We recently held a Zoom event that focused on caring for the ultra-Orthodox community during the COVID-19 outbreak in Israel. It was one of the most significant and exciting events – which is part of a series of Zoom meetings for cultural competence coordinators in healthcare organizations and in general – that we’ve had thus far.
Invitation to the online event
It is no secret that the ultra-Orthodox community is sensitive about being labeled, especially if it affects their healthcare, for better or for worse. For the better, this labeling sometimes helps to provide tailored and improved care, such as making sure that patients receive meals in accordance with their specific dietary (kashrut) regulations, or the best/ most culturally sensitive ways of communicating with them or those who accompany them. For the worse, for the ultra-Orthodox community, being labled also means that they’re being singled out, and they feel that they are being discriminated against based on stereotypes of the ultra-Orthodox population. This creates an especially sensitive situation since the community has been particularly hard hit during this pandemic, and causes feelings of inferiority and discrimination – and resentment – even when there is no such intention on the part of the caregivers.
About the complexity of inter-identity relations during health care
In addition, the heated public discourse fans the flames of an already sensitive situation. With the outbreak of the coronavirus, the media often portrayed the ultra-Orthodox community as disobeying safety regulations and crowding together in huge events despite social isolation guidelines that were set in order to protect the public. At the same time, positive aspects of the community’s behavior – from cooperation with and generosity to the police and the Home Front Command who were patrolling the neighborhoods during the lockdown – also extraordinary events – were barely noticed.
Inter-identity and intercultural questions that concern healthcare practitioners
Given this complexity, and in light of our familiarity with the diversity of communities within the different ultra-Orthodox populations in Israel, coupled with the necessity to engage all populations in working to both follow the current health guidelines and treat patients in the best way possible, we initiated a meeting specifically on the subject of Healthcare for Ultra-Orthodox Communities in the Shadow of COVID-19. In the meeting, which took place via Zoom on July 15, 2020, Rabbi Zvi Porat, an expert on delivering culturally competent healthcare to the ultra-Orthodox community, spoke about the complexities and experiences experienced by members of the ultra-Orthodox community in various healthcare settings. He also presented different examples of how to respond to different challenges in an appropriate manner that meets the needs of the ultra-Orthodox and does not create a feeling of being stygmatized.
Discussing the complexities of the intercultural encounter in healthcare
Dr. Michal Schuster presented the culturally competent perspective in treating ultra-Orthodox patients, as well as recommendations based on proven experience and veteran initiatives that have already provided successful responses, alongside the complexity of the ever-changing guidelines, especially for those who do not receive regular updates from television or social media.
Dr. Racheli Ashwell presented the transformative model for managing tension-filled events and inter-identity conflicts and the recommended way to avoid such events and manage them in a positive and empowering way.
One of the things that was exciting about this meeting was the number of participants: 48 people devoted their time in the middle of the day to an hour and a half session. Feedback was very positive, and the productive and constructive discussions that took place during the meeting demonstrated the importance and the need for such training during this complex period.
