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Learning Objectives

1. Implement the DSM-5® criteria and cultural formulation interview to accurately assess for cultural influences as it relates to diagnosis.
2. Analyze biases to improve clinical strategies, rapport, and engagement with a variety of clients.
3. Develop a deep understanding of the impact of varying cultural group experiences to enhance empathy in session.
4. Devise ethical standards for a culturally competent practice related to therapeutic authority and self-disclosure.
5. Utilize clinical strategies to address unintentional cultural offenses towards clients to increase treatment effectiveness.
6. Apply skills to overcome cultural barriers such as language, religion and different belief systems to improve session outcomes.

Outline

Cultural Competencies in Mental Health

• Client-centered approach to cultural competence
• Trends in cultural identity development
• Acknowledge cultural differences: terms of reference, racism and stereotypes
• Improve client rapport
• Make cultural connections
• Acquire knowledge & skills
• View behavior within a cultural context
• Exercise: Cultural Self-Assessment

Ethics & the DSM-5®: Guidelines for the Integration of Cultural Competencies

• Cross-cultural variations in presentations
• Cultural genograms
• Assessments and diagnostic protocols
• DSM-5® Cultural Formulation
• Ethical standards for culturally competent practice
• Cultural perspectives on therapeutic authority
• Referring without abandoning
• Effective self-disclosure
• Advocacy and social justice
• Exercise: Cultural Formulation Interview

Overcome Dilemmas in Practice

• Working with limited English proficiency and bi/multilingual clients
• When to use an interpreter
• Strategies for working with cultural transference and countertransference
• Avoiding and addressing unintentional cultural offenses toward clients
• Empathizing with victims as well as accused perpetrators of social injustice

Interventions & Strategies for Specific Populations

• Understand client experiences of sexual identity and gender fluidity
• Strategies for supporting clients when therapist’s and client’s religious beliefs conflict
• Methods for building rapport with clients with various disabilities
• Adapting therapeutic style to client’s cultural presentation
• Case Examples: Cultural experiences therapists often misunderstand

Overcome Limitations of the Research & Potential Risks

• Limited empirical models
• Lack of professional awareness & confidence
• Changing cultural values, needs & expressions
• Incomplete scope: clients, counselors, supervisors, colleagues & community

Learning Objectives

1. Analyze how privilege, systemic oppression, and practices of exclusion are reproduced within the counseling relationship.
2. Evaluate factors that influence power dynamics within the counseling relationship.
3. Utilize tools to self-examine and reflect on identity, hidden biases, and privilege so as not to enact harm to clients.
4. Employ strategies, practices, and clinical interventions that minimize power imbalances and promote equity and empowerment for all clients

Outline

I. Privilege, Systemic Oppression & Exclusion in the Counseling Relationship

• How privilege, systemic oppression, and exclusion are reproduced in therapy

II. Power Dynamics in the Counseling Relationship

• Factors that influence power dynamics between therapist and client

III. Self-Examination & Bias Awareness

• Tools to self-examine and reflect on therapist identity, hidden biases, and privilege
• Strategies to prevent unintentional harm to clients

IV. Strategies for Equity & Empowerment

• Practices and clinical interventions that minimize power imbalances
• Methods to promote equity and client empowerment

V. Risks & Limitations of Inclusive Practice

• Challenges and considerations in developing an inclusive therapeutic approach

Learning Objectives

1. Identify central terms related to implicit and explicit bias.
2. Evaluate the impact of implicit and explicit bias on the development of systems that provide physical and mental health care.
3. Utilize a framework to assess the impact of implicit bias in professional practice.
4. Determine how to address implicit bias in the workplace.

Outline

Bias in Therapy

• The complicated role of resistance
• Differentiate implicit bias from explicit bias
• Common biases and how they impact therapy
• Impact of social identities on bias
• Social Identity Wheel exercise

Understand Bias

• The role that bias plays
• Unpacking Privilege
• Define privilege, explore its impact, and contrast privilege against cultural assumptions
• Explore the concepts of prejudice, stereotyping, microaggression and internalized oppression
• Individual communication styles defined in the Courageous Conversations Compass
• Responses to Bias:
• Color-blindness in American society
• Code-Switching  

Impact of Implicit and Explicit Bias on the Development of Systems of Care

• Micro and macro level impacts of bias on mental health care
• Case Examples:
• Provider bias against people with physical disabilities
• Role of race in diagnosis
• Research Limitations and Risks

Assess and Address the Impact of Implicit Bias on Professional Practice

• The Implicit Association Tests as a tool to evaluate individual implicit bias
• Cultural competency and cultural humility as tools to address bias in practice
• Critical examination in the workplace
• Additional strategies used to address bias in professional practice
• Intentional intergroup contact
• Intragroup support through affinity groups

Learning Objectives

1. Investigate the importance of decolonizing mental health perspectives in creating mental health practices that work for everyone.
2. Analyze critical concepts grounded in decolonized mental health practices that help clinicians unlearn negative “cultural scripts.”
3. Use culturally responsive self-nourishment and well-being strategies with BIPOC clients.

Outline

• Rates of Mental Health Distress Among BIPOC Communities
• Moving Beyond the Standard Mental Health Perspective
• Decolonizing Mental Health
• Constructs to Consider (i.e., collectivism, colonial mentality, colonization histories, systemic oppression, intergenerational trauma, etc.)
• Strategies for Understanding and Unlearning Cultural Scripts
• Culturally Responsive Strategies for Self-Nourishment and Wellbeing
• Risks and Limitations Associated with Decolonized Practices

Learning Objectives

1. Investigate traditional healing practices suitable for individuals, groups, and families coping with grief and loss. 
2. Develop strategies to counter narratives of extinction, erasure, and cultural/religious/racial superiority that contribute to historical grief and trauma. 
3. Implement interventions aligned with the collective mindset of individuals and groups affected by historical grief and trauma, fostering a sense of empowerment and cultural affirmation. 

Outline

I. Understanding the Spiritual Nature of Grief and Mourning 

A. Definition of grief as a spiritual outcome of mourning
B. Importance of mourning in ritualizing feelings
C. Risks and Limitations 

II. The Consequences of Restricted Mourning  

A. Explanation of how restricted mourning stifles grief  
B. Discussion on how unresolved grief can manifest as illness 

III. Integrating Compassion-Based Rituals into Grief Work  

A. Introduction to the concept of Karuna (compassion/mercy)  
B. Exploration of different compassion-based rituals  
C. How Karuna guides individuals through the process of loss and grief 

IV. Conclusion  

A. Recap of the significance of mourning in spiritual grief work  
B. Emphasis on the importance of compassion-based rituals in facilitating the grieving process  
C. Encouragement to embrace the wisdom of grief as guided by compassion practices 

Learning Objectives

1. Use 2-SQT affirming language to promote clinical outcomes and therapeutic relationships.
2. Apply a 2-SQT affirming model to create inclusive spaces.
3. Integrate intersectionality and anti-racist frameworks in supporting 2SQT communities.

Outline

Introduction 

• Explanation of 2-SQT affirming language and its importance 

Using 2-SQT Affirming Language 

• Using preferred pronouns and names 
• Avoiding assumptions about gender and sexuality 

Intersectionality and 2-SQT Communities 

• Definition of intersectionality 
• Importance of recognizing intersecting identities 
• Example of intersectionality in 2SQT communities 

Anti-Racism and 2-SQT Communities 

• Definition of anti-racism 
• Importance of anti-racism in supporting 2SQT communities 
• Examples of anti-racist policies and practices 

Integrating Intersectionality and Anti-Racism in Support for 2-SQT Communities 

• Importance of integrating intersectionality and anti-racism 
• Creating a more inclusive and equitable society 
• Promoting diverse identities and experiences of all individuals 

Conclusion 

• Recap of the importance of using 2-SQT affirming language and integrating intersectionality and anti-racism in support for 2-SQT communities.