Cultural and ethical issues in working with culturally diverse patients and their families:the use of the culturagram to promote cultural competent practice in health care settings.

In all aspects of health and mental health care-the emergency room, the outpatient clinic, inpatient facilities, rehab centers, nursing homes, and hospices-social workers interact with patients from many different cultures. This paper will introduce an assessment tool for health care professionals to advance understanding of culturally diverse patients and their families.

The new confidentiality for the 21st century in a managed care environment.

As society becomes more dependent on technology to store and obtain information quickly and effectively, there has been increasing concern in the social work community about protecting privacy and maintaining confidentiality, especially in a managed care environment. The concept of confidentiality is very different in a technologically advanced environment. This article reviews relevant social work, legal, and other professional literature on confidentiality, technology, and managed care.

Cultural differences in health beliefs: implications for social work practice in health care settings.

Individuals of diverse ethnic backgrounds often have beliefs about health, disease and treatment which vary significantly from American scientific medical practice. Cultural and subcultural health beliefs also vary among blacks, Hispanics and Asians. Individual differences within cultural groups may be influenced by length of time in the United States, age and social economic status.