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The Gay Affirmative Practice Scale (GAP): a new measure for assessing cultural competence with gay and lesbian clients.

Gay affirmative practice models provide guidelines for behaviors and beliefs in social work practice with gay and lesbian individuals. The aim of this study was to develop a valid rapid assessment instrument to assess the extent to which social work practitioners engage in principles consistent with gay affirmative practice. The Gay Affirmative Practice Scale is a 30-item scale designed to assess practitioners' beliefs and behaviors in practice with gay and lesbian individuals. Information about the rationale for development of the instrument, reliability and validity of the measure, potential uses of the scale, and implications for social work practice, education, and research are presented.

Female↗

Nursing case management and its role in perinatal risk reduction: development, implementation, and evaluation of a culturally competent model for African American women.

The authors outline the need for comprehensive perinatal services management for African American pregnant women, based on social/environmental stressors, and propose a workable model for delivery of services based on case management principles. The implications of case management as an intervention to ameliorate these stressors are discussed. Data from 5 years of comprehensive case management are included to support the effectiveness of case management as an intervention among high-risk women. Steps utilized to develop, implement, and evaluate case management are also discussed.

Adolescent↗

REACH-Meharry community-campus partnership: developing culturally competent health care providers.

An important national health care effort is elimination of racial and ethnic disparities in six specific conditions: infant mortality, cancer screening and management, cardiovascular disease, diabetes, human immunodeficiency virus infection, and child and adult immunizations. To address this concern, several health entities in Nashville, Tennessee responded to a grant initiative from the Centers for Disease Control and Prevention to develop a Racial and Ethnic Approaches to Community Health (REACH) demonstration project. The resulting award is the Nashville REACH 2010 Project, charged to develop sustainable methods to reduce and, in time, eliminate racial and ethnic disparities in cardiovascular disease and diabetes in the North Nashville community, where mortality rates of these diseases are substantially higher than in other parts of the county. As one of its many interests, the project included potential health care providers to receive and disseminate messages about disease prevention and health education. The present paper describes the community-campus partnership between the Nashville REACH 2010 project and the post-baccalaureate program of Meharry Medical College, a partnership that enfolded Meharry's pre-professional health care students into the community-based participatory service research project to increase the awareness and sensitivity of future minority health care providers to issues in minority and poor, underserved populations and to increase potential providers' familiarity with the processes involved in community-based participatory research.

Black or African American↗