title: The Nathan Kline Institute cultural competency assessment scale: psychometrics and implications for disparity reduction.
abstract: The NKI Cultural Competency Assessment Scale measures organizational CC in mental health outpatient settings. We describe its development and results of tests of its psychometric properties. When tested in 27 public mental health settings, factor analysis discerned three factors explaining 65% of the variance; each factor related to a stage of implementation of CC. Construct validity and inter-rater reliability were satisfactory. In tests of predictive validity, higher scores on items related to linguistic and service accommodations predicted a reduction in service disparities for engagement and retention outcomes for Hispanics. Disparities for Blacks essentially persisted independent of CC scores.
authors.affiliation: Nathan S. Kline Institute of Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY 10962, USA. siegel@nki.rfmh.org
authors.forename: Carole E
authors.initials: CE
authors.lastname: Siegel
authors.forename: Gary
authors.initials: G
authors.lastname: Haugland
authors.forename: Eugene M
authors.initials: EM
authors.lastname: Laska
authors.forename: Lenora M
authors.initials: LM
authors.lastname: Reid-Rose
authors.forename: Dei-In
authors.initials: DI
authors.lastname: Tang
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Wanderling
authors.forename: Ethel D
authors.initials: ED
authors.lastname: Chambers
authors.forename: Brady G
authors.initials: BG
authors.lastname: Case
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D054521:Cultural Competency; D003625:Data Collection / Q000379:methods*; D005260:Female; D054625:Healthcare Disparities / Q000458:organization & administration*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D011594:Psychometrics; D011787:Quality of Health Care / Q000458:organization & administration*