Professional Help
Cultural Competence Checklist: Personal Reflection
_____________________ *While several sources were consulted in the development of this checklist, the following document inspired its design: Goode, T. D. (1989, revised 2002). Promoting cultural and linguistic competence self-assessment checklist for personnel Providing services and supports in early intervention and childhood settings.
Reference this material as: American Speech-Language-Hearing Association. (2010). Cultural Competence Checklist: Personal reflection. Available from www.asha.org/uploadedFiles/practice/multicultural/personalreflections.pdf.
© Copyright 2010 American Speech-Language-Hearing Association. All rights reserved.
This tool was developed to heighten your awareness of how you view clients/patients from culturally and linguistically diverse (CLD) populations. *There is no answer key; however, you should review responses that you rated 5, 4, and even 3.
___ I treat all of my clients with respect for their culture. ___ I do not impose my beliefs and value systems on
my clients, their family members, or their friends. ___ I believe that it is acceptable to use a language
other than English in the U.S. ___ I accept my clients’ decisions as to the degree to
which they choose to acculturate into the dominant culture.
___ I provide services to clients who are GLBTQ (Gay, Lesbian, Bisexual, Transgender, or Questioning).
___ I am driven to respond to others’ insensitive comments or behaviors.
___ I do not participate in insensitive comments or behaviors.
___ I am aware that the roles of family members may differ within or across culture or families.
___ I recognize family members and other designees as decision makers for services and support.
___ I respect non-traditional family structures (e.g., divorced parents, same gender parents, grandparents as caretakers).
___ I understand the difference between a communication disability and a communication difference.
___ I understand that views of the aging process may influence the clients’/families’ decision to seek intervention.
___ I understand that there are several American English dialects. I recognize that all English speakers use a dialect of English.
I understand that the use of a foreign accent or limited English skill is not a reflection of: ___ Reduced intellectual capacity ___ The ability to communicate clearly and effectively
in a native language
I understand how culture can affect child-rearing practices such as: ___ Discipline ___ Dressing ___ Toileting ___ Feeding ___ Self-help skills ___ Expectations for the future ___ Communication
I understand the impact of culture on life activities, such as: ___ Education ___ Family roles ___ Religion/faith-based practices ___ Gender roles ___ Alternative medicine ___ Customs or superstitions ___ Employment ___ Perception of time ___ Views of wellness ___ Views of disabilities ___ The value of Western medical treatment
I understand my clients’ cultural norms may influence communication in many ways, including: ___ Eye contact ___ Interpersonal space ___ Use of gestures ___ Comfort with silence ___ Turn-taking ___ Topics of conversation ___ Asking and responding to questions ___ Greetings ___ Interruptions ___ Use of humor ___ Decision-making roles
Ratings: 1 Strongly Agree 2 Agree 3 Neutral 4 Disagree 5 Strongly Disagree
- Text1:
- Text2:
- Text3:
- Text4:
- Text5:
- Text6:
- Text7:
- Text8:
- Text9:
- Text10:
- Text11:
- Text12:
- Text13:
- Text14:
- Text15:
- Text16:
- Text17:
- Text18:
- Text19:
- Text20:
- Text21:
- Text22:
- Text23:
- Text24:
- Text25:
- Text26:
- Text27:
- Text28:
- Text29:
- Text30:
- Text31:
- Text32:
- Text33:
- Text34:
- Text35:
- Text36:
- Text37:
- Text38:
- Text39:
- Text40:
- Text41:
- Text42:
- Text43:
- Text44: