Addressing Disparities in Mental Health Agencies: Strategies to Implement the National CLAS Standards in Mental Health

被引:15
作者
Barksdale, Crystal L. [1 ,2 ]
Kenyon, Jennifer [1 ]
Graves, Darci L. [1 ]
Jacobs, C. Godfrey [1 ]
机构
[1] SRA Int Inc, Hlth Determinants & Dispar Practice, Rockville, MD 20852 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
关键词
cultural and linguistic competency; health policy; National CLAS Standards; CULTURAL COMPETENCE; ETHNIC DISPARITIES; PERFORMANCE-MEASURES; CARE; SERVICES; EXPERIENCES; PSYCHOLOGY; OUTCOMES; SYSTEMS; TRENDS;
D O I
10.1037/a0035211
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Historically, the mental health system has not effectively addressed the needs of culturally and linguistically diverse individuals (President's New Freedom Commission on Mental Health, 2003), which has contributed to significant racial and ethnic disparities in mental health care (USDHHS, 2001). This paper focuses on exploring how a U.S. Department of Health and Human Services' Office of Minority Health policy initiative, the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (or the National CLAS Standards), may be used by mental health agencies to reduce mental health care disparities. The National CLAS Standards are a set of action steps that inform and facilitate the implementation of culturally and linguistically appropriate services. We first discuss the role of cultural and linguistic competency in mental health care disparities reduction efforts, and then describe specific strategies to facilitate the organizational implementation of the National CLAS Standards.
引用
收藏
页码:369 / 376
页数:8
相关论文
共 66 条
  • [1] One Size Does Not Fit All: Taking Diversity, Culture and Context Seriously
    Alegria, Margarita
    Atkins, Marc
    Farmer, Elizabeth
    Slaton, Elaine
    Stelk, Wayne
    [J]. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH, 2010, 37 (1-2) : 48 - 60
  • [3] [Anonymous], 2004, BRIDG CULT DIV HLTH
  • [4] [Anonymous], 2003, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
  • [5] Changes in Racial-Ethnic Disparities in Use and Adequacy of Mental Health Care in the United States, 1990-2003
    Ault-Brutus, Andrea Alexis
    [J]. PSYCHIATRIC SERVICES, 2012, 63 (06) : 531 - 540
  • [6] System-Level Change in Cultural and Linguistic Competence (CLC): How Changes in CLC are Related to Service Experience Outcomes in Systems of Care
    Barksdale, Crystal L.
    Ottley, Phyllis Gyamfi
    Stephens, Robert
    Gebreselassie, Tesfayi
    Fua, Imogen
    Azur, Melissa
    Walrath-Greene, Christine
    [J]. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY, 2012, 49 (3-4) : 483 - 493
  • [7] Betancourt JR, 2003, PUBLIC HEALTH REP, V118, P293, DOI 10.1093/phr/118.4.293
  • [8] National trends in ethnic disparities in mental health care
    Blanco, Carlos
    Patel, Sapana R.
    Liu, Linxu
    Jiang, Huiping
    Lewis-Fernandez, Roberto
    Schmidt, Andrew B.
    Liebowitz, Michael R.
    Olfson, Mark
    [J]. MEDICAL CARE, 2007, 45 (11) : 1012 - 1019
  • [9] Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model
    Brach, C
    Fraser, I
    [J]. MEDICAL CARE RESEARCH AND REVIEW, 2000, 57 : 181 - 217
  • [10] Race Differences in the Receipt of Mental Health Services Among Young Adults
    Broman, Clifford L.
    [J]. PSYCHOLOGICAL SERVICES, 2012, 9 (01) : 38 - 48