Office on Disability

National Leadership Summit on Eliminating and Ethnic Disparities in Health: Pre-Conference Addressing the Healthcare and Wellness Needs of Women of Color with Disabilities, January 2006

Conference Presentation: Addressing the Healthcare and Wellness Issues of Women of Color with Disabilities
by Dr. Gloria Johnson-Powell

Slide 1

Addressing the Healthcare and Wellness Issues of Women of Color with Disabilities
Minding the Gap: Access, Availability, and Services

Dr. Gloria Johnson-Powell
Center for the Study of Culture Diversity in Healthcare
University of Wisconsin
School of medicine and Public Health

Slide 2

The Development of a System of Care for Women with Disabilities

• The diagnostic process
• Coordination of services:
  • Hospitalization and special services
  • Education/school placement
  • Mental health services
  • Rehabilitation services
  • Family support
  • Housing
  • Transportation

Slide 3

The Development of a System of Care for Women with Disabilities (con't)

• Eligibility
• Cost
• Cultural competence
• Eco-cultural Family Scale

Slide 4

A Synopsis of the Tenets of Cultural Competence In Health Care Services

*Adapted from the National Center for Cultural Competence, Georgetown University Center for Child and Human Development.

Slide 5

Cultural Competence in Health Care Services (con't)

Cultural competence embraces the principles of equal access and non-discriminatory practices in service delivery.

Slide 6

Cultural Competence in Health Care Services (con't)

Cultural competence requires that organizations have a defined set of values and principles and demonstrate behaviors, attitudes, policies, and structure that enable them to work effectively cross culturally.

Slide 7

Cultural Competence in Health Care Services (con't)

Cultural competence must have the following capacity:

• to value diversity;
• to conduct self-assessment;
• to manage the dynamics of difference;
• to acquire cultural knowledge;
• to adapt to the cultural contexts of the communities they serve;
• to mandate the incorporation of cultural knowledge into policy and practice.

Slide 8

The Ecocultural Family Interview (Weisner, T.S. and Gallimore, R. 1994)

• Subexistence - hours worked; financial resources; flexibilty of schedule; medical insurance
• Services - availability of, eligibility for, transportation sources; amount of parental involvement required.

Slide 9

The Eco-cultural Family Interview (con't)

• Home/neighborhood - safety and convenience, safe accessible play areas, home alterations i.e. lock, fences, character of particular neighborhood.
• Domestic workload - amount of work to be done at home, persons available to do it, amount of time spent by different family members.
• Child care tasks
• Child peer groups

Slide 10

The Eco-cultural Family Interview (con't)

• Marital roles - amount of shared decision-making; degree of sharing of child care and household tasks.
• Instrumental/Emotional support - availability and use of formal and informal services of support.
• Role of father/spouse - amount of involvement with child, amount of emotional support.
• Parent information - reliance on professional vs. non-professional sources; amount of time/effort spent accessing information.

Last Revised: July 24, 2006