The DBHDS Office of Health Equity Advancement (OHEA) leads efforts to provide improved services to diverse and underserved individuals and works toward eliminating the disparities within the state’s mental health, intellectual disability and substance-use disorder system. It aims to provide improved services to all communities in the Commonwealth with a goal of eliminating the disparities in care within the mental health, intellectual disability and substance-use disorder system.
Office of Health Equity Advancement Vision
The DBHDS vision for culturally competent care is:
Care that is given with understanding of and respect for the consumer’s health-related beliefs and cultural values, staff that respect health related beliefs, interpersonal styles, and attitudes and behaviors of the consumers, families, and communities they serve
Administrative, management and clinical operations that include routine assessments and implementation of processes which result in a workforce that is culturally and linguistically competent and a system that provides the highest quality of care to all communities
What we do?
The Office's consultation efforts are targeted at supporting cultural competence at the organization level. Policy and planning is done to develop cultural competence at the system level. Support for the development of individual cultural competence is provided through training sessions, templates, and information on diverse communities.
COMMISSIONER'S STATEWIDE CULTURAL AND LINGUISTIC COMPETENCE ADVISORY COMMITTEE
In 2008, the Agency Commissioner established the Charter for the Commissioner's Statewide Cultural and Linguistic Competence Advisory Committee (CLCAC).
The purpose of the CLCAC is to advise the Department on culturally and linguistically appropriate policies and practices; support the development of culturally informed programming; and provide recommendations to the Commissioner that enhance services and support the elimination of disparities within the state’s mental health, intellectual disability and substance-use disorder system.
Specifically, the CLCAC assists the Department with strategic planning, policy development, committee activities, and information dissemination as it relates to cultural competence, cultural programming, health equity, language access, and community needs. Additionally, the CLCAC provides legislative and policy recommendations to the Commissioner of the Department of Behavioral Health and Developmental Services.
Qualified Bilingual Staff Program*
QBS are a critical link to providing effective communication and quality care to the limited-English proficient (LEP) communities and individuals we serve. It's goal is to capitalize on an organization’s existing workforce diversity and ensure qualified linguistic services and culturally competent care at every point of contact.
The Virginia Refugee Healing Partnership is focused on addressing refugee risk factors and strengthening mental health partnerships in communities where refugees resettle. The partnership designs and disseminates programs and activities that:
- Promote positive mental health and cultural adjustment in the refugee community Create linkages between provider communities and the refugee communities
- Provide opportunities for trauma-informed education at the community level and culture-informed education at the provider level
Why refugee mental health?
Researchers have shown that the most common mental healthh diagnoses associated with refugee populations include post-traumatic stress disorder (PTSD), major depression, generalized anxiety, panic attacks, and adjustment disorder. The incidence of diagnoses varies within various populations and their experiences.
A range of studies has shown rates of PTSD and major depression in settled refugees to range from 10-40% and 5-15% respectively. Children and adolscents often have higher leels of these disorders with various investigations revealing rates of PTSD from 50-90% and major depression from 6-40%. Risk factors for the developments of mental health problems include the number of traumas, delayed asylum application process, detention, and the loss of culture and support systems. (Refugee Technical Assistance Center: Mental Health; UNHCR, 2014; World Health Organization; Keller, A. and Stweart, A., 2011)
Statewide Resources and Activities
- Partnerships and Collaborations
- Training and Conferences
- Webinar and Teleconference
- Related Resources and Activities
- Charlottesville Refugee Mental Health Referral System
- Fredericksburg Refugee Mental Health Council
- Greater Richmond Refugee Mental Health Council
- Hampton Roads Refugee Referral Network
- Harrisonburg Refugee Mental Health Council
- Northern Virginia Coalition for Refugee Wellness
- Roanoke Refugee Mental Health Council
- Statewide Resources and Activities
- Catholic Charities Diocese of Arlington International Rescue Committee
- Church World Service
- Commonwealth Catholic Charities
- Ethiopian Community Development Council
- International Rescue Committee
- Luthern Social Services of National Capitol Region
- Navigating Virginia's Behavioral Health System*
- A guidebook for Newcomers, Refugee Leaders, Community Support Partners & Volunteers.
- Question, Persuade, and Refer Training for Refugee Gatekeepers - Facilitators available for training*
- In Virginia, gatekeeper training instructors have been certified by the Question Persuade Refer (QPR) Institute to deliver the Gatekeeper training to refugee stakeholders including resettlement case managers, ESL teachers, ethnic-community based organization members, and others who come into regular contact with refugee populations.
- TRAUMA-INFORMED CROSS-CULTURAL PSYCHOEDUCATION* Refugee Health Screener (RHS 15)* MULTICULTURAL QPR GATEKEEPER TRAINERS* Most households have an unsolved Rubiks Cube but you can esily solve it learning a few algorithms.
- Community Mental Health Awareness Session
- Cultural Navigators Qualification Program
- Cultural and Linguistic Competence Training
- Mental Health ESL Instructional Material
- Navigating Virginia's Behavioral Health System: A guidebook for Newcomers, REfugee LEaders, Community Support Partners, and Volunteers
- Qualified Bilingual Staff Training
- Refugee Health Screener (RHS 15)*
- Trauma Informed Cross Cultural Psychoeducation*