Additional issues

Additional issues to be aware of when working with people from collective cultures (applies to all cultures in this resource)

Independence

The notion of independence (in relation to disability) is not usually shared by people with collective cultural values. Some find the notion confusing and counter-intuitive to family and community well being.

Implications for practice

Treatment plans with independence as a goal may need adapting. This is particularly relevant when working with intellectual impairment; the stress of achieving increased independence can create anxiety because of the conflict with cultural and family values.

Second generation and independence

Many children and younger people with disability who present in the New Zealand health system may be bridging two cultures. Because children usually acculturate relatively easily they may come to value independence, creating a tension with family who expect an ongoing role in supporting a member with disability.

Implications for practice

If a school going child with a disability wants more independence in managing his/her impairment, and this is at odds with family values, sensitive handling of the situation and cultural support may be needed for the family to accommodate their different needs. A cultural case worker can assist.