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The Challenge of Diversity
Kensington & Chelsea World Mental Health Day 2007
Rules
1. The good news and the bad news
2. This is not a one way presentation
3. You must talk
4. I tell stories
5. You can too
(see #3 above)
6. Have fun!
It s not about
telling you off
All change starts when
people get together and talk
about the things they care
about.
Margaret Wheatley
Why a focus on diversity is
important for everyone
Global Demographics
If only 100 people lived in the world, there would be:
· 57 Asians.
· 21 Europeans.
· 14 people living in Nort h & South America.
· 8 Africans.
· 52 women.
· 48 men.
· 70 persons of color.
· 30 Christians.
Changing
demographics and
the rise of the
visible minority (in
some places the
majority)
In the UK:
Only two-thirds of London school children
speak English as a home language
They speak a total of 307 languages
7.5 % of the total population (4.3 million
people) were born outside the UK
In 2002 over 100 000 people entered the
country to seek asylum
The changing NHS
Culture
We all have it
Symbols are words, gestures, pictures, or
objects that carry a particular meaning
which is only recognized by those who
share a particular culture. New symbols
easily develop, old ones disappear.
Symbols from one particular group are
regularly copied by others. This is why
symbols represent the outermost layer of
a culture.
Why does culture matter ?
Strong evidence of health inequalities along race
and ethnicity.
Systematically worse health outcomes for
members of minority racial and ethnic groups.
A greater dissatisfaction with health services
expressed by members of minority groups.
Because culture affects medical experiences, it
is a vital component in effective care.
stereotypes
Stereotyping
When someone claims that
members of another cul ture all
share the same, often i nferior or
offensive characteristics.
Types of stereotypes
racial e.g. Red Indians in cowboy films are
seen as bloodthirsty savages
gender e.g. women are bad dri vers
age e.g. old people are said to be very
forgetful
religion e.g. Catholics families have a lot of
children
profession e.g. all lawyers are greedy
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Heaven
and Hell
Heaven is where the police are British, the
cooks are French, the mechani cs are
German, the lovers are Italian and it is all
organised by the Swiss.
Hell is where the police are German, the
cooks are English, the mechanics are
French, the lovers are Swiss, and it is all
organised by the Italians.
Where do stereotypes come from?
Parents and family
The media
Friends
Education (school, uni versity)
Travel
Laziness
Fear
Envy
A sense of superiority
Lack of experience of people, etc.
Culture and diversity no longer
a black and white issue.
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Challenge of diversity   rbkc
Facts Which Make Awareness of
Cultural Diversity a Priority
By 2025, developing countries will
account for 85% of world s population
compared with 77% in 1992
Culture
Practice
Policy
Cultural
competence
How can services
deal with
difference ?
People are probably more tied to their
cultural and ethnic beliefs when ill than
when feeling well. Illness is stressful and
may lead individuals to what is known and
comfortable.
Foundations of Nursing, Transcultural Healthcare, Foundations of Nursing.
In Mental Health care setting, culture
affects how people;
Label and communicate distress
Explain the causes of their mental health
problems
Perceive mental health
providers
Use and respond to
treatment
Why is Equality and Diversity
important to all of us
There are many reasons e.g
1. Modernisation of the NHS and public service (qualit y of
service).
2. Matching the increasing Di versity of the population to
the servers it services.
3. Needs a good knowledge of the community, there
health and social care needs so provision can be
made.
4. Address any current inequalities and review p olicy
5. To ensure the trust does not activel y discriminate
against anyone by faili ng to provide equal access to
jobs or the service we supply.
Some good examples
Supporting Diversity
Embrace differences
Create opportunities for positive visions of
self
Utilize materials that represent a vari ety of
individuals
Exhibit genuine appreciation for the
students and the chi ld s worldview
Safe spaces
Intervene early
Education and advice
Implications of diversity
1. There are now multiple views of what is
meant by health , illness , & medical
treatment
2. There are now multiple notions of body and
self
3. Many minority & refugee communities feel in a
vulnerable and disadvantaged position
4. In medical treatment, health policy, and
medical research the one size fits all
approach is no longer appropriate
Appropriate, cross-cultural health
care is impossible without
partnerships based on trusting,
respectful, and responsi ble
relationships between health care
providers, patients, their families, and
communities.
Speed Networking
Try to sit opposite someone you don t
know very well
Describe a health improvement initiative
that you have been involved in that went
well
5 minutes each

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Challenge of diversity rbkc

  • 1. ??? The Challenge of Diversity Kensington & Chelsea World Mental Health Day 2007
  • 2. Rules 1. The good news and the bad news 2. This is not a one way presentation 3. You must talk 4. I tell stories 5. You can too (see #3 above) 6. Have fun!
  • 3. It s not about telling you off
  • 4. All change starts when people get together and talk about the things they care about. Margaret Wheatley
  • 5. Why a focus on diversity is important for everyone
  • 6. Global Demographics If only 100 people lived in the world, there would be: · 57 Asians. · 21 Europeans. · 14 people living in Nort h & South America. · 8 Africans. · 52 women. · 48 men. · 70 persons of color. · 30 Christians.
  • 7. Changing demographics and the rise of the visible minority (in some places the majority)
  • 8. In the UK: Only two-thirds of London school children speak English as a home language They speak a total of 307 languages 7.5 % of the total population (4.3 million people) were born outside the UK In 2002 over 100 000 people entered the country to seek asylum
  • 11. Symbols are words, gestures, pictures, or objects that carry a particular meaning which is only recognized by those who share a particular culture. New symbols easily develop, old ones disappear. Symbols from one particular group are regularly copied by others. This is why symbols represent the outermost layer of a culture.
  • 12. Why does culture matter ? Strong evidence of health inequalities along race and ethnicity. Systematically worse health outcomes for members of minority racial and ethnic groups. A greater dissatisfaction with health services expressed by members of minority groups. Because culture affects medical experiences, it is a vital component in effective care.
  • 14. Stereotyping When someone claims that members of another cul ture all share the same, often i nferior or offensive characteristics.
  • 15. Types of stereotypes racial e.g. Red Indians in cowboy films are seen as bloodthirsty savages gender e.g. women are bad dri vers age e.g. old people are said to be very forgetful religion e.g. Catholics families have a lot of children profession e.g. all lawyers are greedy
  • 25. Heaven and Hell Heaven is where the police are British, the cooks are French, the mechani cs are German, the lovers are Italian and it is all organised by the Swiss.
  • 26. Hell is where the police are German, the cooks are English, the mechanics are French, the lovers are Swiss, and it is all organised by the Italians.
  • 27. Where do stereotypes come from? Parents and family The media Friends Education (school, uni versity) Travel Laziness Fear Envy A sense of superiority Lack of experience of people, etc.
  • 28. Culture and diversity no longer a black and white issue.
  • 35. Facts Which Make Awareness of Cultural Diversity a Priority By 2025, developing countries will account for 85% of world s population compared with 77% in 1992
  • 37. People are probably more tied to their cultural and ethnic beliefs when ill than when feeling well. Illness is stressful and may lead individuals to what is known and comfortable. Foundations of Nursing, Transcultural Healthcare, Foundations of Nursing.
  • 38. In Mental Health care setting, culture affects how people; Label and communicate distress Explain the causes of their mental health problems Perceive mental health providers Use and respond to treatment
  • 39. Why is Equality and Diversity important to all of us There are many reasons e.g 1. Modernisation of the NHS and public service (qualit y of service). 2. Matching the increasing Di versity of the population to the servers it services. 3. Needs a good knowledge of the community, there health and social care needs so provision can be made. 4. Address any current inequalities and review p olicy 5. To ensure the trust does not activel y discriminate against anyone by faili ng to provide equal access to jobs or the service we supply.
  • 41. Supporting Diversity Embrace differences Create opportunities for positive visions of self Utilize materials that represent a vari ety of individuals Exhibit genuine appreciation for the students and the chi ld s worldview
  • 45. Implications of diversity 1. There are now multiple views of what is meant by health , illness , & medical treatment 2. There are now multiple notions of body and self 3. Many minority & refugee communities feel in a vulnerable and disadvantaged position 4. In medical treatment, health policy, and medical research the one size fits all approach is no longer appropriate
  • 46. Appropriate, cross-cultural health care is impossible without partnerships based on trusting, respectful, and responsi ble relationships between health care providers, patients, their families, and communities.
  • 47. Speed Networking Try to sit opposite someone you don t know very well Describe a health improvement initiative that you have been involved in that went well 5 minutes each