Client and Family Centered Care

What is language?

Rule governed, generative symbol system shared by a group

What is culture?

A set of shared beliefs, customs, values experiences, expectations, stories, and the group history

Assuming that everyone within a culture will be the same leads to:

micro aggressions, miscommunication, and judgmental interactions

What is assimilation in terms of culture?

adopted to the mainstream culture

What is a acculturation?

deciding which aspects of the mainstream culture in an individual or family will adopt to

What is conscious bias?

being aware of your feelings

What is unconscious bias?

not being aware of the bias - leads to micro aggression, which are slight insults that communicate hostility

What are stereotypes?

overgeneralization applied to everyone in the group

What is the least effort principle?

the natural tendency for speakers to use the minimum physical and cognitive energy necessary to communicate a message while still being understood by the listener

What are the social determinants of health?

Non-medical variables that affect the health and well-being of the client

Explain protective factors, social risk factors, and social needs

Protective Factors: characteristics that benefit health outcomes (practice outside of therapy)

Social Risk Factors: characteristics that decrease health outcomes (using drugs)

Social Needs: barrier to accessing services and support (voice specialist not available)

What is the ACCESS strategy for clinical interviews?

• Ask the client about their communication skills and preferences

• Communicate directly with the client, not with their caregivers

• Confirm that you understand what the client said

• Eliminate distractions to increase attention for both you and the client

• Slow down

• Support communication for yourself and the client by using a variety of communication needs (gestures, writing, pictures)

What is cultural responsiveness?

SLP seeks to acknowledge cultural differences into actively understand cultural perspectives. - keeping a mindset that informs client and family centered care

What are the benefits of cultural responsiveness?

1. Building trusting, respectful relationships

2. In increasing quality and delivery of care

3. Allowing for meaningful and culturally relevant services and development

4. Increasing client commitment to services

5. Empower family and client

6. Increasing clinician personal and professional growth

7. Understanding communication

8. Reducing fear through understanding

What are two ways an SLP can provide client and family centered care

1. Be patient with a client and family

2. Stay away from bias and stereotypes

What types of clinical interview questions may you ask while applying the ACCESS method?

1. Communication preferences

2. What toys/food they dislike

3. Allergies

4. How other therapy is going