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Cultural Competence - What does it look like in practice? Cultural Competence - many of us know the term, we all strive for it, and a few of us have even studied it. But what does it look like in practice? How does one become culturally competent? Dawn Nixon, Director of the Young Wings: the Red Cliff Birth to Six Mental Health Program and Rob Goslin, Red Cliff Early Head Start Fatherhood Coordinator, charted a culturally competent course when introducing the prevention and intervention components of their Targeted Capacity Expansion grant to the Red Cliff Tribe's Early Childhood Center. Dawn began to navigate her way by assessing the unique needs of this Native American community. Although pediatric mental health services were needed, the existent barriers of rural isolation, transportation difficulties, and a lack of culturally sensitive service providers in the broader community prevented families from receiving care. One way to overcome these barriers was to bring mental health services on-site to Red Cliff. In January of 2001, a five-person team from Red Cliff attended a community-level Touchpoints training at the Brazelton Center in Boston. Dr. T. Berry Brazelton's Touchpoints Model aims to build alliances between parents and providers around key points in the development of young children. In what they both describe as a poignant week, Rob, Dawn, and the other team members recognized that the Touchpoints Model mirrored the traditional values of the Red Cliff Anishinabe tribal community. Dr. Brazelton and his Touchpoints faculty were also struck by the reflection of values, and later traveled to Red Cliff to increase their own understanding of how Touchpoints worked within a tribal community. Following the training in Boston, the Red Cliff Touchpoints team returned to train over 80 tribal service providers. Dawn realized an appropriate model for the delivery of pediatric mental health services on the reservation had been found, and Young Wings (Oshki Ningwiiganan) was born. Dawn, as a non-native, sought the guidance of a cultural mentor - a role filled by Rob Goslin. Rob helped Dawn integrate into the community and more deeply understand the community's values and "way of being". Because of the trusting relationship with Rob and the Red Cliff Early Childhood Center administrative staff, Dawn became someone tribal families felt comfortable working with. It was the establishment of these relationships that allowed the Young Wings program to be effective. Dawn and Rob offer the following advice for those seeking to map a course for cultural competence:
To paraphrase Rob and Dawn:
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