On Enhancing Competent Work with African American Clients: Challenging Persistent Racial Disparity Trends by Examining the Role of the Working Alliance

Burris, Jennifer L.

doi:10.1891/0047-2220.43.3.3

Cited by 10 publications

(5 citation statements)

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“…Research has shown that racial microaggressions are positively associated with alcohol use and problems (Blume, Lovato, Thyken, & Denny, 2012), and perceptions of racial bias have been reported in SUD treatment that may interfere with the working alliance (Davis & Ancis, 2012). Strangely, racism as a potential stressor related to substance use or as a potential threat to recovery from SUD seems to be rarely discussed by treatment professionals (Burris, 2012), and unwelcoming racial climates in treatment may be linked to poor treatment outcomes (Blume, 2016).…”

Section: Addressing Racial Trauma In Treatmentmentioning

confidence: 99%

Understanding the link between racial trauma and substance use among American Indians.

Skewes¹,

Blume²

2019

American Psychologist

133

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Historians and scholars from various disciplines have documented the pervasive influence of racism on American society and culture, including effects on the health and well-being of American Indian (AI) people. Among the many health problems affected by racial discrimination and oppression, both historical and current, are substance use disorders. Epidemiological studies have documented greater drug and alcohol-related morbidity and mortality among AI/ANs compared to other ethnic groups, and culturally appropriate, effective interventions are sorely needed. As part of a larger community based participatory research project to address substance use disparities in rural AI communities, we collected qualitative interview data from 25 AI key informants from a frontier reservation in Montana. Using a semi-structured interview guide, we asked participants to discuss their perceptions of the causes of substance use problems and barriers to recovery on the reservation. Although no questions specifically asked about discrimination, key informants identified stress from racism as an important precipitant of substance use and barrier to recovery. As one participant stated: “Oppression is the overarching umbrella for all sickness with drugs and alcohol.” Participants also identified historical trauma resulting from colonization as a manifestation of race-based stress that drives behavioral health problems. Findings suggest that interventions for AIs with substance use disorders, and possibly other chronic health problems, may be more effective if they address social determinants of health such as racial discrimination and historical trauma.

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Section: Addressing Racial Trauma In Treatmentmentioning

confidence: 99%

Understanding the link between racial trauma and substance use among American Indians.

Skewes¹,

Blume²

2019

American Psychologist

133

View full text Add to dashboard Cite

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“…It could also support VR professionals to overcome cultural biases related to race and other consumer characteristics that contribute directly to inequities throughout the VR services program. For example, VR professionals could acquire specific skills for working with Black consumers and enhance the way they interact with Black consumers [ 62 ]. They could also identify inequities at all major junctures in the VR process and target those points for intervention to create change.…”

Section: Future Directionsmentioning

confidence: 99%

Trauma-Responsive Vocational Rehabilitation Services

Chopp

Topitzes

Mersky

2023

Behavioral Sciences

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Research on the effectiveness of Vocational Rehabilitation (VR) Programs has revealed that VR services are less effective for trauma-affected and Black consumers. For instance, consumers with trauma exposure disengage from services earlier than their non-traumatized counterparts, and Black consumers benefit less from each phase of VR services compared to others. One midwestern state’s VR program sought to address these disparities by offering trauma-informed and trauma-responsive services that emphasize cultural responsiveness, racial equity, and strengths-based practices. To begin this work, the state’s VR program collaborated with an applied research unit in a public university to establish two work groups: a communications group and a training group. The purpose of the communications group was to build a robust referral network within the VR Division and with other community-based agencies and providers, particularly for low-income, Black consumers. The purpose of the training group was to develop and deliver a training program to support VR professionals in providing trauma-informed and trauma-responsive services. Results from an evaluation of the training indicated that each training module generated for staff both reminders and new insights into ways to effectively work with consumers. Staff expressed that they wanted opportunities to further explore and apply the training content and needed additional, ongoing support to implement what they were learning. In response to staff needs, the state’s VR program is continuing to invest in this community–university partnership by establishing communities of practice for staff and evaluating the effectiveness of the training program.

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“…Self-awareness, an important part of cultural awareness, allows counselors to reflect on themselves and understand implicit biases during the delivery of cross-cultural counseling services. The theoretical framework for understanding the concept of cultural competence includes awareness of oneself and others, the knowledge of other cultures, and the ability to be non-judgmental in meeting certain cultural needs (Sudin, 2017); (Burris, 2016).…”

Section: Disscussionmentioning

confidence: 99%

The Design Of Cultural Awareness Development Model Based On Indonesian Culture On Guidance And Counseling Students

Yusri,

Afrida,

Putri

2023

Counsellia

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<p>This research was done to create a development model of cultural awareness based on a valid, practical, and effective Indonesian culture to develop students’ cultural awareness as the prospective of counselor. The research is a research and development (R & D) type with the ADDIE approach to develop a valid, practical, and effective model to develop cultural awareness based on Indonesian culture. An accidental sampling technique was used to determine 41 subjects in the study. Data was collected by giving the cultural awareness instrument directly to the sample. Product validity and practicality tests were carried out by 2 competent experts. The Kendall's coefficient test statistic was used to analyze data both descriptively and inferentially. The research produced a model to develop cultural awareness based on Indonesian culture. To develop student’s cultural awareness as the prospective counselor, the research is valid (94.08%), practical (93.112% practicality value), and effective (Asymp. Sig value 0.001). The development model of <em>cultural awareness</em> based on Indonesian culture can be used to develop students’ cultural awareness as the prospective of counselor. Its application can be modified to fit the students' characteristics and cultural background. </p>

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On Enhancing Competent Work with African American Clients: Challenging Persistent Racial Disparity Trends by Examining the Role of the Working Alliance

Cited by 10 publications

References 0 publications

Understanding the link between racial trauma and substance use among American Indians.

Understanding the link between racial trauma and substance use among American Indians.

Trauma-Responsive Vocational Rehabilitation Services

The Design Of Cultural Awareness Development Model Based On Indonesian Culture On Guidance And Counseling Students

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