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nccc_CLCADO_assessment.final-Cultural_Competence_Form.pdf

Citation s for Key Term s an d D efin ition s:

This section asks for the perspectives about: (1) the organization’s world view of cultural diversity and approaches to inclusion and equity, (2) the extent to which this world view guides organizational behavior and is established policy, and (3) the organization’s philosophy, values, and commitment to cultural and linguistic competence.

1. Un d erstan d s an d is com m itted to Not at All A Little Somewhat Very Much th e valu e of cu ltu ral d iversity.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

2. Recogn izes an d resp ects th e great d egree of d iversity Not at All A Little Somewhat Very Much am on g p eop le w h o exp erien ce d isab ilities

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

3. Recogn izes th at p ercep tion s an d b eliefs ab ou t Not at All A Little Somewhat Very Much d isab ility are cu ltu rally-d efin ed .

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

4. Un d erstan d s th at d isab ility is on ly on e asp ect Not at All A Little Somewhat Very Much of d iversity an d cu ltu ral id en tity.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

5. Ack n ow led ges th e im p ortan ce of cu ltu ral valu es, Not at All A Little Somewhat Very Much n orm s, an d trad ition s to th e d iverse grou p of p eop le w h o exp erien ce d isab ilities an d th eir fam ilies.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

Remember t here a re no right or w rong a nsw ers.

6. Is com m itted to servin g, su p p ortin g, an d ad vocatin g Not at All A Little Somewhat Very Much w ith an d on b eh alf of p eop le w h o exp erien ce d isab ilities an d th eir fam ilies across all cu ltu ral grou p s.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

7. Is com m itted to in clu d in g p erson s from d iverse Not at All A Little Somewhat Very Much cu ltu ral an d lin gu istic com m u n ities in all asp ects of ou r w ork .

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

8. Is com m itted to ad d ressin g racial an d eth n ic d isp arities am on g th e p op u lation of p eop le w h o exp erien ce d isab ilities, in clu d in g d isp arities in :

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

9. Is com m itted to ad d ressin g d isp rop ortion ality Not at All A Little Somewhat Very Much am on g stu d en ts from d iverse racial an d eth n ic grou p s in ed u cation al settin gs.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

10. Raises aw aren ess ab ou t racial an d eth n ic d isp arities exp erien ced b y p eop le w ith d isab ilities am on g th e follow in g:

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

Not at All A Little Somewhat Very Much

11. Believes it is ou r resp on sib ility to ad d ress th e b ias, Not at All A Little Somewhat Very Much d iscrim in ation , an d racism th at im p act p eop le w h o exp erien ce d isab ilities from d iverse cu ltu ral an d lin gu istic grou p s an d th eir fam ilies.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

12. En su res th at cu ltu ral an d lin gu istic com p eten ce is Not at All A Little Somewhat Very Much fu lly in tegrated in to all asp ects of ou r w ork .

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

13. H as lead ersh ip “buy-in” a nd commit ment to Not at All A Little Somewhat Very Much cu ltu ral an d lin gu istic com p eten ce.

This value is expressed in our organization's guiding principles, mission and/or board resolutions. Yes No Don’t Know

14. O u r organ ization cou ld b en efit from som e h elp Not at All A Little Somewhat Very Much w ith ad d ressin g cu ltu ral an d lin gu istic com p eten ce in ou r vision , m ission , an d gu id in g p rin cip les.

This section examines the cultural diversity of staff, board members, and others who do the work of the organization. It also probes training and ongoing professional development needed to support cultural and linguistic competence. The items in this section apply to people with and without disabilities.

1. Th e cu ltu ral d iversity of p eop le w h o resid e in th e U.S., its territories, an d in trib al com m u n ities is reflected in ou r:

Yes No In Progress Don’t Know Do Not Have a Board

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know Do Not Use Consultants

Yes No In Progress Don’t Know Do Not Use Contractors

Yes No In Progress Don’t Know Do Not Have Members

Yes No In Progress Don’t Know Do Not Have Faculty

Yes No In Progress Don’t Know Do Not Have Interns or Fellows

Yes No In Progress Don’t Know Do Not Have Volunteers

2. O u r organ ization requires a nd provides orien tation ab ou t ou r p h ilosop h y, p olicies, an d p ractices related to cu ltu ral an d lin gu istic com p eten ce for all:

Yes No In Progress Don’t Know Do Not Have a Board

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know Do Not Use Consultants

Yes No In Progress Don’t Know Do Not Use Contractors

Yes No In Progress Don’t Know Do Not Have Faculty

Yes No In Progress Don’t Know Do Not Have Interns or Fellows

Yes No In Progress Don’t Know Do Not Have Volunteers

3. O u r organ ization requires a nd provides regu lar in -service an d /or train in g op p ortu n ities in cu ltu ral an d lin gu istic com p eten ce for:

Yes No In Progress Don’t Know Do Not Have a Board

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know Do Not Use Consultants

Yes No In Progress Don’t Know Do Not Use Contractors

Yes No In Progress Don’t Know Do Not Have Faculty

Yes No In Progress Don’t Know Do Not Have Interns or Fellows

Yes No In Progress Don’t Know Do Not Have Volunteers

4. O u r organ ization p rovid es m en torin g, coach in g, an d /or oth er su p p orts to ap p ly cu ltu ral an d lin gu istic com p eten ce to th e w ork of:

Yes No In Progress Don’t Know Do Not Have a Board

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know Do Not Use Consultants

Yes No In Progress Don’t Know Do Not Use Contractors

Yes No In Progress Don’t Know Do Not Have Faculty

Yes No In Progress Don’t Know Do Not Have Interns or Fellows

Yes No In Progress Don’t Know Do Not Have Volunteers

5. O u r organ ization in clu d es k n ow led ge an d sk ills related to cu ltu ral an d lin gu istic com p eten ce in p osition d escrip tion s or q u alification s for:

Yes No In Progress Don’t Know Do Not Have a Board

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know

Yes No In Progress Don’t Know Do Not Use Consultants

Yes No In Progress Don’t Know Do Not Use Contractors

Yes No In Progress Don’t Know Do Not Have Faculty

Yes No In Progress Don’t Know Do Not Have Interns or Fellows

Yes No In Progress Don’t Know Do Not Have Volunteers

6. O u r organ ization in clu d es k n ow led ge an d sk ills Yes No In Progress Don’t Know related to cu ltu ral an d lin gu istic com p eten ce in p erform an ce evalu ation s.

7. O u r organ ization h as an ad visory b oard or cou n cil Yes No In Progress Don’t Know th at in clu d es p eop le w h o exp erien ce d isab ilities an d th eir fam ilies from cu ltu rally an d lin gu istically d iverse grou p s.

This section examines how cultural and linguistic competence applies to the core functions of your organization, including: 1) Conferences, Education, and Training; 2) Public Policy, Legislation and Advocacy; 3) Community Engagement, Partnership, and Collaboration; 4) Publications and Information Dissemination; 5) Fundraising and Grant Writing; 6) Supporting a Research Agenda; and 7) Direct Services and Supports.

1. Facilitates th e p articip ation of p eop le w ith d isab ilities from d iverse cu ltu ral an d lin gu istic b ack grou n d s b y:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

2. In corp orates cu ltu rally an d lin gu istically com p eten t p ractices b y:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

3. In corp orates cu ltu rally an d lin gu istically com p eten t p ractices b y:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

4. Tak es cu ltu re an d lan gu age in to accou n t Never Seldom Sometimes Routinely Don’t Know w h en p airin g p eop le w h o exp erien ce d isab ilities w ith th eir p eers for an y train in g activities d esign ed for th em .

1. An alyzes cu rren t legislation /regu lation s to d eterm in e th e exten t to w h ich th ey ad d ress:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

2. Ad vocates for ch an gin g existin g or creatin g n ew legislation /regu lation s th at ad d ress:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

3. Provid es in form ation on legislation an d Never Seldom Sometimes Routinely Don’t Know p u b lic p olicies th at affects p eop le w h o exp erien ce d isab ilities from d iverse cu ltu ral an d lin gu istic grou p s.

4. Ad vocates w it h a nd on beha lf of p eop le Never Seldom Sometimes Routinely Don’t Know w h o exp erien ce d isab ilities from d iverse racial an d lin gu istic grou p s.

5. Ad vocates for p u b lic p olicy th at req u ires system s of services an d su p p orts th at are:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

6. Ad vocates for th e elim in ation of d isp arities for p eop le w h o exp erien ce d isab ilities b ased on :

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

1. Im p lem en ts p olicies an d p ractices to:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

2. Work s w ith in form al or p rofession al Never Seldom Sometimes Routinely Don’t Know con tacts th at h ave k n ow led ge of cu ltu ral b eliefs an d p ractices related to d isab ility (e.g., cu ltu ral b rok ers, sp iritu al lead ers, eth n ic ad vocacy or social organ ization s, com m u n ity-b ased agen cies).

3. Is resp on sive to th e social, p olitical an d Never Seldom Sometimes Routinely Don’t Know econ om ic con texts of d iverse com m u n ities.

4. Period ically review s cu rren t an d em ergen t d em ograp h ic tren d s to:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

5. Id en tifies an d resp on d s to th e effects of Never Seldom Sometimes Routinely Don’t Know im m igration statu s on p articip ation in ad vocacy, services, an d su p p orts.

1. Ad ap ts in form ation d issem in ation Never Seldom Sometimes Routinely Don’t Know strategies to th e cu ltu ral p referen ces an d n eed s of d iverse com m u n ities.

2. D evelop s an d d issem in ates in form ation /p u b lication s ab ou t p eop le w h o exp erien ce d isab ilities th at:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

3. En su res th at p h otograp h s an d grap h ics featu red in p u b lication s, resou rces, an d w eb sites:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

4. D issem in ates in form ation in lan gu ages oth er th an En glish in its:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

5. Uses eth n ic m ed ia to d issem in ate Never Seldom Sometimes Routinely Don’t Know in form ation to d iverse com m u n ities (e.g., television , p eriod icals, rad io, In tern et sites).

6. Collab orates w ith eth n ic an d cu ltu ral Never Seldom Sometimes Routinely Don’t Know ad vocacy or social organ ization s to d issem in ate in form ation to d iverse com m u n ities.

1. Collab oratin g w ith eth n ic- or Never Seldom Sometimes Routinely Don’t Know cu ltu re-sp ecific grou p s to ad d ress cau ses an d issu es th at are of con cern to th e com m u n ities th ey serve.

2. Featu rin g p erson al stories an d ap p eals Never Seldom Sometimes Routinely Don’t Know from in d ivid u als w ith d isab ilities from cu ltu rally an d lin gu istically d iverse grou p s.

3. In volvin g n ation ally recogn ized sch olars, Never Seldom Sometimes Routinely Don’t Know celeb rities, or p erson alities from cu ltu rally d iverse grou p s.

4. Con d u cts a com p reh en sive an alysis of Never Seldom Sometimes Routinely Don’t Know cu rren t d em ograp h ic tren d s in th e geograp h ic area served or im p acted (e.g., race, eth n icity, lan gu ages sp ok en , socio-econ om ic statu s, im m igran t an d refu gee statu s).

5. In clu d es rep resen tatives from cu ltu rally d iverse grou p s in in terven tion s th at im p act th em an d th eir com m u n ities in :

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

6. Req u ires th at cu ltu ral d ifferen ces, n eed s, Never Seldom Sometimes Routinely Don’t Know an d p referen ces am on g th e d iverse p op u lation of p eop le w h o exp erien ce d isab ilities are atten d ed to an d ad d ressed in th e p rop osal con ten t.

7. En su res th e p rovision of lan gu age access services (i.e., foreign lan gu age in terp retation , tran slation , sign age) th rou gh :

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

8. Uses com m u n ity ad visory b oard s Never Seldom Sometimes Routinely Don’t Know w h en ap p rop riate.

9. Collab orates w ith oth er organ ization s Never Seldom Sometimes Routinely Don’t Know th at h ave exp ertise in servin g or ad vocatin g for sp ecific racial, eth n ic, an d cu ltu ral grou p s.

10. Actively p u rsu es gran t an d con tract op p ortu n ities to ad d ress:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

1. Partn ers w ith th e research com m u n ity to Never Seldom Sometimes Routinely Don’t Know ad d to th e b od y of k n ow led ge ab ou t p eop le w h o exp erien ce d isab ilities from racially an d eth n ically d iverse p op u lation s.

2. Su p p orts racially an d eth n ically d iverse p eop le w h o exp erien ce d isab ilities an d th eir fam ilies to:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

3. Assists racially an d eth n ically d iverse in d ivid u als w h o exp erien ce d isab ilities an d th eir fam ilies to im p rove th eir q u ality of life b y:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

4. Ad vocates for or p articip ates in research th at focu ses on :

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

5. Is aw are of th e n eed to ad d ress th e u n iq u e issu es associated w ith con d u ctin g research in cu ltu rally d iverse com m u n ities, in clu d in g:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

1. D evelop s or ad ap ts services an d su p p orts Never Seldom Sometimes Routinely Don’t Know to ad d ress th e n eed s an d p referen ces of cu ltu rally an d lin gu istically d iverse com m u n ities.

2. Provid es services an d su p p orts in location s Never Seldom Sometimes Routinely Don’t Know an d at tim es th at are accessib le to com m u n ities served .

3. Is k n ow led geab le of an d w ork s in Never Seldom Sometimes Routinely Don’t Know con ju n ction w ith n atu ral n etw ork s of su p p ort w ith in d iverse com m u n ities.

4. En su res th at services an d su p p orts com p ly Never Seldom Sometimes Routinely Don’t Know w ith all relevan t Fed eral, state, an d local m an d ates govern in g lan gu age access (e.g., foreign lan gu age in terp retation , tran slation services, an d sign age).

5. In volves p eop le w h o exp erien ce d isab ilities from d iverse cu ltu ral an d lin gu istic grou p s an d th eir fam ilies in th e:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

This section probes how cultural and linguistic competency is applied to the structure, funding, and leadership activities of your organization.

1. En su res cu ltu ral an d lin gu istic com p eten ce th rou gh estab lish ed organ ization al:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

2. H as d ed icated fu n d in g in its b u d get to ad van ce an d su stain cu ltu ral an d lin gu istic com p eten ce.

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

3. O ffers train in g, m en torin g, an d oth er su p p ort to organ ization al staff, facu lty, an d b oard m em b ers th at en ab le th em to lead efforts th at:

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

Never Seldom Sometimes Routinely Don’t Know

4. Su p p orts th e m ean in gfu l in volvem en t of Never Seldom Sometimes Routinely Don’t Know cu ltu rally an d lin gu istically d iverse in d ivid u als an d com m u n ities in th e core fu n ction s of th e organ ization .

Goode, T., Trivedi, P., & Jones, W. (2010). Cultural and Linguistic Competence Assessment for Disability Organization. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development.

This instrument is protected by the copyright policies of Georgetown University. Permission is required if this instrument is to be:

• modified in any way

• used in broad distribution

• used for commercial purposes.

Contact the National Center for Cultural Competence for all permission requests.

National Center for Cultural Competence Center for Child and Human Development Georgetown University Box 571485 Washington, DC 20057-1485 Voice: 202-687-5387 or 800-788-2066 Fax: 202-687-8899 E-mail: [email protected] URL: http://nccc.georgetown.edu

This instrument and guide were developed with funding from TASH, as part of its Diversity and Cultural Competency in Disability Advocacy Initiative, through a grant from the W.K. Kellogg Foundation. TASH is an international grassroots leader in advancing inclusive communities through research, education and advocacy. Founded in 1975, TASH is a volunteer-driven organization that advocates for human rights and inclusion for people with the most significant disabilities and support needs-those most vulnerable to segregation, abuse, neglect, and institutionalization. Through research TASH validates inclusive practices shown to improve outcomes for all people.

1001 Connecticut Avenue, NW, Suite 385 Washington, DC 20036 Phone: 202-540-9020 Fax: 202-540-9019 E-mail: [email protected] URL: http://www.tash.org/index.html

The National Center for Cultural Competence (NCCC) provides national leadership and contributes to the body of knowledge on cultural and linguistic competency within systems and organizations. Major emphasis is placed on translating evidence into policy and practice for programs and personnel concerned with health and mental health care delivery, administration, education and advocacy. The NCCC is a component of the Georgetown University Center for Child and Human Development and is housed within the Department of Pediatrics of the Georgetown University Medical Center.

The NCCC provides training, technical assistance, and consultation, contributes to knowledge through publications and research, creates tools and resources to support health and mental health care providers and systems, supports leaders to promote and sustain cultural and linguistic competency, and collaborates with an extensive network of private and public entities to advance the implementation of these concepts. The NCCC provides services to local, state, federal and international governmental agencies, family and advocacy support organizations, local hospitals and health centers, healthcare systems, health plans, mental health systems, universities, quality improvement organizations, national professional associations, and foundations.

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