Mainstream Service Providers can Deliver Culturally Appropriate Residential Care for Ethnic Diversity

Petrov, Ljubica

doi:10.1111/j.1741-6612.1997.tb01057.x

Cited by 1 publication

(3 citation statements)

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“…Other findings which are similar to previous studies [5-13,15,18] include: the different understandings of dementia that may be held in CALD communities; carers’ lack of familiarity with and knowledge of dementia services; cultural beliefs about care within the family that means people often do not seek services until the needs are critical; carers’ difficulty accepting residential care; the important linking role played by bilingual health professionals; and preference for care within ethno-specific services, or at least mainstream services that were making a genuine attempt to cater to the cultural background of people in their care.…”

Section: Discussionsupporting

confidence: 93%

“…The findings from this study to some extent reinforce those of other studies [5-13,15,18] as well as adding new insights and perspectives on the issues. One issue that emerged from the focus groups was that, while there was considerable common ground amongst participants, there was also variation in their attitudes, beliefs and behaviors.…”

Section: Discussionsupporting

confidence: 87%

“…The potential for mainstream facilities to provide culturally appropriate care has been outlined [18] and other authors have argued that there is a need for both ethno-specific and mainstream facilities as well as a partnership model where both types of facilities support each other and work together for the benefit of clients and families [19]. …”

Section: Introductionmentioning

confidence: 99%

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A qualitative study into the use of formal services for dementia by carers from culturally and linguistically diverse (CALD) communities

Shanley

Boughtwood

Adams

et al. 2012

BMC Health Serv Res

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BackgroundPeople with dementia and their family carers need to be able to access formal services in the community to help maintain their wellbeing and independence. While knowing about and navigating one’s way through service systems is difficult for most people, it is particularly difficult for people from culturally and linguistically diverse (CALD) communities. This study addresses a lack of literature on the use of formal services for dementia by people from CALD backgrounds by examining the experiences and perceptions of dementia caregiving within four CALD communities – Italian, Chinese, Spanish and Arabic-speaking – in south western Sydney, Australia.MethodsThe study used a qualitative design and the methods included focus groups with family carers and one-to-one interviews with bilingual/bicultural community workers, bilingual general practitioners and geriatricians. A total of 121 family carers participated in 15 focus groups and interviews were held with 60 health professionals. All fieldwork was audiotaped, transcribed and subjected to thematic analysis.ResultsPeople from CALD communities are often unfamiliar with the concept of formal services and there may be strong cultural norms about maintaining care within the family, rather than relying on external services. CALD communities often have limited knowledge of services. There is a preference for services that will allow families to keep their relative at home, for safety as well as cultural reasons, and they are particularly reluctant to use residential care. While there is a preference for ethno-specific or multicultural services, mainstream services also need to ensure they are more flexible in providing culturally appropriate care. Positive outcomes occur when ethno-specific services work in partnership with mainstream programs. Dementia service providers need to develop a trusting relationship with their local CALD communities and promote their services in a way that is understandable and culturally acceptable to members of these communities.ConclusionsWhile members of CALD communities may have difficulties accessing formal services, they will use them if they are culturally and linguistically appropriate and can meet their needs. There are a number of ways to improve service provision to CALD communities and the responsibility for this needs to be shared by a range of stakeholders.

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