Culturally competent strategies: Evidence and case studies to improve health and occupational participation in the United States

ABSTRACTThere is increasing evidence that culturally competent practices can positively impact paediatric care and improve participation in adult rehabilitation, health care outcomes, and the quality of health care. Occupational therapists in the United States and across the world commonly provide services to racially, ethnically, culturally, and linguistically diverse individuals and communities. Occupational therapy has long recognised the role culture plays in individual lives and the need for culturally competent practices to promote health, quality of life, and occupational engagement. This article provides strategies and evidence for culturally competent care and best practices when working with diverse and underserved individuals and communities. Case studies illustrate culturally competent assessment and intervention approaches with: (1) children and families in early intervention and habilitation programmes, (2) preventive services for at-risk youth, and (3) adults receiving rehabilitation services.