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Development and validation of the Cultural Responsiveness Assessment Measure (CRAM): A self-reflection tool for
Peter Smith1, Kylie Rice1, Nicola Schutte1
1School of Psychology, Faculty of Medicine and Health, University of New England, Armidale NSW, Australia.
Background:
The purpose of this study was to develop and to validate a measure of cultural responsiveness that would assist mental health practitioners across a range of disciplines, in Australia, to work with Indigenous clients.
Aim:
The Cultural Responsiveness Assessment Measure (CRAM) was developed to provide a tool for practitioners and students to evaluate their own culturally responsive practice and professional development.
Method:
Following expert review for face validity the psychometric properties of the measure were assessed quantitatively, from the responses of 400 mental health practitioners.
Results:
Confirmatory Factor Analysis yielded a nine factor, 36 item instrument that demonstrated strong convergent and discriminant validity as well as test-retest reliability.
Conclusions:
It is anticipated that the CRAM will have utility as both a learning tool and an assessment measure, for mental health practitioners to ensure that services are culturally responsive for Aboriginal and Torres Strait Islander people.

