The Latino population is the fastest growing group in the United States; thus, it is imperative that social workers and other mental health practitioners be knowledgeable about the current literature on how to effectively serve this population. This article elucidates key issues and knowledge, such as immigration and migration concerns; discusses how to assess for levels of acculturation; examines cultural values; and highlights salient work issues and health disparities that Latinos experience. Recommendations on how agencies and universities can recruit and promote bilingual practitioners are introduced. Finally, culturally responsive strategies for professional use of self and fostering the therapeutic alliance are discussed.
The house/ball community is an understudied sub-group of young Black men who have sex with men and transgender persons in urban centers of the United States who affiliate in social structures called houses and gather at elaborate dance and performance events called balls. In Charlotte, North Carolina, 12 house/ball members were interviewed about their experiences with health care providers and their assessment of any barriers to care due to their affiliation with the rather clandestine house/ball sub-culture. Additionally, HIV-specific health care providers were interviewed, to assess their knowledge of the sub-culture. House/ball members reported both positive and negative perceptions of treatment by their health care providers with respect to their house/ball involvement. Some reported feeling stigmatized, especially around HIV status. Results showed that increased knowledge about the house/ball community could improve practitioners' cultural competence, thereby reducing stigma-related barriers to care.
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