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health: Interconnecting comprehensive school mental health and positive behavior support (pp. 35-46). Springer Nature. Š Robinson, D., Masters, C., & Ansari, A. (2021). The 5 Rs of cultural humility: A conceptual model for health care leaders. The American Journal of Medicine, 134(2), 161-163. https:// doi.org/10.1016/j.amjmed.2020.09.029 Š Rosenthal, L. (2016). Incorporating intersectionality into psychology: An opportunity to promote social justice and equity. American Psychologist, 71, 474-485. https://doi. org/10.1037/a0040323 Š Sabin, J. A. (2022). Tackling implicit bias in health care. New England Journal of Medicine, 387(2), 105-107. https://doi.org/10.1056/NEJMp2201180 Š Sadusky, J., & Yarhouse, M. (2020). Cultural humility & gender identity. Reflections: Narratives of Professional Helping, 26(2), 107-113. https:// reflectionsnarrativesofprofessionalhelping.org/index.php/Reflections/article/view/1748 Š Salter, M. (2019). The problem with a fight against toxic masculinity. The Atlantic, 27. https:// www.theatlantic.com/health/archive/2019/02/toxic-masculinity-history/583411/ Š Schuessler, J. B., Wilder, B., & Byrd, L. W. (2012). Reflective journaling and the development of cultural humility in students. Nursing Education Research, 33(2), 96-99. https://doi.org/ 10.5480/1536-5026-33.2.96 Š Scripps Media, Inc. (2022, February 22). Data shows Black men receive harsher punishments than Whites for same crimes. News 3 WTKR. https://www.wtkr.com/investigations/data- shows-black-men-receive-harsher-punishments-than-whites-for-same-crimes Š Sears, B., Mallory, C., Flores, A. R., & Conron, K. J. (2021). LGBT people’s experiences of workplace discrimination and harassment. UCLA, School of Law, Williams Institute. https:// williamsinstitute.law.ucla.edu/wp-content/uploads/Workplace-Discrimination-Sep-2021.pdf Š Seethaler, I. (2014). Feminist service learning: Teaching about oppression to work toward social change. Feminist Teacher, 25, 39-54. https://doi.org/10.5406/femteacher.25.1.0039 Š Shaw, S. (2022, July 22). Practicing cultural humility. Counseling Today. https://ct.counseling. org/2016/12/practicing-cultural-humility/ Š Slack, M. U. Q. A. D. T. (2021, August 13). Census: US sees unprecedented multiracial growth, decline in the White population for first time in history. USA TODAY. https:// eu.usatoday.com/story/news/politics/2021/08/12/how-2020-census-change-how-we-look- america-what-expect/5493043001/ Š Sloane, H., & Petra, M. (2021). Modeling cultural humility: Listening to students’ stories of religious identity. Journal of Social Work Education, 57(1), 28-39. https://eric. ed.gov/?id=EJ1285961 Š Spillane, N. S., Schick, M. R., Kirk-Provencher, K. T., Nalven, T., Goldstein, S. C., Crawford, M. C., & Weiss, N. H. (2022). Trauma and substance use among indigenous peoples of the United States and Canada: A scoping review. Trauma, Violence & Abuse, 15248380221126184. https://doi.org/10.1177/15248380221126184 Š St. Catherine University. (2021, April 15). How discrimination impacts LGBTQ healthcare. https://www.stkate.edu/academics/healthcare-degrees/lgbtq-health-discrimination Š Stanmyre, J. F. (2019). Reflections in cultural humility: Seeing my Whiteness. Reflections: Narratives of Professional Helping, 25(1), 11-15. https:// reflectionsnarrativesofprofessionalhelping.org/index.php/Reflections/article/view/1734 Š Stefanacci, R.G. (2022) Overview of aging - older people's health issues, Merck Manuals consumer version. Merck Manuals. https://www.merckmanuals.com/home/older- people%E2%80%99s-health-issues/the-aging-body/overview-of-aging Š Substance Abuse and Mental Health Services Administration. (2013). Report to Congress on the nation’s substance abuse and mental health workforce issues. SAMHSA. https://www. samhsa.gov/ Š Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62, 271-286. https://doi.org/10.1037/0003-066X.62.4.271 Š Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse: Theory and practice (7th ed.). Wiley. Š Sue, D. W., Gallardo, M. E., & Neville, H. A. (2013, September 3). Case studies in multicultural counseling and therapy (1st ed.). Wiley. Š Tervalon, M., & Murray-García, 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, 117-125. https://doi.org/10.1353/ hpu.2010.0233 Š Terrance, T. C. (2021). Grappling with race, power, and privilege: Experiences of critical self-reflection and cultural humility among counseling trainees. University of Rochester, ProQuest Dissertations Publishing. https://www.proquest.com/openview/61637c22f25bb23 aaf58a5f71a87eb1d/1?pq-origsite=gscholar&cbl=18750&diss=y Š Therapeutic alliance and childhood interpersonal trauma: The role of attachment, cultural humility, and therapeutic presence. (2022). Journal of Counseling & Development, 100(3), 296-307. https://doi.org/10.1002/jcad.12423 Š Thurber, A. (2020). Cultural humility in community practice: Reflections from the neighborhood story project. Reflections: Narratives of Professional Helping, 26(2), 75–88. https://reflectionsnarrativesofprofessionalhelping.org/index.php/Reflections/article/ view/1744 Š Tippett, N., & Wolke, D. (2014). Socioeconomic status and bullying: A meta- analysis. American Journal of Public Health, 104, e48-e59. https://doi.org/10.2105/ AJPH.2014.301960 Š Tirado, C., & Hilert, A. J. (2019). Connection through cultural humility: Reflections on counseling in the criminal justice system. Reflections: Narratives of Professional Helping, 25(1), 82–89. https://reflectionsnarrativesofprofessionalhelping.org/index.php/Reflections/ article/view/1735 Š Travis, S. (2021). In the room where it happens: Cultural humility, curiosity, and wonder in the homiletics classroom. Homiletic: The Journal of the Academy of Homiletics, 46(2), 31-40. https://vurj.vanderbilt.edu/index.php/homiletic/article/view/5222 1. The correct answer is A. Rationale: The highest poverty rates are experienced by Native American Indians, Alaska Natives, Black women, and Latinas. About one in four Alaska Native women live in poverty. 2. The correct answer is D. Rationale: Oppression is a pervasive system. It has its foundation in history and is maintained via individual and institutional systematic discrimination, personal bias, bigotry, and social prejudice. Oppression leads to a condition of privilege for the person or the group that is the oppressor(s).

Š Tucker, J., & Lowell, K. (2016). National snapshot: Poverty among women & families: 2015. National Women’s Law Center. https://nwlc.org/wp-content/uploads/2016/09/Poverty- Snapshot-Factsheet-2016.pdf Š Tulane University. (2021, March 1). How to improve cultural competence in health care. School of Public Health and Tropical Health. https://publichealth.tulane.edu/blog/cultural- competence-in-health-care/ Š Tummers, J., Catal, C., Tobi, H., Tekinerdogan, B., & Leusink, G. (2020). Coronaviruses and people with intellectual disability: An exploratory data analysis. Journal of Intellectual Disability Research, 64(7), 475–481. https://doi.org/10.1111/jir.12730 Š Turner, M. A., Santos, R., Levy, D., Wissociker, P., Arandar, L., & Pitingolo, R. (2013, June 11). Housing discrimination against racial and ethnic minorities 2012. U.S. Department of Housing and Urban Development. https://www.huduser.gov/portal/publications/pdf/hud- 514_hds2012.pdf Š Upshaw, N. C., Lewis, D. E., Jr., & Nelson, A. L. (2020). Cultural humility in action: Reflective and process-oriented supervision with Black trainees. Training and Education in Professional Psychology, 14(4), 277-284. https://doi.org/10.1037/tep0000284 Š U.S. Census Bureau. (2015). American community survey (2010–2014). http://www.census. gov/programs-surveys/acs/about.html Š U.S. Census Bureau. (2012). The foreign born-populations in the United States: 2010. http:// www.census.gov/topics/population/foreign-born.html Š Vandament, M. L., Duan, C., & Li, S. (2022). Relationships among supervisee perceived supervisor cultural humility, working alliance, and supervisee self-efficacy among White supervisor and supervisee of color dyads. Training and Education in Professional Psychology, 16(3), 244–252. https://doi.org/10.1037/tep0000370 Š Van Nunspeet, F., Ellemers, N., & Derks, B. (2015). Reducing implicit bias: How moral motivation helps people refrain from making “automatic” prejudiced associations. Translational Issues in Psychological Science, 1(4), 382-391. https://doi.org/10.1037/ tps0000044 Š Van Soest, D. (2013). Oppression. Encyclopedia of Social Work. Oxford University Press. https://doi.org/10.1093/acrefore/9780199975839.013.271. Š Vespa, J., Medina, L., & Armstrong, D. M. (2020). Demographic turning points for the United States: Population projections for 2020 to 2060. Current Population Reports, P25-1144. U.S. Census Bureau. https://www.census.gov/library/publications/2020/demo/p25-1144.html Š Vogler-Elias, D., Mack, S., Goings, A., & Dehaven, E. (2020). What are your pronouns? Our journey toward cultural humility. Reflections: Narratives of Professional Helping, 26(2), 54-66. https://reflectionsnarrativesofprofessionalhelping.org/index.php/Reflections/article/ view/1746 Š Warszewska-Makuch, M. (2020). Workplace bullying, mental health and job satisfaction: The moderating role of the individual coping style. In Healthy Worker and Healthy Organization (pp. 105-132). CRC Press. Š Watkins Jr., C. E., Hook, J. N., Owen, J., DeBlaere, C., Davis, D. E., & Van Tongeren, D. R. (2019). Multicultural orientation in psychotherapy supervision: Cultural humility, cultural comfort, and cultural opportunities. The American Journal of Psychotherapy, 72(2), 38-46. https://doi.org/10.1176/appi.psychotherapy.20180040 Š Williams, M. T. (2021). Microaggressions are a form of aggression. Behavior Therapy, 52(3), 709-719. https://doi.or/10.1016/j.beth.2020.09.001 Š Williams, M. T. (2020). Microaggressions: Clarification, evidence, and impact. Perspectives on Psychological Science, 15(1), 3-26. https://doi.org/10.1177/1745691619827499 Š World Health Organization (WHO). (2022, October 1). Aging and health. https://www.who. int/news-room/fact-sheets/detail/ageing-and-health Š World Health Organization (WHO). (2021, November 24). Disability and health. https://www. who.int/news-room/fact-sheets/detail/disability-and-health Š World Health Organization (WHO). (2021). Advocacy brief: Social isolation and loneliness among older people. In Decade of healthy ageing. https://www.who.int/publications/i/ item/9789240030749 Š Woods-Jaeger, B., Cho, B., & Briggs, E. C. (2020). Training psychologists to address social determinants of mental health. Training and Education in Professional Psychology. https:// doi.org/10.1037/tep0000307 Š Wright, J. E., & Merritt, C. C. (2020). Social equity and COVID-19: The case of African Americans. Public Administration Review, 80(5), 820-826. https://doi.org/10.1111/ puar.13251 Š Wyatt, R. C. (n.d.). Kenneth V. Hardy on multiculturalism and psychotherapy. https://www. psychotherapy.net/interview/kenneth-hardy Š Young, A. N. (2022). Guide to providing culturally competent behavioral health services via telehealth. Practice Innovations, 7(3), 170-177. https://doi.org/10.1037/pri0000173 Š Zangeneh, M., & Al-Krenawi, A. (2019). Advances in mental health and addiction: Culture, diversity and mental health - Enhancing clinical practice. Springer. Š Zastrow, C., Kirst-Ashman, K. K., & Hessenauer, S. L. (2019). Empowerment series: Understanding human behavior and the social environment. Cengage Learning. Š Zhang, H., Watkins, C. E., Hook, J. N., Hodge, A. S., Davis, C. W., Norton, J., Wilcox, M. M., Davis, D. E., DeBlaere, C., & Owen, J. (2022). Cultural humility in psychotherapy and clinical supervision: A research review. Counselling & Psychotherapy Research, 22(3), 548-557. https://doi.org/10.1002/capr.12481 Š Zapf, D., & Einarsen, S. (2011). Individual antecedents of bullying: Victims and perpetrators. In S. Einarsen, H. Hoel, D. Zapf, & C. Cooper (Eds.), Bullying and harassment in the workplace: Developments in theory, research, and practice (2nd ed., pp. 177-200). CRC Press. Š Zhu, P., Luke, M., & Bellini, J. (2021). A grounded theory analysis of cultural humility in counseling and counselor education. Counselor Education & Supervision, 60(1), 73–89. https://doi.org/10.1002/ceas.12197 3. The correct answer is C. Rationale: While White fragility stems, in large part, from an incomplete understanding of racism. Many well-meaning people consider racism terrible and wrong,, often whispering in hushed tones to avoid conflicts or challenge among those not of similar thought about racism. 4. The correct answer is E. Rationale: There is a disproportionate prevalence of heterosexual couples in mainstream media - from commercials to romantic comedies. This prevalence reinforces heterosexuality as a social standard for sexual expression. When someone insists on referring to another person according to their biological sex rather than their personal preferences, they reinforce heteronormative beliefs.

CULTURAL HUMILITY FOR BEHAVIORAL HEALTH PROFESSIONALS Answer Keys & Rationales

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