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Transforming Childrens Mental Healthcare in America
Systems of Care

Department of Health and Human Services

Substance Abuse and Mental Health Services Administration
Center for Mental Health Services

Cooperative Agreements for the Comprehensive
Community Mental Health Services for Children and Their Families Program (SM-05-010)

Short Title: Child Mental Health Initiative (CMHI)

Announcement Type: Initial

Catalog of Federal Domestic Assistance (CFDA) No. 93.104
Authority: Part E of Title V, Section 561 et. seq., of the Public Health Service
Act, as amended and subject to the availability of funds.

The following definition of cultural and linguistic competence and appendix containing cultural and linguistic competence elements are excerpted from the Cooperative Agreements for the Comprehensive Community Mental Health Services for Children and Their Families Program /  Short Title: Child Mental Health Initiative (CMHI), FY 2005 Request for Applications (RFA)

Cultural and Linguistic Competence is defined as an integrated pattern of human behavior that includes thoughts, communications, languages, practices, beliefs, values, customs, courtesies, rituals, manners of interacting, roles, relationships and expected behaviors of a racial, ethnic, religious or social group; the ability to transmit the above to succeeding generations; is dynamic in nature. (See Appendix D for Cultural and Linguistic Competence Elements). 

Appendix D

Cultural and Linguistic Competence Elements

This appendix describes many of the important elements of cultural and linguistic competence. 

Project Description and Need Justification - Knowing the unique characteristics of the community/target population is critical to the success of the proposed project.  Factors impacting community diversity involve more than race and ethnicity.  Other factors include, but are not limited to, geographic location, population density, population stability, (e.g. rates of in-migration, out-migration, interstate migration, and immigration), the age distribution of the population, social history, intergroup relationships, and the social, political and economic climates. 

Experience or Track Record of Involvement with the Target Population - A successful applicant would have a documented history of programmatic involvement with the target population and/or community to be served by the proposed project. If the organization does not yet have a track record with this target population, planning should include strategies to acquire the tools and information needed to become culturally competent (for instance, by establishing collaborations, designing and implementing a cohesive plan, seeking technical assistance, contracting services, sharing staff or location, or seeking special training and staff development).

Community Representation - The population/community targeted to receive services should participate actively in all phases of program design.  A mechanism should be established to provide opportunities for community members (including consumers, providers of services, and representatives of informal systems of care) to influence and help shape the project’s proposed activities and interventions.  Such mechanisms may include, but are not limited to, establishment of an advisory council, cultural competence committee, and/or board of directors, with written working agreements that ensure their active participation and advisory assistance concerning the course and direction of the proposed project.

Language and Communication - Project-related communications must be appropriate to the target population/community.  Consider information that is available about the target group’s primary language(s) and literacy levels (for instance, whether a significant percentage of the target population/community is known to be more comfortable with a language other than English).  Multilinguistic resources, which might include the use of skilled bilingual and bicultural individuals when appropriate, can be beneficial.  Materials produced in English need to be adapted – not just translated – to meet the needs of non-English speakers.  Audio-visual materials, public service announcements (PSAs), training guides, and print materials can be used which are appropriate for the target population/community in terms of gender, age, culture, language, and literacy level.

Staff Qualifications and Training - The staff of the organization should reflect the racial and ethnic characteristics of the population to be served and have training in how to respond effectively and sensitively to multiple characteristics of the target population (such as race/ethnicity, primary language, gender, age, disability, and literacy). For purposes of this item, “staff” would include, at a minimum, administrators, advisors, board members, supervisors, and service providers. 

Evaluation - There should be a rationale for the use of any evaluation instruments that are chosen, and the rationale should include a discussion of the validity of the instruments in terms of the gender/age/culture/language of the group(s) targeted.  The evaluators should be sensitized to the culture and familiar with the gender/age/culture, whenever possible and practical. Program evaluation methods and instruments should be culturally appropriate to the population/community served. 

Efforts should be made to ensure findings are interpreted in a culturally competent and sensitive manner.  Describe cultural issues that may be anticipated to influence outcomes for the target population (including, potentially, the impact of using available instruments that may not be completely appropriate for the specific population).

  Please direct information updates to soc@samhsa.gov with the specific location or internet address to be updated. Thank you.
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