Skip to main content

Cultural Humility and School Behavioral Health

  • Chapter
  • First Online:
School Behavioral Health

Abstract

Diversity is related to many aspects of development that are important to consider when providing care to individuals, although it is necessary to recognize that individual development is nuanced and may not manifest in individuals in ways that completely adhere to their culture. The concept of cultural humility recognizes these challenges and focuses on self-reflection and empathy to be open to new ideas while being intentional about developing partnerships with those who identify with other cultures. Within the context of school behavioral health (SBH), it is important to note that minority students continue to face inequities in the care they receive and receipt of exclusionary discipline. When providing services to these students, it is crucial that stereotypes and stigma be taken into account. Normalizing diversity can help reduce the effects of these problems. Further, addressing stigma related and providing training on mental health literacy can improve help-seeking for diverse groups of students and their families. Emphasizing cultural humility in SBH will help ensure the effectiveness and relevance of these programs for diverse students.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Abdullah, T., & Brown, T. L. (2011). Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review. Clinical Psychology Review, 31(6), 934–948.

    Article  PubMed  Google Scholar 

  • Alvidrez, J., Snowden, L. R., & Kaiser, D. M. (2008). The experience of stigma among black mental health consumers. Journal of Health Care for the Poor and Underserved, 19(3), 874–893.

    Article  PubMed  Google Scholar 

  • American Psychological Association. (2018, January). APA adopts new multicultural guidelines. https://www.apa.org/monitor/2018/01/multicultural-guidelines

  • Arcia, E. (2006). Achievement and enrollment status of suspended students: Outcomes in a large, multicultural school district. Education and Urban Society, 38(3), 359–369.

    Article  Google Scholar 

  • Berrios-Rivera, J. P., Street, R. L., Popa-Lisseanu, M. G. G., Kallen, M. A., Richardson, M. N., Janssen, N. M., et al. (2006). Trust in physicians and elements of the medical interaction in patents with rheumatoid arthritis and systemic lupus erythematosus. Arthritis Care & Research, 55(3), 385–393.

    Article  Google Scholar 

  • Bova, C., Route, P. S., Fennie, K., Ettinger, W., Manchester, G. W., & Weinstein, B. (2012). Measuring patient-provider trust in primary care population: Refinement of the health care relationship trust scale. Research in Nursing & Health, 35(4), 397–408.

    Article  Google Scholar 

  • Carpenter-Song, E. A., Schwallie, M. N., & Longhofer, J. (2007). Cultural competence reexamined: Critique and directions for the future. Psychiatric Services, 58(10), 1362–1365.

    Article  PubMed  Google Scholar 

  • Clauss-Ehlers, C., Serpell, Z., & Weist, M. D. (2013). Handbook of culturally responsive school mental health: Advancing research, training, practice, and policy. New York: Springer.

    Book  Google Scholar 

  • Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., et al. (2015). What is the impact of mental health-related stigma on help seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27.

    Article  PubMed  Google Scholar 

  • Committee on School Health. (2003). Out-of-school suspension and expulsion. Pediatrics, 112(5), 1206–1209.

    Article  Google Scholar 

  • DeCastro-Ambrosetti, D., & Cho, G. (2011). A look at “lookism”: A critical analysis of teachers’ expectations based on students’ appearance. Multicultural Education, 18(2), 51–54.

    Google Scholar 

  • Elhoweris, H., Parameswaran, G., & Alsheikh, N. (2004). College students’ myths about diversity and what college faculty can do. Multicultural Education, 12(2), 13–18.

    Google Scholar 

  • Eriksson, I., & Nilsson, K. (2008). Preconditions needed for establishing a trusting relationship during health counselling – An interview study. Journal of Clinical Nursing, 17(17), 2352–2359.

    Article  PubMed  Google Scholar 

  • Fisher-Borne, M., Cain, J., & Martin, S. (2014). From mastery to accountability: Cultural humility as an alternative to cultural competence. Social Work Education, 34(2), 165–181.

    Article  Google Scholar 

  • Gordon, H. S., Street, R. L., Sharf, B. F., Kelly, A., & Souchek, J. (2006). Racial differences in trust and lung cancer patients’ perceptions of physician communication. Journal of Clinical Oncology, 24(6), 904–909.

    Article  PubMed  Google Scholar 

  • Guo, Y., Arthur, N., & Lund, D. (2009). Intercultural inquiry with pre-service teachers. Intercultural Education, 20(6), 565–577.

    Article  Google Scholar 

  • Hall, M. A., Dugan, E., Zheng, B., & Mishra, A. K. (2001). Trust in physicians and medical institutions: What is it, can it be measured, and does it matter? The Milbank Quarterly, 79(4), 613–639.

    Article  PubMed  PubMed Central  Google Scholar 

  • Haynes, T. F., Cheney, A. M., Sullivan, J. G., Bryant, K., Curran, G. M., Olson, M., et al. (2017). Addressing mental health needs: Perspectives of African Americans living in the rural south. Psychiatric Services, 68(6), 573–578.

    Article  PubMed  Google Scholar 

  • Heary, C., Hennessy, E., Swords, L., & Corrigan, P. (2017). Stigma towards mental health problems during childhood and adolescence: Theory, research, and intervention approaches. Journal of Child and Family Studies, 26(11), 2949–2959.

    Article  Google Scholar 

  • Hem, M. H., Heggen, K., & Ruyter, K. W. (2008). Creating trust in an acute psychiatric ward. Nursing Ethics, 15(6), 777–788.

    Article  Google Scholar 

  • Hemphill, S. A., Herrenkohl, T. I., Plenty, S. M., Toumbourou, J. W., Catalano, R. F., & McMorris, B. J. (2012). Pathways from school suspension to adolescent nonviolent antisocial behavior in students in Victoria, Australia and Washington state United States. Journal of Community Psychology, 40(3), 301–318.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jeynes, W. H. (2005). A meta-analysis of the relation of parental involvement to urban elementary school student academic achievement. Urban Education, 40(3), 237–269.

    Article  Google Scholar 

  • Judd, C. M., & Park, B. (1993). Definition and assessment of accuracy in social stereotypes. Psychological Review, 100(1), 109–128.

    Article  PubMed  Google Scholar 

  • Knifton, L. (2012). Understanding and addressing the stigma of mental illness with ethnic minority communities. Health Sociology Review, 21(3), 287–298.

    Article  Google Scholar 

  • McAlearney, A. S., Robbins, J., Kowalczyk, N., Chisolm, D. J., & Song, P. H. (2012). The role of cognitive and learning theories in supporting successful EHR system implementation training: A qualitative study. Medical Care Research & Review, 69(3), 294.

    Article  Google Scholar 

  • Mechanic, D. (1998). The functions and limitations of trust in the provision of medical care. Journal of Health Politics, Policy, and Law, 23(4), 661–686.

    Article  Google Scholar 

  • Mendez, L. M. (2003). Predictors of suspension and negative school outcomes: A longitudinal investigation. New Directions for Youth Development, 99(1), 17–33.

    Article  Google Scholar 

  • Miranda, R., Soffer, A., Polanco-Roman, L., Wheeler, A., & Moore, A. (2015). Mental health treatment barriers among racial/ethnic minority versus white young adults 6 months after intake at a college counseling center. Journal of American College Health, 63(5), 291–298.

    Article  PubMed  Google Scholar 

  • Mosher, D., Hook, J., Captari, L., Davis, D., DeBlaere, C., & Owen, J. (2017). Cultural humility: A therapeutic framework for engaging diverse clients. Practice Innovations, 2(4), 221–233.

    Article  Google Scholar 

  • Murray, B., & McCrone, S. (2014). An integrative review of promoting trust in the patient-primary care provider relationship. Journal of Advance Nursing, 71(1), 3–23.

    Article  Google Scholar 

  • Nicholson-Crotty, S., Birchmeier, Z., & Valentine, D. (2009). Exploring the impact of school discipline on racial disproportion in the juvenile justice system. Social Science Quarterly, 90(4), 1003–1018.

    Article  Google Scholar 

  • Parcesepe, A. M., & Cabassa, L. J. (2013). Public stigma of mental illness in the United States: A systematic literature review. Administration and Policy in Mental Health and Mental Health Services Research, 40(5), 384–399.

    Article  PubMed  Google Scholar 

  • Rausch, M. K. & Skiba, R. J. (2005, April). The academic cost of discipline: The contribution of school discipline to achievement (Paper presented at the Annual Meeting of the American Educational Research Association, Montreal, Canada).

    Google Scholar 

  • Rosenheck, R. A. (2001). Organizational process: A missing link between research and practice. Psychiatric Services, 52(12), 1607–1612.

    Article  PubMed  Google Scholar 

  • Schmitz, C. L. (1995). Reframing the dialogue on female-headed single-parent families. Affilia: Journal of Women & Social Work, 10(4), 426–441.

    Article  Google Scholar 

  • Scott, T. M., Nelson, C. M., & Liaupsin, C. J. (2001). Effective instruction: The forgotten component in preventing school violence. Education and Treatment of Children, 24(3), 309–322.

    Google Scholar 

  • Serpell, Z. N., & Mashburn, A. J. (2011). Family-school connectedness and children’s early social development. Social Development, 21(1), 21–46.

    Article  Google Scholar 

  • Sheppard, V. B., Zambrana, R. E., & O’Malley, A. S. (2004). Providing health care to low-income women: A matter of trust. Family Practice, 21(5), 484–491.

    Article  PubMed  Google Scholar 

  • Skiba, R. J., Chung, C., Trachok, M., Baker, T. L., Sheya, A., & Hughes, R. L. (2014). Parsing disciplinary disproportionality: Contributions of infraction, student, and school characteristics to out-of-school suspension and expulsion. American Educational Research Journal, 51(4), 640–670.

    Article  Google Scholar 

  • Skiba, R. J., Horner, R. H., Chung, C., Rausch, M. K., May, S. L., & Tobin, T. (2011). Race is not neutral: A national investigation of African American and Latino disproportionality in school discipline. School Psychology Review, 40(1), 85–107.

    Article  Google Scholar 

  • Sue, D. W. (2001). Multidimensional facets of cultural competence. The Counseling Psychologist, 29(6), 790–821.

    Article  Google Scholar 

  • Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Multicultural Counseling and Development, 20(2), 64–88.

    Article  Google Scholar 

  • Sue, D. W., Bernier, J. E„ Durran, A., Feinberg, L„ Pedersen, P., Smith, E. J., & Vasquez-Nuttall, E. (1982). Position paper: Cross-cultural counseling competencies. The Counseling Psychologist, 10(2), 45–52.

    Article  Google Scholar 

  • Talapatra, D., Miller, G. E., & Schumacher-Martinez, R. (2019). Improving family-school collaboration in transition services for students with intellectual disabilities: A framework for school psychologists. Journal of Educational and Psychological Consultation, 29(3), 314–336.

    Article  Google Scholar 

  • Tansella, M., & Thornicroft, G. (1998). A conceptual framework for mental health services: The matrix model. Psychological Medicine, 28(3), 503–508.

    Article  PubMed  Google Scholar 

  • Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117–125.

    Article  PubMed  Google Scholar 

  • Thom, D. H. (2001). Physician behaviors that predict patient trust. The Journal of Family Practice, 50(4), 323–328.

    PubMed  Google Scholar 

  • Thom, D. H., & Campbell, B. (1997). Patient-physician trust: An exploratory study. The Journal of Family Practice, 44(2), 169–176.

    PubMed  Google Scholar 

  • Thom, D. H., Hall, M. A., & Pawlson, G. (2004). Measuring patients’ trust in physicians when assessing quality of care. Health Affairs, 23(4), 124–132.

    Article  PubMed  Google Scholar 

  • Tobin, T., & Sugai, G. (1996). Patterns in middle school discipline records. Journal of Emotional and Behavioral Disorders, 4(2), 82–94.

    Article  Google Scholar 

  • Turner, E. A., Jensen-Doss, A., & Heffer, R. W. (2015). Ethnicity as a moderator of how parents’ attitudes and perceived stigma influence intentions to seek child mental health services. Cultural Diversity and Ethnic Minority Psychology, 21(4), 613–618.

    Article  PubMed  Google Scholar 

  • Vavrus, F., & Cole, K. (2002). “I didn’t do nothin’”: The discursive construction of school suspension. The Urban Review, 34(2), 87–111.

    Article  Google Scholar 

  • Verhaeghe, M., & Bracke, P. (2011). Stigma and trust among mental health service users. Archives of Psychiatric Nursing, 25(4), 294–302.

    Article  PubMed  Google Scholar 

  • Wallace, J. M., Goodkind, S., Wallace, C. M., & Bachman, J. G. (2008). Racial, ethnic, and gender differences in school discipline among U.S. high school students: 1991-2005. Negro Educational Review, 59(1–2), 47–62.

    PubMed  Google Scholar 

  • Waters, A., & Asbill, L. (2013). Reflections on cultural humility. American Psychological Association. https://www.apa.org/pi/families/resources/newsletter/2013/08/cultural-humility

  • Wolf, K. C., & Kupchik, A. (2017). School suspensions and adverse experiences in adulthood. Justice Quarterly, 34(3), 407–430.

    Article  Google Scholar 

  • Woods, T. A., Kurtz-Costes, B., & Rowley, S. J. (2005). The development of stereotypes about the rich and poor: Age, race, and family income differences in beliefs. Journal of Youth and Adolescence, 34(5), 437–445.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sommer C. Blair .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rizzardi, V., Blair, S.C., Kumari, B., Greenlaw, J. (2020). Cultural Humility and School Behavioral Health. In: Weist, M.D., Franke, K.B., Stevens, R.N. (eds) School Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-030-56112-3_4

Download citation

Publish with us

Policies and ethics