Cultural Competence Standards in Managed Care Mental Health Services for Asian and Pacific Islander Americans

Ongoing Program Development

 

Standard

Ongoing program development for APIA consumers shall include a full array of available treatment modalities, particularly modalities that are culturally competent and effective with this population (e.g. family therapy, specialized group therapy, behavioral approaches, use of traditional healers, and outreach).

 

Implementation Guidelines

  1. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers shall include them, their families, and providers from the consumer’s community.
  2. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall encourage and develop consumer run programs such as drop in centers, self help groups and crisis groups.
  3. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall include identification of gaps in the continuum of service delivery and policies.
  4. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall include knowledge and skill development of providers in how to effectively use alternative treatment programs.
  5. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall include the creation of a human resource development system to recruit, retain, develop, and evaluate culturally competent Mental Health Specialists. Models for this series of the HRD functions are found in such states as Pennsylvania, California, New Jersey, and Ohio.
  6. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall include leadership training and development for all stakeholder groups.
  7. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall explore ways to consolidate services in one location when consolidation would improve access (e.g. churches, schools, housing units, community agencies).
  8. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall identify and find ways to extend services to at-risk, under-served, and potential consumers (e.g., unemployed, under-employed, students, homeless).
  9. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall include continuing education training and involvement of personal care physicians, ministers (church), and others who are often a significant point of contact for referrals to the service delivery system.
  10. Efforts by managed care plans, providers, or organizations to carry out on-going program development for APIA consumers and their families shall be able to recognize when new programs are needed and determine the means of financing these programs.

 

Recommended Performance Indicators

  1. Program in place for on-going program development which also identify gaps in service delivery for APIA consumers and families, including consumer-run and alternative treatment programs.
  2. Procedures in place to maintain, recruit, and train APIA culturally competent Mental health Specialists.
  3. Programs that consolidate and extend services to specialized APIA populations.

 

Recommended Outcomes

  1. Documentation of on-going program development.
    Benchmark: 100% documentation
  2. Documentation of programs to maintain, train and recruit APIA culturally competent Mental health Specialists.
    Benchmark: 100% documentation
  3. Documentation of consolidation and availability of special services.
    Benchmark: 100% documentation