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Quantum Units Education®

Engaging Culturally Diverse Children and their Families in Mental Health Services

Introduction

1. Utilization rates among diverse populations serve as indicators that appropriate services are being offered and barriers to accessing these services have been addressed.

A. True

B. False


2. The level of compatibility between a population's cultural and ___________ characteristics and the organizational characteristics determines the level of organizational cultural competence.

A. Social

B. Linguistic

C. Socioeconomical

D. None of the above


3. Access of mental health services is defined as having acceptable services and supports in sufficient range and capacity to meet the needs of the population of focus.

A. True

B. False


Method of Identifying Key Utilization Strategies-Data Collection

4. Utilization strategies of various organizations were evaluated through interviews that explored definitions of cultural competence, as well as values and beliefs about serving diverse populations.

A. True

B. False


Utilization Strategies for Culturally/Racially Diverse Populations

5. Direct service strategies used to successfully increase mental health service utilization include each of the following EXCEPT:

A. Community and Family Education

B. Flexible Service Provision

C. Responsiveness

D. Meeting of Immediate/Perceived Needs


Utilization Strategies for Serving African American/Black Populations

6. Which of the following is NOT a correct statement about population and community characteristics of African Americans/Blacks?

A. Respondents who served Black immigrant children and families noted that parents often consider emotional or behavioral disturbances to be

B. There was often resistance on the part of parents who felt that mental illness was shameful or would stigmatize the family or child

C. Respondents who served African American/Black populations commented on the importance many of their families place on family histories and privacy

D. Respondents emphasized the need to treat family members with respect and for service providers to avoid assuming they know the cultural and spiritual preferences of this population


Direct Service Strategies-Community and Family Education

7. Education about service procedures was reported to reduce the stress experienced by families because of increased understanding about the child's condition as well as resources available to help the child and family.

A. True

B. False


Responsiveness

8. Rogerian person-centered approaches were used as an important means of engaging children and families and as a way to move away from confrontation with the Black therapy/counseling community.

A. True

B. False


Organizational Infrastructure Strategies-Create Linkages

9. Involving community and spiritual leaders in treatment is one strategy for increasing the level of security in African American/Black families who are likely to distrust formal providers.

A. True

B. False


Promote Child and Family-Driven Services

10. Across participating organizations, ensuring _____________ was a way to promote utilization of services by families already involved with the organization and also a means of outreach to others that heard about the organization through word of mouth testimony.

A. Flexibility

B. Availability of options

C. Individual decision-making

D. Autonomy


Provide Transition Planning

11. The transitional planning process should include an assessment of potential future needs and identification of available resources, as well as assurance that the child and family can contact the organization at any time for assistance in linking to services.

A. True

B. False


12. An ideal care coordination plan would include 6 months of stabilization for families followed by 3 months of transitioning out of formal services.

A. True

B. False


Utilization Strategies for Serving Asian and Pacific Islander Population

13. Each of the following correctly describes the Asian and Pacific Islander (API) populations served in the study EXCEPT:

A. The most common mental health problems identified include schizophrenia, depression/anxiety, and chronic pain associated with Post Traumatic Stress Disorder (PTSD)

B. At one site that serves a high API population, families speak up to 15 different languages and dialects, which results in generational and cultural clashes

C. The API population has been found to access services at substantially lower rates compared to White populations based on studies of local penetration rates

D. API children and youth are referred to services for a range of issues including low school attendance, depression, selective mutism, eating disorders, destructive behaviors, low school achievement, and fighting at school


Community and Family Education

14. In addition to acclimating API children and families to mental health services, it is also helpful to educate other professionals and the community with information about mental health and mental illness, as well as cultural and social factors.

A. True

B. False


Engagement processes

15. Utilization of mental health services is a challenge when working with a population that is reticent to identify mental health issues or seek mental health treatment, so _________________ are important aspects of engaging the API populations.

A. Genuineness and attentiveness

B. Kindness and diligence

C. Consistency and courtesy

D. Persistence and sensitivity


Promote Child and Family-Driven Services

16. When a crisis is over, it may be beneficial to offer the child and family the option of decreasing the frequency of appointments so that they will feel empowered to be part of the decision making.

A. True

B. False


Utilization Strategies for Serving Latino Populations-Population and Community Characteristics

17. For Latino respondents, funding and legal constraints were the primary contributors to lack of knowledge about available services.

A. True

B. False


18. In the Hispanic community, family is a cultural concept that is defined as:

A. Nuclear families in which men assume a dominant and central role

B. Families that include grandparents living within the home and single-parent households

C. Nuclear families in which women have a great degree of independence and decision-making power

D. All of the above


Community and Family Education

19. Respondents at multiple sites reported that parents often consider emotional or behavioral disturbances reported by the schools to be "normal aspects of growing up" rather than mental health issues.

A. True

B. False


Engagement Processes

20. One site that worked with Latino populations used volunteers to build relationships and overcome reluctance, since the volunteers were trustworthy and were able to relate by virtue of being or having been members of the same community.

A. True

B. False


Flexible Service Provision

21. Participation of family members in treatment when possible was associated with improved outcomes for the child and:

A. Compliance with keeping appointments

B. A greater likelihood of identifying other issues in the family that were impacting the child

C. An increased feeling of comfort within the treatment setting

D. Positive outcomes during follow-up and transition periods


Organizational Infrastructure Strategies

22. Since many families lack a social support network in the community, providing a welcoming environment and social support through the agency encourages continued utilization of services and increases the return rate.

A. True

B. False


23. Sites serving the Latino population were concerned with maintaining treatment without a pre-determined termination point, and lengths were reported to be flexible and focused on need and:

A. The achievement of goals

B. The commitment level of the family

C. Ongoing circumstances that impacted the participants

D. None of the above


Utilization Strategies for Serving Native American Populations-Population and Community Characteristics

24. Native American populations are impacted greatly by substance abuse, with alcohol being the substance of choice for men, women, and children.

A. True

B. False


25. Factors that contribute to Native American families' inability to provide basic necessities such as food, shelter, and transportation and to "get ahead" include each of the following EXCEPT:

A. Low socioeconomic status (SES)

B. Low educational levels

C. Inability to maintain employment

D. Involvement with the law


Community and Family Education

26. Education for Native American families should include compassionately educating children and families about the ramifications of their choices, while also educating the community on topics such as diagnoses, issues surrounding mental health, and how to advocate for, access, and use services.

A. True

B. False


Engagement Processes

27. With the Native American population in particular, the process of engagement includes establishing rapport and building trust through a more formal and neutral approach, as an informal and personalized approach may be perceived as being disrespectful.

A. True

B. False


Responsiveness

28. In addition to providing services using Western methods of treatment, sites serving Native Americans may also include treatment modalities that are traditional to Native American populations if these are preferred by children and their families.

A. True

B. False


Promote Child and Family-driven Services

29. Sites serving the Native American population spoke of allowing children and families to choose their services and treatments to the greatest degree possible, and involving _____________ in promoting utilization of services.

A. Paraprofessionals

B. Spiritual advisors

C. Community volunteers

D. Former clients


Develop Linkages

30. One strategy to meet the needs of Native American populations is to bring multiple services to one centrally located facility that allows for a common intake process and connection to a variety of services and activities.

A. True

B. False


Conclusion-Creating a Sense of Community

31. Creating a sense of community for consumers and staff includes attention to organizational environments, service delivery approaches, and:

A. Personal characteristics and skills

B. The relationship and functioning of the family unit

C. Ability of participants and staff to adapt

D. None of the above


Acknowledging and Addressing Complexity and Uniqueness

32. In order to increase the the likelihood that a family will receive formal mental health services when needed, it is necessary for professionals to acknowledge and address the complex and often overwhelming problems and barriers faced by diverse families.

A. True

B. False


Using Data for Program Development and Advocacy

33. Data has consistently shown that investment in services that families will use greatly reduces costs by limiting missed appointments and eliminating ineffective and unwanted services.

A. True

B. False


Funding and Sustaining Efforts

34. In many cases, organizations who work with divers population ensure that resources are made available through a variety of funding streams and creative staffing patterns, as financing can be very challenging.

A. True

B. False


Future Research

35. Components of service delivery are often interconnected and complex, so the development of organizational cultural competence should be ___________ process that occurs within specific contexts.

A. An ongoing

B. A holistic

C. An integrated

D. A comprehensive


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