One of the central tenets of cultural proficiency I use in my work is that, “change is an “inside-out” process, in which a person is, first and foremost, a student of his own assumptions. One must first be able to recognize one’s own assumptions in order to retain those that facilitate culturally proficient actions and to change those that impede such actions.” As an educator, I apply this process to look at myself and my programs and projects, and to help others look at, school and organizational policies and practices that either impede or facilitate cultural proficiency. It’s this process that is central to my work on closing the “health achievement gap” that exists within many Orange County schools and communities.
Paying attention to who our students are, and what their needs are, not our needs, or the systems’ needs is a critical first step to understanding and then closing the health gap. To this end I have continued to develop and use a data driven dialogue approach to surfacing the assumptions individuals and organizations may have about their students. Making sense of data, especially health data, is a vehicle that can take the teacher and school administrator on a tour of the world of economically disadvantaged and culturally marginalized students and families.
I try to incorporate the essential elements of cultural proficiency into my consulting and professional development work. I hope helping others become aware of the health literacy needs, health concerns and health challenges facing other cultures are consciously embedded in this work. Investigating the causes of health gaps in education, access to medical insurance and care, food insufficiency and environmental shortcomings that exacerbate health problems have become a core part of the school health and student wellness work we are doing here in the Center for healthy Kids and Schools. The multi-disciplinary approach to addressing school and student health issues lends itself to challenging one’s assumptions and recognizing that we are all unconscious on some level about the underlying prejudices we all have and aren’t yet aware are guiding our thinking.
Meeting health literacy needs must be recognized as basic theme for all 21 century learners if the world is to survive and flourish culturally and economically. With a health literacy approach, Common Core Standards can be adopted and adapted to help us reach the democratic ideal of health literacy for all. Without a commitment to health literacy, we will see the costs associated with health illiteracy continue to eat away at economic and political security of cities, regions, state and nations. We cannot ignore the fundamental need of all citizens for school-based health education, school and community preventive health care, and access to acute care for all. Only when we can convince school and community leaders to start using a “health lense” to look at and evaluate all public policy and practices will we make access to health literacy (and the economic and social benefits that come with it) a right, not a privilege bestowed upon those fortunate to be born into economic privilege.
One of the best tools I have found for working with this issue is this Health and Human Service (HHS) Healthy Literacy and Cultural Competency and Resource list of links I have attached.
Attachments:
2010 HHS - Health Literacy and Cultural Competency Resources.pdf