity Initiative Evaluation Project Resource Kit
This resource kit includes an extensive list of instruments. Instruments include how to assess: campus climate, student satisfaction, inter-group relations, faculty perceptions, student learning and involvement, curriculum, alumni perspective, and administration/staff perspective. It also provides reports, tools, framework guides, and highlights evaluation websites. The bibliography included also gives references for student learning, diversity, organizational learning, appreciative inquiry, institutional change, and evaluation & assessment.

The Colorado Trust
The Importance of Culture in Evaluation: A Practical Guide for Evaluations
This document highlights the evolution of more cross-culturally competent practices into their grantmaking due to the growing racial and ethnic populations in CO. They also address the shift in the methods and styles of evaluation they utilize to provide more cross-culturally competent practice. They emphasize the ability of the evaluator to more fluently across many cultures, hence achieving cross-cultural competence. They include the skills that a cross-cultural evaluator needs to encompass: how to ask questions and how to develop more useful evaluations for all stakeholders.

National Consumer Supporter Technical Assistance Center
A Cultural Competency Toolkit: Ten Grant Sites Share Lessons Learned
The National Consumer Supporter Technical Assistance Center reports on a cultural competency toolkit and what ten grant sites learned from one another.

Reflect & Learn
Self-Assessment Tools
Reflect & Learn provides various tools for organizations to conduct self-assessments based on their needs. Links to free assessments are provided for Cultural and Linguistic Competence Policy Assessment (CLCPA)- National Center for Cultural Competence and the Cultural Competence Self Assessment Protocol for Health Care Organizations and Systems.

University of Kansas
The Community Toolbox Section on Enhancing Cultural Competence
The Community Tool Box provides a framework and support for assessing and enhancing cultural competence in the individual, organization, group or community.

Youth Development Cultural Competence Continuum Quiz
Accomplishing Cross Cultural Competence in Youth Development Programs
Bonita William’s 2001 article in the Journal of Extension, Accomplishing Cross Cultural Competence in Youth Development Programs, contains the Youth Development Cultural Competence Continuum Quiz. The quiz was designed to help practitioners evaluate their own level of cultural competence. It is composed of seven questions and is based on a 5 point Likert scale. Scores range from ‘cultural destructiveness’ (8 to 13 points) to ‘cultural competence’ (33 to 40 points).

Youth and Cultural Competence

Advocates for Youth
Cultural Competency Page
This is the Advocates for Youth’s page on cultural competency and adolescent reproductive and sexual health. Youth who face prejudice and discrimination by virtue of their identity, life experience, or family circumstances disproportionately experience teen pregnancy and HIV/STI infection. Such young people may include youth of color, those from low-income families, immigrants, and gay, lesbian, bisexual, transgender, and questioning youth (GLBTQ). Research often focuses on the socioeconomic factors—such as poverty, family distress, and access to health care—which contribute to teenage sexual risks. However, researchers focus little attention on the effects of discrimination that is based on age, race, gender, class, and sexual orientation.

American Humane Association
Child Protection Position Statements
The American Humane Association has a number of position statements on how the child welfare system is to provide the most comprehensive continuum of care. One statement, Cultural Appropriateness of Child Welfare Agencies: asserts that the American Humane Association promotes a culturally appropriate child welfare system, which highlights each culture’s unique assets, is mindful of cultural differences and includes cultural knowledge and understanding into service delivery. The American Humane Association emphasizes providing a child welfare system that values diversity for its clients and staff and provides accessible resources and services to all cultures.

Bright Futures
Cultural Competence Assessment
Brightfutures.org released a publication entitled Cultural Competence Assessment - Primary Care. The Cultural Competence Assessment - Primary Care (CCA-PC) can be administered to families to elicit feedback about their experiences with their children’s health care. Knowledge of a family’s experiences and perceptions is a critical factor in improving cultural competence in the practice setting.

Center for Cultural Competence
Homepage
The Center for Cultural Competence is a program of the Academy and Luz Social Services, Inc. Their goal is to create a centralized hub to obtain and share information pertaining to culturally relevant theories, practices, and policies germane to charter schools with large Hispanic populations. A useful but somewhat dated resource.

Center for Health and Heath Care in Schools
Caring Across Cultures: Achieving Cultural Competence in Health Programs
The Center for Health and Heath Care in Schools writes about school health issues in terms of a lack of cultural competence. Research has documented that ethnic and racial minorities in the U.S. are less likely to have access to health care, more likely to experience health problems, and frequently unable to get the best help available from the health care system. To build health programs that benefit all students, health programs at school must take into account the needs of their culturally diverse communities. Several additional documents are listed.

Child Welfare League of America - Division of Cultural Competence
Culture and Diversity Resource Page
The Division of Cultural Competence is responsible for the development and implementation of cultural competence program principles, goals, operational objectives, and activities for CWLA staff and member agencies. The Division coordinates CWLA's disproportionality efforts, conducts cultural competence assessments, develops curriculum, and provides resources and training support when necessary or when requested by CWLA staff, member agencies, or the Board of Directors.

Georgetown University Center for Child and Human Development
Page on Cultural and Linguistic Competence
This is Georgetown University Center for Child and Human Development’s cultural competence page. The Georgetown University Center for Child and Human Development (GUCCHD) has long provided leadership in cultural and linguistic competence. Through a variety of programs and projects, the GUCCHD has provided the vision, leadership, knowledge, training and technical assistance to increase the capacity of systems and programs serving a broad array of individuals and families to design, implement and evaluate culturally and linguistically competent service delivery systems. Here you will find many links, as well as recent publications.

National Council of Teachers of English
Students' Right to Their Own Language
In 1972, the Executive Committee of the Conference on College Composition and Communication (CCCC) passed a resolution on "students' rights to their own patterns and varieties of language." Based on that resolution, CCCC created a position statement entitled "Students' Right to Their Own Language," which was adopted at the CCCC Annual Convention in April 1974. The position statement was published in a special issue of the CCCC journal College Composition and Communication (Fall 1974, Volume 25).

Ohio State University Extension
Helping Children Develop Cultural Competence - Extension Fact Sheet
This succinct fact sheet defines cultural competence, and offers suggestions for talking with children honestly and early to prevent what the author terms, “pre-prejudice.” References included.

University of California, Los Angeles
The Role Of State Early Childhood Comprehensive Systems
This is a UCLA publication entitled The Role of State Early Childhood Comprehensive Systems in Promoting Cultural Competence and Effective Cross-Cultural Communication. Following an introduction to culture and its relevance to Early Childhood Comprehensive Systems, this co-authored report discusses the implications of cultural competence for early childhood policy and addresses issues for provider training and service delivery. References included.

US Department of Health and Human Services - Administration for Children and Families - Child Welfare Information Gateway
Cultural Competence Resources
This is the Child Welfare Information Gateway’s page on cultural competence with links to other resources. These resources are to help workers, agencies, and systems better understand and enhance their cultural competence. This page includes information on working with children, youth, and families; disproportional representation of minority groups in the child welfare system; culturally competent services; training for child welfare staff; and the specific role of cultural competence in child maltreatment, out-of-home care, and adoption.