The Racial Justice Initiative Committee of NPAP Presents A Culturally and Structurally Humble Approach to Patient-Provider Interactions Presenters: Helen-Maria Lekas, PhD Moderator: Kerstin (Tine) Pahl, PhD,
A Culturally and Structurally
Humble Approach to
Helen-Maria Lekas, PhD
Kerstin (Tine) Pahl, PhD, LP
Sunday, May 22, 2022
5pm – 7pm
Live Online via Zoom: Workshop
(Registration is required in order to
receive the zoom link)
YOU WILL RECEIVE THE ZOOM LINK
BETWEEN 1PM AND 2PM
FRIDAY, MAY 20
A review of the research and practice literature highlights the limited effectiveness of cultural competence trainings. However, the value of such training remains largely unchallenged, and it is institutionally mandated as a means of decreasing health disparities and improving quality of care. A plethora of trainings are designed to expose providers to different cultures and expand their understanding of the beliefs, values, and behaviors; thus, achieving competence. Although this intention is commendable, training providers in becoming competent in various cultures presents the risk of stereotyping, stigmatizing, and othering patients and can foster implicit racist attitudes and behaviors. Further, by disregarding intersectionality and its structural foundation, cultural competence trainings tend to undermine providers’ recognition that patients inhabit multiple social statuses that potentially shape their beliefs, values, and behavior. To address these risks, we propose training providers in cultural and structural humility (CSH), that is, an orientation to care that is based on self-reflexivity, appreciation of patients’ lay expertise, openness to sharing power with patients, and capacity to continue learning from one’s patients. We will also discuss the CSH training offered by the Center for Cultural and Structural Equity in Behavior Health (CCASE).
Learning Objectives: After attending the presentation, participants will be able to
– Identify the features and significance of a culturally and structurally humble approach to interacting with patients/clients.
– Discuss ways to integrate a culturally and structurally humble approach in interactions with patients/clients.
NPAP members and candidates I no cost
Non-members I $40
Other Candidates/Students I $20
Contribution I Suggested
2.0 CE contact hours will be granted to participants with documented attendance and complete evaluation form. It is the responsibility of the participants seeking CE credits to comply with these requirements. Upon completion, a Certificate of Attendance will be emailed to all participants.
Bio: Helen-Maria Lekas, PhD Associate Professor, Dept of Psychiatry, New York University, Grossman School of Medicine & Co-Director of the Center for Research in Cultural and Structural Equity (CCASE) at the Nathan S. Kline Institute for Psychiatric Research. Dr Lekas is a medical sociologist and public health researcher who has published on HIV, stigma, and patient-provider relationships. Book chapters include: Reframing the phenomenon of discharges Against Medical Advice: A sociologist’s perspective. David Alfandre (Editor). Against‐Medical‐Advice Discharges from the Hospital: Optimizing Prevention and Management to Promote High-Quality, Patient-Centered Care (2018). Springer International Publishing. Peer-reviewed articles include: (1) Lekas, H-M, Siegel, K, & Schrimshaw, EW. (2006). Continuities and Discontinuities in the Experiences of Felt and Enacted Stigma Among Women with HIV/AIDS. Qualitative Health Research. 16: 1165-1190. (2) Lekas, H-M, Siegel, K. & Leider J. (2011). Felt and Enacted Stigma Among HIV/HCV Coinfected Adults: The Impact of Stigma Layering. Qualitative Health Research. 21:1205-1219. (3) Lekas HM, Siegel, K. & Leider, J. (2012). Challenges Facing Providers Caring for HIV/HCV-Coinfected Patients. Qualitative Health Research. 22: 54-66. (4) Lekas, H-M, Alfandre, D., Gordon, P., Harwood, K., & Yin, M. (2016). The role of patient-provider interactions: Using an accounts framework to explain hospital discharges against medical advice. Social Science & Medicine.156, 106-113. (5) Lekas HM, Pahl K, Fuller Lewis C. (2020). Rethinking Cultural Competence: Shifting to Cultural Humility. Health Services Insights.
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(Sunday) 5:00 pm - 7:00 pm