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1 ecald Culturally And Linguistically Diverse Supporting the healthcare workforce to develop CALD cultural competencies Introducing CALD Learning Tools and Resources CALD courses are for anyone working in the New Zealand primary, secondary and NGO health sectors. To find out more about CALD learning tools and resources or eligibility criteria, please visit

2 CALD Cultural Competency Courses and Resources for Working with CALD Patients CALD 1: CULTURE AND CULTURAL COMPETENCY CALD 2: WORKING WITH MIGRANT PATIENTS is a pre-requisite for all other Courses for Working with Patients The aims of this course are to increase awareness of one s own cultural background and those of others cultures; and to improve your understanding of how cross-cultural differences can affect communication, consultation and diagnosis. Understand the need for cultural competency and the impact of cultural interactions on the health system Become more aware of your own cultural values Understand and learn how to apply the four elements of cultural competency (cultural awareness, sensitivity, knowledge and skills) in practice Gain knowledge and skills to develop cultural competency in practice On completing this course you will have developed new skills in cultural competency; and become aware of how assumptions, interpretations and judgements can impact on how we communicate with and understand our CALD patients during interactions/consultations. The aims of this course are to build practitioner s awareness of the settlement challenges faced by migrants; and to develop awareness of the diverse models of health and wellbeing, help seeking behaviours and expectations of healthcare from migrant patients. Describe some emotional reactions to migration and build awareness of the challenges faced throughout the migrant journey Gain insight into the phases of settlement and acculturation processes and the impact on family units Broadly understand the explanatory models of health including supernatural, religious and humoral models Know what to consider when raising sensitive issues with migrant patients Know what to consider to accommodate health beliefs and faith-based practices On completing this course you will have greater insight into how the migration process impacts on the health and wellbeing of individuals and family units. CALD 3: WORKING WITH REFUGEE PATIENTS CALD 4: WORKING WITH INTERPRETERS The aims of this course are to help you work better with refugee patients during consultations; increase your awareness of settlement challenges; and guide you on how to respond to the traumatic experiences a patient and their family may have endured. Demonstrate an understanding of pre and post-settlement challenges for refugees Gain awareness of some physical and mental health challenges for refugees Demonstrate ability to handle sensitive issues (FGM and torture and trauma) with refugees Demonstrate ability to use strengths of refugees in interventions Integrate learning through role plays which demonstrate best practice On completing this course you will have a better understanding of the refugee experience and the long-term physical and psychological impacts on refugees resettled in New Zealand; and have developed new skills on how to use strengthsbased interventions in planning care with refugee patients and their families. The aim of this course is to help you work more effectively with professionally trained interpreters, and to achieve a better outcome from your communication with non-english speaking patients. Gain awareness of the challenges faced by health practitioners, interpreters and patients involved in interpreting sessions Gain an understanding of the roles and competencies of interpreters Gain an understanding of the rationale and principles of how to work effectively with interpreters Develop skills on how to pre-brief and structure sessions to gain control of the interpreting process Develop skills on how to de-brief post consultation Understand some of the factors that affect the working relationship On completing this course you will be more familiar with the roles and responsibilities of a professionally trained interpreter, their code of ethics, and have developed skills on how to work effectively with interpreters in different settings. CALD Courses for Working with Patients are CME/CNE/MOPS accredited with certificates provided to participants on completion. These courses are provided to complement existing Maori and Pacific cultural competency training programmes.

3 CALD 5: WORKING WITH ASIAN MENTAL HEALTH CLIENTS CALD 7: WORKING WITH RELIGIOUS DIVERSITY Duration Face-to-face = 7.5 hours (CALD 4 and 9 recommended) This course is intended for anyone working in primary or secondary mental health services who wants to work more effectively with Asian clients with mental health issues. Learning Objectives Understand the correlation between culture, religion and healing and how to apply this in a mental health setting Understand the various modalities for treatment and implications Understand more about different cultures and how to communicate with people from different cultures Understand the principles of and gain skills for cultural assessment/ management and 2 The aim of this course is for health practitioners to gain the skills and understanding needed to develop religio-cultural competency. Gain an understanding for developing religio-cultural competent practice when working with CALD patients of diverse faiths and religious practices Gain knowledge about selected religious beliefs and practices, and the affect they have on health, behaviour, and wellness Develop skills to enhance interventions & treatment compliance Know how to raise religion in a sensitive manner to gather the information needed to aid effective healthcare On completing this course you will have more knowledge about a range of religious beliefs and practices and the influence they can have on patients and their families health, behaviour, and wellness; and have developed new skills to enhance your health interventions and patient compliance with treatment plans. CALD 8 : WORKING WITH CALD FAMILIES: DISABILITY AWARENESS and 2 or 3 The aim of this course is to introduce you to the challenges of working with cultural beliefs around disability that impact on treatment and interventions, and ways to accommodate different beliefs and attitudes wherever possible. Gain an understanding of the rationale for culturally competent practice and disability awareness when working with CALD families Be more aware and have more knowledge of the cultural perspectives of the CALD population relating to disability and the impact it has on service providers Develop skills to work effectively with and broach sensitive issues with CALD children and adults with impairments and their families Know how to find and use resources to work with CALD children and adults with impairments and their families On completing this course you will have more knowledge and a new set of tools to apply to your own practice to work more effectively with CALD children and adults with disabilities and their families. CALD 9: WORKING IN A MENTAL HEALTH CONTEXT WITH CALD CLIENTS Duration Face-to-face = 7 hours; Online = 5 hours (CALD 2, 3, 4 and 7 recommended) The aim of this course is to develop your skills to enhance collaborative interventions with mental health clients and their families and gain better treatment compliance. Gain awareness of the challenges of cross-cultural assessment and diagnosis of CALD clients in mental health settings Become aware of how cultural values interact with Western psychological and psychiatric values Gain an overview of how different cultures express distress Develop skills in cross-cultural clinical assessment Develop skills in collaborating on treatment plans with clients with different belief systems and practices in mental health On completing this course you will be able to understand the challenges of cross-cultural assessment and mental health diagnosis, and develop new skills to enable you to improve your rapport with clients by understanding their mental health beliefs and practices, cultural behaviours and expectations. CALD ONLINE SUPPLEMENTARY RESOURCES The following supplementary online resources are available to provide more culture-specific information not covered in the CALD courses. You must complete prerequisite CALD course(s) before you can access these resources through your ecald online account: Working with Religious Diversity [Supplement] Prerequisite CALD 1 Working with CALD Families Disability Awareness [Supplement] Prerequisites CALD 1, 2, 3, 4 & 8 Working with Asian Mental Health Clients [Supplement] Working with Middle Eastern and African Mental Health Clients [Supplement] CALD Family Violence Resource [Supplement] Working with CALD Older People [Supplement] Pre-requisite CALD 1 Ayurvedic Medicine [Video] Prerequisites CALD 1 & 2

4 CALD Cultural Competency Courses and Resources for Culturally Diverse Workplaces CALD A: WORKING IN CULTURALLY DIVERSE TEAMS Duration Face-to-face = 3-4 hours (max 25 participants) This course is designed as a team-based workshop for staff working in a culturally diverse workplace in primary care, secondary care, and mental health services. At the end of the course participants will be able to Understand how culture impacts on team interactions Describe their own work values and how they may differ from other team members Understand the value dimensions that cause barriers to effective crosscultural interaction and how to minimise these barriers Identify strategies that enable effective working relationships in a diverse team Gain skills on building trust CALD B: WORKING IN A NEW ZEALAND HEALTH WORKPLACE: CULTURE AND CONTEXT FOR NEW MIGRANTS Duration Face-to-face = 4 hours (max 25 participants) This course has been designed for new migrant staff working in primary care, secondary care, and mental health services. At the end of the course participants will be able to Gain a general awareness of your own culture and the general NZ culture Gain awareness of the cultural value dimensions that cause communication barriers and misunderstandings in the workplace Gain awareness of NZ communication styles and expectations in the workplace Gain skills and knowledge on how to bridge the gap between cultures Build strategies to enable effective working relationships Further your knowledge of the NZ health sector work ethic and expectations CALD C: MANAGING CULTURALLY DIVERSE TEAMS CROSS-CULTURAL TOOLKIT FOR STAFF Duration Face-to-face = 4 hours (max 25 participants) This course is for managers of culturally diverse teams working in primary care, secondary care, and mental health services. At the end of the course participants will be able to Understand what cultural competency entails and why you need it Understand what cultural values are and how these differ across cultures Know how to facilitate cultural differences within your team Assist your team to adjust to working in culturally diverse teams Gain some ideas on how to make the best of the diversity within teams Toolkit for Staff working in Culturally and Linguistically Diverse Health Environments This e-toolkit offers guidance for staff and managers working in a CALD health environment. Section A provides a general guide for staff working with colleagues in culturally diverse teams Section B offers additional information for CALD staff working in a New Zealand health environment Section C is for managers who lead culturally diverse teams Section D lists training and resources for staff Section E contains appendices: Cultural Competence Standards, Policies, Legislation, etc This e-toolkit is available for download in sections. CALD Courses for Culturally Diverse Workplaces are available for groups in face-to-face format only. To find out about costs and how to book a facilitator for these courses please visit

5 CROSS CULTURAL RESOURCE FOR HEALTH PRACTITIONERS WORKING WITH CALD CLIENTS The toolkit is not a definitive guide on each culture, but contains information we consider useful to health practitioners who work with CALD clients. Booklet The booklet is a desktop guide which contains a summary of the e-toolkit which includes a cross-cultural pre-interview checklist, interview questions, and guidelines for working with interpreters. The sections on various Asian cultures and Eastern Mediterranean cultures contain greetings and communication tips, and guidelines for practitioners working with each of these cultures. To order a copy of the booklet us at e-toolkit The e-toolkit includes further explanation, examples and background information on the points in the booklet, including: Additional issues, comparative tables, specific information on Asian, Eastern Mediterranean and African cultures Videos scenarios and audio clips of the greetings in each language Communication tips, information on health beliefs and practices and family values Tips for practitioners working with culture-specific clients, health risks, women s and youth health, and spiritual practices This e-toolkit is available for download in sections. ecald WEBSITE Our ecald website provides a platform for health practitioners to access: convenient and flexible learning options (face-toface and online) to support the development of cultural competence cross-cultural toolkits and resources to assist cross-cultural communication and interactions translated health information for patients and language communication tools Asian, migrant and refugee culture-specific services publications about the health and cultural care of Asian, Middle Eastern, Latin American and African populations latest news and updates relating to CALD and cultural competence our CALD online forum Visit our website at REGISTRATION & ENROLMENT FOR COURSES New Users To enrol and register for free face-to-face and online CALD cultural competency courses: 1. Go to 2. Click on My Account 3. Click on Register 4. Type in the name of your organisation, or fill in a new Registration Form 5. Complete and submit the form 6. Once your registration is verified by CALD Admin you can enrol for the courses Existing Users If you have already registered and wish to enrol for a course: 1. Go to 2. Click on My Account 3. Enter username and password 4. Select from drop-down box the course of your choice 5. Enter Approving Manager s name and and submit 6. Your submission will be verified by CALD Admin and you will receive a confirmation of your course enrolment ELIGIBILITY Courses for Working with Patients The NZ health and disability workforce is eligible for free face-toface and online courses if they work for primary and secondary health services, health and disability NGOs, NRA and the Ministry of Health. Notes: The health workforce in the Auckland region are eligible for free online and face-to-face courses The health workforce outside of Auckland will be eligible for free online and Auckland-based face-to-face courses in stages go to for more information. Courses for Culturally Diverse Workplaces These courses are not currently funded. CALD Courses for Working with Patients are written from the point of view of the NZ Health System. They are aimed at practitioners who have knowledge and orientation in the NZ Health System, are working with CALD patients from migrant and refugee backgrounds, and who are required to be culturally competent as part of health professional competency requirements.

6 WHAT IS CULTURAL COMPETENCE? Cultural competence refers to an ability to communicate and interact effectively with people from cultural backgrounds different to one s own. It is not just about knowing another person s culture, it is about understanding how cultural differences impact on the patient/client health professional relationship and being able to adjust your behaviour to accommodate these differences for the best patient outcomes. Competence involves the capacity to function effectively as an individual within the context of the cultural beliefs, behaviours and needs presented by patients and their ethnic communities. Skills Cultural Awareness Sensitivity Cultural competence comprises four components: cultural awareness, sensitivity, knowledge and skills Knowledge WHY THE NEED FOR CULTURAL COMPETENCE? The cultural competence of healthcare providers is central to the healthcare system s ability to provide access to and delivery of high-quality healthcare and is instrumental in reducing health disparities. In New Zealand, the Health Practitioners Competence Assurance Act 2003 (HPCAA) requires registration bodies to develop standards of cultural competence and to ensure that practitioners meet those standards. With the growing culturally, linguistically and religiously diverse population across New Zealand, the health workforce needs to address the quality of: interactions between health practitioners and clients who are from differing cultural backgrounds cross-cultural communication between employers and employees, as well as employees-to-employees in the workplace CALD CULTURAL COMPETENCIES The development of CALD cultural competencies in the health sector include the recognition of culture as a determinant of health status; and the recognition of the need for a culturally competent workforce to address the issues of equity and health disparities between CALD populations and other groups in New Zealand. CALD cultural competence focuses on the skills, behaviours and attitudes required for working with culturally, linguistically and religiously diverse groups. CALD refers to culturally and linguistically diverse groups who are migrants and refugees from Asian, Middle Eastern, Latin American and African (MELAA) backgrounds. CALD a break through in online e-learning and a wonderful resource for health professionals. When this tool was presented to our PHO Clinical Leaders, there was unanimous admiration for the excellent work Sue Lim and her team have completed. The quality of both IT and content, and the format of this self learning tool, are of such high standard that it is an academic achievement deserving of national recognition. Many patients and health providers, and indeed any member of the public (especially staff at schools) will benefit from the free access via the website. Dr Lannes Johnson Clinical Director, Harbour Health I really like the CALD Culture Competency e-learning course because busy SMOs can take the training at a pace that suits their schedule 15 minutes a week! Professor Innes Asher, Department of Paediatrics: Child and Youth Health, The University of Auckland In line with Ministry of Health requirements and in response to an increasingly diverse population, CALD courses teach health practitioners how to provide services that acknowledge the diversity of cultures and ensure services are accessible, culturally appropriate, effective and safe. Joris de Bres (former) Race Relations Commissioner Waitemata District Health Board CALD learning tools and resources are produced and managed by Waitemata DHB. This catalogue showcases our current CALD tools and resources. As there may be additions and deletions over time, please visit for up-to-date information and resources. Issued: August 2015

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