front cover of Appalachian Cultural Competency
Appalachian Cultural Competency
A Guide for Medical, Mental Health, and Social Service Professionals
Susan E. Keefe
University of Tennessee Press, 2005
Health and human service practitioners who work in Appalachia know that the typical “textbook” methods for dealing with clients often have little relevance in the context of Appalachian culture. Despite confronting behavior and values different from those of mainstream America, these professionals may be instructed to follow organizational mandates that are ineffective in mountain communities, subsequently drawing criticism from their clients for practices that are deemed insensitive or controversial. In Appalachian Cultural Competency, Susan E. Keefe has assembled fifteen essays by a multidisciplinary set of scholars and professionals, many nationally renowned for their work in the field of Appalachian studies. Together, these authors argue for the development of a cultural model of practice based on respect for local knowledge, the value of community diversity, and collaboration between professionals and local communities, groups, and individuals. The essays address issues of both practical and theoretical interest, from understanding rural mountain speech to tailoring mental health therapies for Appalachian clients. Other topics include employee assistance programs for Appalachian working-class women, ways of promoting wellness among the Eastern Cherokees, and understanding Appalachian death practices.Keefe advocates an approach to delivering health and social services that both acknowledges and responds to regional differences without casting judgments or creating damaging stereotypes and hierarchies. Often, she observes, the “reflexive” approach she advocates runs counter to formal professional training that is more suited to urban and non-Appalachian contexts. Health care professionals, mental health therapists, social workers, ministers, and others in social services will benefit from the specific cultural knowledge offered by contributors, illustrated by case studies in a myriad of fields and situations. Grounded in real, tested strategies—and illustrated clearly through the authors’ experiences—Appalachian Cultural Competency is an invaluable sourcebook, stressing the importance of cultural understanding between professionals and the Appalachian people they serve.
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front cover of Participatory Development in Appalachia
Participatory Development in Appalachia
Cultural Identity, Community, and Sustainability
Susan E. Keefe
University of Tennessee Press, 2009
Often thought of as impoverished, backward, and victimized, the people of the southern mountains have long been prime candidates for development projects conceptualized and controlled from outside the region. This book, breaking with old stereotypes and the strategies they spawned, proposes an alternative paradigm for development projects in Appalachian communities-one that is far more inclusive and democratic than previous models.

Emerging from a critical analysis of the modern development process, the participatory development approach advocated in this book assumes that local culture has value, that local communities have assets, and that local people have the capacity to envision and provide leadership for their own social change. It thus promotes better decision making in Appalachian communities through public participation and civic engagement.

Filling a void in current research by detailing useful, hands-on tools and methods employed in a variety of contexts and settings, the book combines relevant case studies of successful participatory projects with practical recommendations from seasoned professionals. Editor Susan E. Keefe has included the perspectives of anthropologists, sociologists, and others who have been engaged, sometimes for decades, in Appalachian communities. These contributors offer hopeful new strategies for dealing with Appalachia's most enduring problems-strategies that will also aid activists and researchers working in other distressed or underserved communities.

Susan E. Keefe is professor of anthropology at Appalachian State University. She is the editor of Appalachian Mental Health and Appalachian Cultural Competency: A Guide for Medical, Mental Health, and Social Service Professionals.
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