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Ohios leading voice forCultural Competencefor 20 years. During that time we have supported hundreds of organizations through thousands of trainings and hours to empower them to create more culturally competent working environments and offer more equitable service delivery options to their patients clients and other stakeholders. MACC has become the statewide leader for cultural competence training and education in the behavioral health sector and we have expanded our services into the government criminal justice higher education healthcare nonprofit and business sectors in response to demand. Cultural Competence Definition We define cultural competence as a continuous learning process that builds knowledge awareness skills and capacity to identify understand and respect Ohioans39 unique beliefs values customs languages abilities and traditions to develop policies to promote effective programs and services.