Cultural Considerations

  • Ebony S. Vinson
  • Howard J. Lloyd


The Cultural Humility in Pediatric Practice: Definitions and Recommendations chapter in Pediatric Psychiatry for Primary Care Providers: A Clinician Guide discusses the framework needed to deliver pediatric mental health care to diverse populations with cultural humility. Rather than attending to a mastery model of cultural competence, the importance of seeing cultural humility as a journey and not a destination is emphasized. Recognizing the multiple cultures at work in a medical setting, important areas for assessment, as well as specific strategies to provide more culturally relevant care in clinical practice is highlighted, with an emphasis on seeing every child and family as their own cultural entity.


Cultural humility Diversity Cultural assumptions Stereotyping Pediatric mental health Cultural competence 


  1. 1.
    “Culture.” Merriam-Webster, n.d. Web. 30 Nov 2017.
  2. 2.
    Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O II. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118(4):293–302.CrossRefGoogle Scholar
  3. 3.
    Betancourt JR. Cultural competence and medical education: many names, many perspectives, one goal. Acad Med. 2006;81(6):499–501.CrossRefGoogle Scholar
  4. 4.
    Flores G. Culture and the patient-PCP relationship: achieving cultural competency in health care. J Pediatr. 2000;136(1):14–23.CrossRefGoogle Scholar
  5. 5.
    Van Ryn M, Burke J. The effect of patient race and socio-economic status on PCPs' perceptions of patients. Soc Sci Med. 2000;50(6):813–28.CrossRefGoogle Scholar
  6. 6.
    Tervalon M, Murray-Garcia J. Cultural humility versus cultural competence: a critical distinction in defining PCP training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117–25.CrossRefGoogle Scholar
  7. 7.
    Núñez AE. Transforming cultural competence into cross-cultural efficacy in Women's health education. Acad Med. 2000;75(11):1071–80.CrossRefGoogle Scholar
  8. 8.
    Brach C, Fraserirector I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev. 2000;57(1_suppl):181–217.CrossRefGoogle Scholar
  9. 9.
    DeWalt DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics. 2009;124(Supplement 3):S265–74.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ebony S. Vinson
    • 1
  • Howard J. Lloyd
    • 1
  1. 1.Lorio Psych GroupAtlantaUSA

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