Vignette Case Study Hong Kong

The possibility that other family members will want to be involved using an outside resource is very slim. However, because Kim-Ly grew up in American culture and considers herself to be Americanized, this will be a strength for her as she navigates through the process of emotional healing and independence. It is important to note that an acculturative conflict exists between Kim-Ly and her parents that would require a culturally competent social worker in this arena. Moreover, experts suggest that immigrant family members acculturate at different rates resulting in an acculturation gap, which negatively influences family adjustment (Ho & Birman, 2010). In this case, the social worker must understand how biculturalism influences the structures, communication, and dynamics of the family (Sue, Rasheed & Rasheed,

The sudden death of a loved one can be overwhelming, frightening and painful experience. The psychological, social and physical effects of loss are articulated through the practice of grief. How individuals grieve depends on many factors: their support system; the circumstances of the death; the response by family members, friends and the criminal justice system; the nature of the relationship with the deceased; religious or cultural beliefs and customs; and the individuals coping skills.

Tokenism occurs when cultural diversity and difference are not affirmed and embedded in everyday practices in the program (A. Kennedy, 2010, p 17). Therefore it is important to ensure that the educator understands the child’s culture as there is the potential to be more than one culture within a country, therefore it is important not to stereotype different cultures when addressing them. When discussing these cultures with children it is important to find similarities within the cultures, which will connect the children and ensure there is not any biases towards other cultures. Tokenism can be avoided through continuing to have a close relationship with families, to ensure where change within the family dynamic is occurring, continuing to undertake

In this assignment I will be discussing two forms of therapies, family therapy as well as narrative therapy. The assignment will begin with an overview of both family therapy and narrative therapy. I will discuss the key concepts, techniques, therapeutic goals as well as client-therapist relationship. I will then proceed to discuss whether family therapy and narrative therapy are able to be applied in a multicultural context. The assignment will then conclude with how family therapy and narrative therapy is applied in certain situations to clients and how each one will benefit the client. A brief comparison between narrative therapy and family therapy will also be given.

Grief is defined as the neuropsychobiological response to any kind of significant loss, with elements both typical and unique to each individual or situation. The response is mostly associated with degrees of suffering, at times intense or even unbearable, and of widely variable duration. Grief is an individual or a larger group of individuals’ event where they are thrown out of equilibrium through changes brought on by loss.

One of the most integral parts of cultural competency is the process of successfully becoming culturally competent. After synthesizing available research on the topic I have constructed four main steps in becoming culturally competent. Those include self-awareness, understanding various aspects of the culturally diverse population for whom you care for, practice evidence based medicine as it relates to culturally diverse populations and continuing education (Kodjo, 2009; Purnell, 2012).

It is a story about a family who shows so much loyalty to their traditions and cultures, but it clashes with the strict American “norm” and creates conflict for their most prized possession, their daughter. Young Lia’s health is at risk when the doctors are trying to treat her epilepsy, but the culture barrier between them and her parents put her at risk. Lia’s parents, Nao Kao and Foua Lee believe that their ancient traditions and healing is what Lia needs in order to get better, but Lia’s doctors prescribe her with many prescriptions to help with the seizures and her parent’s inability to read or speak English to communicate

Although some rightfully argue that all counseling is cross-cultural, when working with clients who are from a different culture than one’s own, the schism is often great. Therefore, cross-cultural competence is a theme we will visit and revisit throughout this text, and I will offer a number of ways for you to lessen the gap between you and your client. One model that can help bridge the gap is D’Andrea and Daniela’s (2005) RESPECTFUL Counseling Model, which highlights ten factors that counselors should consider addressing with

Some strategies that can be used to enrich children’s understanding and respect for cultural identities within the services community may include: -

During the assessment, it is also important for us to realize how culture may have affected their reason for seeking a social worker which includes assessing and understanding the influence acculturation has on the family members caring for elderly client (Kao, et al., 2010). Thus, giving the social worker for example the knowledge that the client and their family that they are working with might be first generation and due to their immigration status may or may not engage in the intervention process.

A power imbalance may become an issue when a therapist from a dominant culture such as able-bodied devalues a client with a non-dominant culture like a client with a terminal illness. It is essential for a therapist using CBT with terminal cancer patients to be sensitive and curious about the terminal illness or the client may end up feeling misunderstood. If the therapist is healthy, a client may assume the therapist does not understand what it is like to suffer from a terminal illness. A therapist may feel as if they have the power in the session because they are the counselor and use this power to help the client alter and reduce the negative thoughts they are experiencing. However, a therapist must be careful that they are being sensitive to the client’s emotions surrounding the terminal illness. For example, if a therapist is trying to get rid of the client’s negative thoughts altogether the client may feel as if the therapist is being insensitive to what he or she is going

“During the mid-eighties, the Nationalities Service of Central California in Fresno received a short-term federal grant of $100,965 to establish what it termed ‘an integrated mental health delivery service utilizing Hmong healers and western health providers (269).’” Which resulted in treating 250 patients with mental health problems. It also provided Hmong’s 8 Txiv neebs and 18 healing ceremonies. In addition, the Merced County Health Department developed a cross-cultural education program named; “Bridging the Gap.” This program trains nurses with interpreting and advocacy skills. As well as “cultural competence,” in order for these nurses to understand their patients better and help treat them in the way they would feel comfortable. Today, many medical students are learning how to face cross- cultural issues. For example, the University of Wisconsin developed an “integrated multi-cultural curriculum,” in order to practice cross-culture. This includes the following: “panel and group discussions, case conferences, student interviews, role-playing exercises, and home visits (271.)” Furthermore, Stanford is trying to convey the “whole doctor-whole patient” model to be used again. What this model does is it allows doctors to, “bring his or her full humanity (275.)” Which means doctors should give more attention to what illness the person has rather than which person has this type of illness. As a result, this will help save more peoples lives and not interfere with one another’s cultural beliefs. Overall, these are many ways of how people are trying to “bridge the

Hispanic Immigrants are one of the most oppressed Hispanic groups in this country. Regardless of feeling oppressed in the United States, they usually had it worse in their native country. Pew Hispanic Research center conducted a survey asking people why they chose to immigrate to the United States 55 percent of those survey responded that they came to this country for economic opportunities. (Pew Hispanic Research) Upon arrival to the United States, immigrants all experience different changes or processes. Some people go through the process of assimilation which means that they let go of their culture of origin while incorporating norms and behaviors of the new culture. Others go through acculturation which allows them to integrate elements

Within the profession of occupational therapy, practitioners come across many individuals from varying backgrounds as clients or as teammates. For this purpose it is important to be culturally competent because it helps in treatment of individuals we may be working with regularly. In addition, being culturally competent helps prepare the OT practitioner for how mental health or other conditions are viewed in an individual's culture which will also impact the approach to treatment.

Throughout the course of the semester, the most talked about topic is cultural competence. The book defined cultural competence as “the ability to effectively provide services cross culturally” (Jandt, 2013). This term is important in the health care field because a variety of people from different cultures will be encountered. As a result, a conflict may arise between the health care provider and the patient, and it is the nurse’s job to provide the best care that accommodates the patient’s views as well. In order to provide the best care, the journal article provides ways on how to treat patients who have opposing views.