Cultural competence/Cultural Competence Assessment Instrument

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Cultural competence assessment instrument (CCAI – UIC) is a self-assessment tool for members of the health sector was created by Suarez-Balcazar and associates (2011) [1].

The version reproduced here was found in Balcazar et al. (2009) [2]


Considering your work over the past year


Response items: Strongly agree - Agree - Disagree - Strongly disagree

  1. I feel that I can learn from my ethnic minority clients
  2. It is hard adjusting my therapeutic strategies with ethnic minority clients
  3. I am effective in my verbal communication with clients whose culture is different from mine
  4. My organisation does not provide ongoing training on cultural competence
  5. I do not consider the cultural backgrounds of my clients when food is involved
  6. I receive feedback from supervisors on how to improve my practice skills with clients from different ethnic minority backgrounds
  7. At work, pictures, posters, printed materials and toys reflect the culture and ethnic backgrounds of ethnic minority clients
  8. I feel confident that I can learn about my clients’ cultural background
  9. Cultural competence is included in my work place’s mission statement, policies and procedures
  10. I am effective in my nonverbal communication with clients whose culture is different from mine
  11. The way services are structured in my setting makes it difficult to identify the cultural values of my clients
  12. I feel that I have limited experience working with ethnic minority clients
  13. It is difficult to practice skills related to cultural competence
  14. I am sensitive to valuing and respecting differences between my cultural background and my clients’ cultural heritage
  15. My workplace does not support using resources to promote cultural competence
  16. I have opportunities to learn culturally responsive behaviours from peers
  17. I do not feel that I have the skills to provide services to ethnic minority clients
  18. I examine my own biases related to race and culture that may influence my behaviour as a service provider
  19. I actively strive for an atmosphere that promotes risk-taking and self-exploration
  20. My work place does not support my participation in cultural celebrations of my clients
  21. I would find it easy to work competently with ethnic minority clients
  22. I openly discuss with others issues I may have in developing multicultural awareness
  23. I learn about different ethnic cultures through educational methods and/or life experiences
  24. It is difficult for me to accept that religious beliefs may influence how ethnic minorities respond to illness and disability

  1. Suarez-Balcazar, Yolanda; Balcazar, Fabricio; Taylor-Ritzler, Tina; Portillo, Nelson; Rodakowsk, Juleen; et al. Journal of Rehabilitation 77 (1) (Jan-Mar 2011): 4-13.
  2. Fabricio E. Balcazar, Yolanda Suarez-Balcazar & Tina Taylor-Ritzler (2009) Cultural competence: Development of a conceptual framework, Disability and Rehabilitation, 31:14, 1153-1160, DOI: 10.1080/09638280902773752. http://dx.doi.org/10.1080/09638280902773752