Overview
New Jersey is one of the most culturally and linguistically diverse states in the nation. More than 37.2 percent of the state’s population is Black, Hispanic, Asian, or Native American or Alaskan Native. More than 20% of New Jersey residents are foreign born. Also, nearley 2.5 million speak a language other than English at home.
This rich diversity presents a challenge to health professionals. Diverse populations bring different attitudes, expectations, beliefs and communication styles to each health encounter. Health professionals must be sensitive to these complex issues if they are to be successful.
Culturally competent health workers not only respect cultural differences, they incorporate them into the entire patient care or program planning process. In the health care setting, this can require organizational change as well as more skilled one-on-one patient interactions.
The public health community is also working to better understand the social and cultural gap between practitioners and the communities they seek to serve, and to find effective ways to bridge that gap.
The result in both cases can be better patient care, more effective public health interventions and, ultimately, better health in our communities.
DHSS Initiatives
Asthma -- The Asthma Awareness and Education Program has worked with the federal Agency for Healthcare Research and Quality’s initiative, Learning Partnership to Decrease Disparities in Pediatric Asthma, to create a guidance document on developing asthma materials that are appropriate to specific populations. "Developing Culturally and Linguistically Competent Health Education Materials: A Focus on Asthma," provides the framework and tools necessary for organizations (e.g., state government, community-based organizations) to help develop appropriate materials that can increase awareness and compliance in the target populations.
Cancer -- The Cancer Education and Early Detection (CEED) Program funds comprehensive breast, cervical, prostate and colorectal cancer education, outreach, and screening activities. The program targets ethnic/racial minorities and those who are uninsured or underinsured and have limited income. The goal is to increase cancer awareness and decrease cancer deaths by emphasizing that “Early Detection is the Best Protection.”
Caregiving –- The Division of Aging and Community Services created CaregiverNJ, a web site for those in the community who care for senior citizens and adults with disabilities. The site is available in Spanish and features extensive caregiving resources, educational tools, and a searchable database by topic/county for help with housing, senior centers, finance, tax preparation, legal, medical, hospice, and transportation.
Diabetes -- The Department’s Diabetes Initiative funds community- and faith-based organizations to identify in minority communities those who are diabetic and may not know it or who are not receiving health care services. Funded agencies provide educational information on how to prevent and control diabetes in the language spoken by the client. Linkages are provided to culturally appropriate and easily accessible services in their communities.
Nutrition -- The Division of Aging and Community Services created the Mission Nutrition Program to increase the number of ethnic elders in the statewide nutrition program. The Latino Nutrition Coalition collaborates in developing recipes that will appeal to Spanish-speaking older adults. The program is also developing a resource directory of best practices that can be used to expand and improve services to diverse populations.
Resources/Links
Below are links to cultural competency and language resources on the web.
ADRC
Here you can find programs and services located in the communities where seniors and adults with disabilities live.
New Jersey Department of Health and Senior Services
Translated Health Forms
Translated into three languages: Haitian Creole, Mandarin Chinese and Spanish.
New Jersey Hospital Association
“Effective Communication in Healthcare: Interpreter/Translation Services for Limited English Proficiency Populations in New Jersey”
New Jersey Judiciary
Interpretation/Translation Agencies for on Site Interpreting Services
NJ Statewide Network for Cultural Competence
Racial Equity Tools
Racial Equity Tools is a web site designed to support people and groups who are working for inclusion, racial equity and social justice. The site includes ideas, strategies and tips, as well as a clearinghouse of resources and links from many sources. Racial Equity Tools is a companion site to Evaluation Tools for Racial Equity - which helps people track progress and document results of similar work, in racially explicit and competent ways.
Six Hours of Cultural Competency Continuing Education Now Available Online at No Cost
University of Medicine and Dentistry of New Jersey
Institute for the Elimination of Health Disparities
University of Medicine and Dentistry of New Jersey
Institute for Nutrition Interventions
Food and Nutrition Across Different Cultures
University of Medicine and Dentistry of New Jersey
Robert Wood Johnson Medical School
Center for Healthy Families and Cultural Diversity
National
Agency for Healthcare Research and Quality (AHRQ),
U.S. Department of Health and Human Services:
Ethnomed
The EthnoMed site contains information about cultural beliefs, medical issues and related topics pertinent to the health care of immigrants and refugee groups.
Georgetown University Center for Child and Human Development
Cultural & Linguistic Competence
Health Resources and Services Administration:
Intercultural Cancer Council
Cultural Competence in Cancer Care: A Health Care Professional’s Passport
Management Sciences for Health. The Provider's Guide to Quality and Culture
Maternal and Child Health (MCH) Library
Maya Angelou Center for Health Equity
National Center for Cultural Competence at Georgetown University
New Jersey's First Statewide Health Literacy Summit
Office of Civil Rights, U.S. Department of Health and Human Services
Language Assistance to Persons with Limited English Proficiency (LEP)
Office of Minority Health, U.S. Department of Health and Human Services:
Books and Reports
The Health of the Newest New Jerseyans: A Resource Guide [pdf 4.2mb]
This report informs health care providers statewide on the health status and behaviors of New Jerseys' quickly growing foreign-born population. The report provides demographic information and geographic trends related to this population; compares select health outcomes and behaviors of state residents by race/ethnicity and nativity status; and examines the impact of duration of US residence on foreign-born residents' health.
Cultural Competence for the Health Workforce
Culturally Appropriate Health Care by Culturally Competent Health Professionals
Curriculum for Culturally Responsive Health Care
Developing Cross-Cultural Competence A Guide for Working with Children and Their Families, Third Edition
Like RC, Barrett TJ, Moon J. "Educating Physicians to Provide Culturally
Competent, Patient-Centered Care," Perspectives: A View of Family Medicine
in New Jersey 2008; 7(2):10-20
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