Sixth National Conference on Quality Health Care for Culturally Diverse Populations: Preconference Sessions Addressing Cultural Mistrust between Patient's, Families & Providers
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Preconference A-3 Addressing cultural mistrust between patients, families & providers

Addressing Cultural Mistrust between Patient's, Families & Providers
Sunday, September 21, 2008: 9:00 AM-12:00 PM, Minn Marriott, 4th Floor - Elk Lake
The Addressing Cultural Mistrust Between Patients, Families and Providers training module addresses the topic of cultural mistrust.  It explores this issue as it relates to all populations, using role played scripts of a dialogue between an African-American patient and his provider, as well as a video of an African-American patient, Robert Phillips’ Story (World’s Apart), to provide the context for a presentation and discussion about cultural mistrust and recommended responses to this dynamic as it presents in patient, family and provider relationships. 

This presentation has been well received by providers, but has challenged many trainers and managers to move out of their ‘comfort’ zone.

This training module empowers providers to identify, address and resolve the lack of trust between patient, provider, and family that frequently becomes the obstacle blocking effective patient/provider relationships of trust and contributes to health disparities.  This module offers:

  • a role play script and video that places cultural mistrust in a real life clinical context (awareness),
  • an historical understanding of cultural mistrust (knowledge),
  • a recognition of white privilege, and
  • recommendations for addressing and resolving cultural mistrust in a clinical setting (skills).

It has application for most patient/provider relationships and populations.  Successful application of the knowledge and skills modeled in this module will improve:

·        patient/provider communications,

·        patient/provider trust,

·        patient satisfaction,

·        clinical staff morale, and

·        help to eliminate health disparities.

Rather than utilize ancillary staff to address mistrust, this module seeks to increase capacity of front-line providers to recognize and address mistrust in their regular patient/provider communications.

This module utilizes interactive role playing scripts, a video, power point presentation, discussion and handouts (including a bibliography).

Handouts
  • Cultural Mistrust Handout Sept 08.doc (32.0 kB)

    • Presentation Information:

    Program: Preconference Sessions
    Primary Category: Cultural Competence Training
    Subtopics: Racism, sexism, discrimination

    Region Addressed by Presentation: National
    Organization: Health Care System
    Population/Demographic: Diverse communities
    Keywords: cultural mistrust, historical nistrust, situational mistrust, patient, provider
    Curtis Collins , Behavioral Services, University of Minnesota Medical Center, Fairview, Minneapolis, MN
      Cultural Resources Representative
      University of Minnesota Medical Center, Fairview
      Behavioral Services
      2504 Riverside Avenue
      Minneapolis MN, USA 55454

      Phone: 612-273-9271
      Fax: 612-273-4340
      Email Address: ccollin3@fairview.org

      Biographical Sketch:       Curtis has worked in the mental health field for 23 years. For the past nine years he has been providing cultural training for mental health and chemical dependency staff for Fairview Behavioral Services. He also provides orientation to working with diverse populations for all new behavioral staff hires. He assisted in the development of the cultural mistrust module and has used this training module on multiple occasions.
    David F. Berg, MA, MDiv , Office of Diversity, Fairview Health Services, Minneapolis, MN
      Cultural Competency Educator/Consultant
      Fairview Health Services
      Office of Diversity
      2412 27th Avenue South
      Minneapolis MN, USA 55406

      Phone: 612-724-8109
      Email Address: dberg1@fairview.org

      Biographical Sketch:       David taught social studies at South High School in Minneapolis for 13 years where he developed the Native American and African-American studies courses. He received an MA in Counseling Psychology from the University of Minnesota in 1974 and the Master of Divinity Degree from Luther Seminary in 1980. That same year he was ordained as a Lutheran pastor at the church that nurtured him during his seminary years, St. Peter’s African Methodist Episcopal Church in Minneapolis. David was a hospital chaplain for 29 years until his retirement in the spring of 2007. He has been a cultural competency educator for the Fairview Health Services Office of Diversity since May, 2000. He has published and lectured on grief, end-of-life care, cultural/spiritual assessment, and cultural dimensions of end-of-life care. David currently works as a Cultural Competency Educator/Consultant. He is also an instructor at the University of Minnesota AHC and teaches a class entitled, “Cultures, Faith Traditions, and Health.” He developed the training module on cultural mistrust and has used this training module on multiple occasions.
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