Cultural Competence vs Cultural Humility in Mental Health Care

Cultural humility is a lifelong process of self-reflection and self-critique whereby the individual not only learns about another’s culture, but one starts with an examination of her/his own beliefs and cultural identities (Tervalon & Murray-Garcia, 1998). Initially discussed in the context of clinical practice, cultural humility is a process of self-reflection and discovery to understand oneself and then others in order to build honest and trustworthy relationships (Tervalon & Murray-Garcia, 1998). Papadopoulos and Lees (2002) acknowledge the need for culturally competent researchers in order to produce valid research and improve practice; they also note that for too long, research has been unicultural although generalized to a multicultural world. How we approach the many factors that contribute to health disparities and social inequities requires an examination of the environment, context, and culture of those experiencing these disparities.

Implications for Behavioral Health

cultural humility in mental health

Healthcare (Basel). Cultural safety is reliant upon therapist’s ability to center their clients’ values, self-efficacy, and self-determination. Clinicians hold a responsibility to acknowledge structural violence and provide “safe clinical encounters.” Cultural safety is “striving towards the absence of cultural bias and any form of racism” (Konidaris & Petrakis, 2025). Antiracist care recognizes how racism affects not just identity but physiology. This kind of chronic physiological stress doesn’t stay in the mind alone; it lives in the body, shaping how people breathe, sleep, and regulate emotions in everyday life. Education-based interventions aim to increase knowledge and awareness of mental illness and reduce negative stereotypes.

cultural humility in mental health

However, intertwining humility and competence into healthcare, ideally, would go beyond individual providers and their patients. An awareness of the self is central to the notion of cultural humility — who a person is informs how they see another. This has led to the shift from cultural competence frameworks to that of cultural humility and sensitivity. This article draws into focus the role of cultural https://www.suffolkcountyny.gov/Departments/Health-Services/Cancer-Prevention-and-Health-Promotion-Coalition/LGBTQ-Health/Mental-Health and structural humility in shaping a mental health system that can address the mental health disparities for BIPOC youths.

  • The IOM report concluded that, “Bias, stereotyping, prejudice, and clinical uncertainty on the part of healthcare providers may contribute to racial and ethnic disparities in healthcare” (1).
  • Some participants expressed that “it was a buzzword, and we checked the box” but that trainings were rote.
  • The standard consent form that an individual reads and signs is only one part of the process and should take decision-making into account, which varies between cultures.
  • So, dear therapists and mental health professionals, are you ready to embark on this journey of cultural humility?

Addressing Healthcare Disparities

Such notions, along with mindfulness, are critical to promoting greater self-awareness and openness in mental health practice with culturally diverse service users. A study on second-generation migrants living with mental illness mentioned implications for adopting a trauma-informed lens with culturally diverse communities in mental health practice, particularly where issues of race are featured . Additionally, cultural humility is an important factor in cultivating cultural competence and responsiveness, which are essential components of providing high-quality mental health care. In conclusion, cultural humility is a critical practice in providing culturally responsive mental health treatment. Finally, cultural humility promotes social justice and equity in mental health care.

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cultural humility in mental health

This type of interviewing exemplifies Tervalon and Murray-García’s4 suggestion for providers to communicate their respect for “the patient agenda and perspectives” by adopting a “less controlling, less authoritative (interviewing) style” (p. 120). A didactic phase on conducting in-depth interviews to elicit the family and the youth’s health habitus follows. This activity is consonant with the Tervalon and Murray-García’s4 principle of “cultivating self awareness and awareness of the perspectives of others” (p. 120) that contributes to trainee and trainer humility.

cultural humility in mental health

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