5 Chinese Vietnamese Final - National Treatment Agency for ...

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A culturally competent service operates effectively in different cultural contexts so that the needs of all members of their target population can be met by equitable access, experience, and outcome. However, as one of the study reports put it, in the case of Chinese communities, there is also: a need for appropriate drug education – for young people, families and elders – in the appropriate language and culture. It also indicates a need for services to be more culturally appropriate. This includes appropriate literature, staffing and areas of work to access Chinese people. The issues discussed by study participants in relation to drug services’ cultural competence were the diversity within the Chinese population in England, language and the ethnicity of drug service staff. 6.1 Diversity within the Chinese population The study reports emphasised that the diversity within a local Chinese population must be considered if services are to work towards cultural competence, because: For example: They come from various countries and background, have been in the UK for different lengths of time and have varying levels of exposure to, and acceptance of, British culture and systems. Some young people are more English than Chinese. They hang out with English mates and wouldn’t even go to Chinatown that often. On the other hand, there are young people who are into Hong Kong culture and would go to Chinatown all the time and speak Chinese all the time and buy anything that’s related to the culture … BBC [British-born Chinese] can be seen as the same as English although they might have parents who are really traditional. Wah quil or overseas Chinese … do not speak English well … although England is their preferred place of settlement, they nevertheless grasp tightly onto ideologies they brought over from their ‘homeland’. 6.2 Language and the ethnicity of drug service staff Study reports identified language as the biggest barrier to Chinese people – especially the older generations – obtaining information about drugs and drug services. Only a small minority of the study participants reported ever seeing this information in a Chinese dialect. 18
The study participants whose first language was not English particularly stressed that they needed information in the Chinese dialect that they used. They also wanted drug services to have more Chinese interpreters and workers so that they could deal with Chinese clients in a culturally competent manner: It is imperative that those who design and deliver drug information and services have a deep understanding of Chinese culture and traditions … ideally being Chinese themselves. The drug service workers interviewed for one study reported that they had access to Chinese interpreters and/or workers who spoke different Chinese dialects. However, they added that there may be some delay in matching a Chinese-speaking client with an interpreter or worker who speaks the same dialect, during which time they cannot help potential clients, some of whom ended their contact with the service whilst waiting. 19
Page 1 and 2: Issues surrounding drug use and dru
Page 3 and 4: What this means for the treatment s
Page 5 and 6: Cannabis is by far the most commonl
Page 9 and 10: 2 The Chinese sample • In total,
Page 11 and 12: • With the exception of opium, th
Page 13 and 14: 4 Help-seeking by the Chinese commu
Page 15 and 16: Reflecting the perception that ment
Page 17: 6 Cultural competence See Key messa
Page 21 and 22: 7.1 Partnerships The study reports
Page 25 and 26: 9 The Vietnamese sample The study w
Page 27 and 28: • 10 of the drug users (27%) had
Page 29 and 30: 12 The Vietnamese community’s dru
Page 31 and 32: The Chinese New year is so nice and
Page 33: Notes [1] (accessed May 2008) [2]

5 Chinese Vietnamese Final - National Treatment Agency for ...

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