Counselors' Multicultural Competencies and Vocational Rehabilitation Outcomes in the Context of Counselor—Client Racial Similarity and Difference

Bellini, James

doi:10.1177/00343552030460030501

Cited by 32 publications

(46 citation statements)

References 13 publications

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“…The most frequently used instrument to measure broad cultural competence in psychology and other counseling professions is the Multicultural Counseling Inventory (MCI; Sodowsky et al, 1994), which was designed to follow the broad crosscultural counseling competencies developed by Sue et al (1982). Although the instrument has demonstrated good reliability (.89) and content validity with numerous counseling professionals (Bellini, 2003;Sodowsky et al, 1994), the one instance of its use with junior nursing students did not match these results (" = .69Y.81; Pope-Davis, Eliason, & Ottavi, 1994).…”

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confidence: 99%

Psychometric Evaluation of the Cultural Competence Assessment Instrument Among Healthcare Providers

et al. 2005

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b Background: The relevance of healthcare provider cultural competency to the achievement of goals for reduction in extant health disparities has been demonstrated; however, there are deficits with regard to cultural competency measurement. b Objectives: To examine the testYretest reliability of the cultural competence assessment instrument (CCA) among hospice providers, and to examine the reliability and validity of the CCA among healthcare providers in nonhospice settings. b Method: TestYretest reliability of the CCA was assessed using a sample of 51 hospice respondents who completed the CCA at two time points. The internal consistency reliability and construct validity of the CCA for healthcare providers in nonhospice settings were evaluated using a convenience sample of 405 healthcare providers.b Results: The CCA demonstrated adequate testYretest reliability (r = .85, p = .002) in hospice providers over 4 months. Among healthcare providers in nonhospice settings, the CCA had an internal consistency reliability of .89 overall (.91 and .75 for the two subscales). Construct validity was supported by principal axis factor analysis, which showed two factors with item loadings above .40, explaining 56% of the variance. Mean scores of the CCA were significantly higher for providers who reported previous diversity training compared to those who had not. b Discussion: Findings for the psychometric properties of the CCA supported its potential as an instrument for measuring provider cultural competence. Knowledge gained will be useful for developing future research studies and specific cultural competence intervention approaches for healthcare providers that may decrease health disparities. b

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Psychometric Evaluation of the Cultural Competence Assessment Instrument Among Healthcare Providers

et al. 2005

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“…Specifically, Latinos with disabilities tended to access VR services at lower rates [24] and were less likely to be accepted for VR services [8] when compared to Whites with disabilities. Additionally, when Latinos were accepted for VR services, they tended to have lower rehabilitation rates [3] and were less likely to be placed in competitive jobs [20] than Whites with disabilities. More recently, de Silva Cardoso et al [7] examined the VR experiences and outcomes of Latinos with traumatic brain injury.…”

Section: Vocational Rehabilitation and Latinos With Disabilitiesmentioning

confidence: 99%

“…For instance, Arango-Lasprilla et al [2] found that Latinos with spinal cord injuries were 1.86 times more likely to be unemployed one year post-injury than Whites with spinal cord injuries. With regards to VR outcomes, Latinos also tend to fare poorly [3,7,8,20,24].…”

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confidence: 99%

Employment and vocational rehabilitation experiences of Latinos with disabilities with differing patterns of acculturation

Velcoff

Hernández

Keys

2010

Journal of Vocational Rehabilitation

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This study examined the impact of acculturation patterns and related variables on employment and vocational rehabilitation (VR) experiences of Latinos with disabilities. Acculturation and related variables of acculturative stress, English proficiency, educational attainment, familial support, and cultural mistrust were investigated using quantitative and qualitative methods. First, the Disability and Employment Survey was completed by 59 Latinos with disabilities. Second, 9 Latinos with disabilities participated in either an English-or Spanish-speaking focus group. Findings revealed that participants with lower identification with the United States cultural domain (USCD) struggled more with employment and VR outcomes than those with stronger identification. Specifically, lower identification with the USCD was associated with limited English proficiency and educational attainment and increased acculturative stress, which in turn tended to negatively impact employment and VR experiences post-disability. Among participants with higher identification with the USCD, familial support was an important factor when seeking employment. Finally, irrespective of acculturation pattern, cultural mistrust toward the VR system was evident and may be a barrier to seeking such services. Findings from this study may have policy and programmatic implications to improve employment opportunities and VR services for Latinos with disabilities.

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“…For example, Bellini (2003) found that the average cost for services was higher for Caucasian VR consumers compared with minority consumers. Atkins et al in 1980 revealed that African American consumers were worse off in every step of the VR process when compared with Caucasian consumers.…”

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confidence: 99%

The Influence of Race, Causal Attribution, and In-Group Favoritism on Recommendations for Rehabilitation Services

Sprong

2014

Rehabilitation Counseling Bulletin

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Vocational rehabilitation (VR) is a program that provides individualized and supportive services to assist individuals with disabilities in obtaining and maintaining employment compatible with their skills, abilities, and interests (Parker & Patterson, 2012;Rubin & Roessler, 2008). Eligibility for these services requires that an individual has a disability that includes a physical or mental impairment that constitutes or results in a substantial impediment to employment, benefits from services in achieving an employment outcome, and an individual must use these services to prepare for, enter, engage in, or retain gainful employment (Parker & Patterson). Legislation such as the Civil Rights Act and Rehabilitation Act of 1973 were passed in an attempt to end discrimination based on race, disability, gender, religion, as well as other factors. However, studies have yielded results that show discrimination may still occur for specific populations of people with disabilities.The Rehabilitation Act Amendments of 1992 established the Cultural Diversity Initiative to (a) "address disproportionately higher rates of disabilities among minority individuals" (Bellini, 2003, p. 1) and (b) enhance the quality of rehabilitation services to these populations (Jenkins, Ayers, & Hunt, 1996). The preamble to the 1992 amendments mentioned that persons from ethnic and racial minority groups experience unequal access to VR services. However, not everyone agreed with this assertion. Bolton and Cooper (1980), Dziekan andOkocha (1993), andHerbert andMartinez (1992) have suggested the differences in acceptance of African Americans and Caucasian consumers were small, and possibly insignificant (as cited in Wilson, 2000Wilson, , 2002.

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Counselors' Multicultural Competencies and Vocational Rehabilitation Outcomes in the Context of Counselor—Client Racial Similarity and Difference

Cited by 32 publications

References 13 publications

Psychometric Evaluation of the Cultural Competence Assessment Instrument Among Healthcare Providers

Psychometric Evaluation of the Cultural Competence Assessment Instrument Among Healthcare Providers

Employment and vocational rehabilitation experiences of Latinos with disabilities with differing patterns of acculturation

The Influence of Race, Causal Attribution, and In-Group Favoritism on Recommendations for Rehabilitation Services

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