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Cultural Competency

"The SPF Process" by Center on the Family. All rights reserved.

Cultural Competency

In addition to the five steps of the SPF process, there are also two overarching goals that cut across the entire process and which must be considered at each of the five steps. These are cultural competency and sustainability. Cultural competence refers to the ability of organizations, programs, interventions, and staff to serve communities in ways that resonate with their cultural values and beliefs. If a prevention program, intervention, or evaluation fails to be culturally relevant to the target community, then it is highly likely to fail in all other respects as well. Therefore, when assessing community resources and needs, when building community capacity for prevention efforts, and when planning, selecting, implementing, and evaluating programs it is imperative that every effort is made to consider the cultural priorities and values of the target population(s).

Often when thinking about cultural competency, it is important to focus on how to choose a good program, and then if and how to adapt that program so that it makes sense and is meaningful to the target population. One way to think about how a program may match a cultural value system or not is to look at both the surface structure and the deep structure of the program:

Surface structure: The parts of the program which are most visible and most easily changed are referred to as the surface structure of that program. Surface structure can include things such as the language used, the names and labels used during examples, the look of any visual aids or illustrations, and the types of materials and activities shown or used. For example, using Native Hawaiian or local names and phrases, such as 'ohana and pono, are examples of ways that programs can change their surface structure to reflect local culture.

Deep structure: The parts of the program which may be less visible, but which reflect the essence of the values and goals of the program are known as the deep structure of that program. Deep structure is harder to change than surface structure, but it is very important to make sure that the deep structure resonates with the target population. In other words, it is important to either choose a program or adapt a program so that its deep structure elements match the values and goals of the people in the community. For example, just using the words 'ohana and pono in a casual way is likely to be less effective that incorporating the full significance and meaning of these concepts into the very structure of the program in a way that harnesses their meaningfulness. 

This is often a complex and difficult consideration for many community interventions, largely because most communities are diverse and include many different perspectives, values, and beliefs. Collaboration among many different groups and sectors of a community, therefore, becomes critically important. It only is through dialogue, collaboration, and the genuine inclusion of many perspectives that culturally resonant prevention programming is achieved. While choosing and adapting programs to be culturally relevant tends to be a strong focus for many prevention efforts, this kind of inclusion and attention to cultural values needs to be present from the very beginning and throughout the SPF process.




Resnicow, K., Baranowski, T., Ahluwalia, J.S., and Braithwaite, R.L. (1999). Cultural sensitivity in public health: defined and demystified. Ethnicity and Disease, 9 (1), 10-21.
SAMHSA. (2015, September 25). Cultural Competence. Retrieved from

April 2021

Apr 07 Wed
Sexual Assault Awareness Training Series

Sexual Assault Awareness Month (SAAM) is a reminder that sexual violence is widespread and affects all of us in some way. Its prevention requires a community response. Gain valuable information on how together we can keep our community safe. 



Apr 16 Fri
ADAD Zoom Training: Time Perspective Therapy

This training will provide an overview of Time Perspective Therapy (TPT) and how it can be helpful in engaging clients in therapy, moving past trauma and the psychology behind time.


  • History of TPT - Phillip Zimbardo
  • What we do with our time and what this says about ourselves
  • Introduction to the 6 main time zones
  • Role of culture
  • Activities to explore what our time perspectives are
  • The role of Trauma
  • Growth vs Fixed Mindset


Apr 23 Fri
ADAD Zoom Training: Opiod Overdose Prevention & Response

Overdose is the leading cause of accidental death in Hawaii and around the U.S.  This interactive session will explore the impact of opioids on the body and identify the risks for accidental opioid overdose. Participants will be certified to administer Naloxone, the opioid antagonist.