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Cultural humility vs cultural competence: what each means, and why social work asks for both

7 min read

Cultural competence and cultural humility are often presented as rivals, one old and one new. In social work they now stand side by side. Competence is what you know and can do across cultures; humility is how you hold that knowledge: as a starting point, checked against the person in front of you, with an eye on the power you bring into the room.

Below are where each idea came from, what the NASW Code of Ethics and CSWE's accreditation standards now say, why the profession asks for both, and how the ASWB exam tests the stance without ever using the word.

The short version

Cultural competenceCultural humility
What it isKnowledge, skills, attitudes and policies for working across culturesA lifelong stance of self-reflection, learning from the client, and attention to power
FocusWhat the worker or agency knows and doesThe worker's own assumptions and the relationship
Where it goes wrong aloneA checklist of traits that turns into stereotyping"Not knowing" used as a reason not to learn
Where it appearsCross et al. (1989); NASW's 2015 standards; the title of NASW standard 1.05Tervalon and Murray-García (1998); NASW 1.05(c) since 2021; CSWE's 2022 standards

Where the ideas came from

Cultural competence took its best-known definition from a 1989 monograph for children's mental health services, Towards a Culturally Competent System of Care, by Terry Cross and colleagues: "Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable that system, agency, or those professionals to work effectively in cross-cultural situations." Note that the definition is about systems and agencies as much as individual workers.

Cultural humility came nine years later, as a critique. In 1998 Melanie Tervalon and Jann Murray-García, writing about training doctors, argued that the traditional idea of competence, "a detached mastery of a theoretically finite body of knowledge," was the wrong goal for this kind of learning. They proposed humility instead: "a lifelong commitment to self-evaluation and self-critique, to redressing the power imbalances in the patient-physician dynamic, and to developing mutually beneficial and nonpaternalistic clinical and advocacy partnerships with communities."

Their three parts are worth remembering separately: look at yourself, look at the power difference, and work with communities, not just individuals.

What social work's codes say now

The NASW Code of Ethics changed in 2021. Before that revision, standard 1.05 was titled Cultural Awareness and Social Diversity and asked social workers to understand culture, to have a knowledge base of their clients' cultures, and to understand diversity and oppression. The word humility did not appear.

The 2021 revision retitled it Cultural Competence, and two of its changes matter most here. Social workers "must take action against oppression, racism, discrimination, and inequities, and acknowledge personal privilege." And a new paragraph, 1.05(c), reads:

"Social workers should demonstrate awareness and cultural humility by engaging in critical self-reflection (understanding their own bias and engaging in self-correction), recognizing clients as experts of their own culture, committing to lifelong learning, and holding institutions accountable for advancing cultural humility."

So the Code keeps the word competence in the title and puts humility inside it. CSWE's 2022 accreditation standards, which shape every accredited BSW and MSW program, do the same in Competency 3, on anti-racism, diversity, equity and inclusion. One of its two practice behaviors asks social workers to "demonstrate cultural humility by applying critical reflection, self-awareness, and self-regulation to manage the influence of bias, power, privilege, and values in working with clients and constituencies, acknowledging them as experts of their own lived experiences."

NASW's 2015 Standards and Indicators for Cultural Competence in Social Work Practice remain the profession's detailed guide to the competence side, and they are on ASWB's 2026 reference lists.

Why social work asks for both

Each idea fixes the other's weak spot.

  • Competence without humility stereotypes. Knowing how a community tends to make decisions, understand illness or view outside help is useful as a first guess. Applied to a client without asking, it becomes a stereotype with a credential behind it.
  • Humility without competence puts the work on the client. A worker who knows nothing about a community's history with services, or its common family structures, makes the client teach them everything, often while the client is in crisis.
  • Together they work. Learn what you can about the groups you serve, hold it as a hypothesis, and let the person correct it. Then look past the individual: humility in the NASW sense includes holding your own agency to account for its hours, its forms, its language access and who it hires.

Neighboring terms

Several other phrases circle the same ground, and exam options use them:

  • Cultural awareness: recognizing that cultural differences exist and matter, starting with your own culture.
  • Cultural sensitivity: responding to differences respectfully and avoiding offense. Useful, but it says little about knowledge or power.
  • Cultural responsiveness: adapting services, methods and settings to fit the people being served.
  • Anti-oppressive and anti-racist practice: adds the duty to challenge the structures that disadvantage clients, not only to relate to clients well. The Code's line that social workers "must take action against oppression, racism, discrimination, and inequities" is this idea in ethical form.
  • Intersectionality: the term Kimberlé Crenshaw introduced in a 1989 law review article on discrimination cases in which courts would not recognize claims by Black women that combined race and sex. Identities interact, and treating them one at a time misses the experience of the whole person. The 2026 ASWB outlines name it explicitly.

What it looks like in practice

The stance shows up in small habits more than in grand statements:

  • Ask about meaning before you plan. "What do you call this problem? What do you think caused it? What has helped before? Who else should be part of the decision?"
  • Treat general knowledge as a question, not an answer. "Some families in your community prefer to decide this together. Is that true for you?"
  • Notice your reactions. Surprise, discomfort or certainty about a client's culture are signals to examine, often in supervision.
  • Name the power difference. You may control access to services, write reports or make referrals the client cannot refuse. Saying so plainly is part of an honest relationship.
  • Use qualified interpreters. A family member, and especially a child, should not carry sensitive conversations for a client who needs language access.
  • Accept a client's choice not to discuss culture or race. Self-determination applies here too.
  • Check your agency's defaults. Intake forms, opening hours and the languages on the website all signal who a service expects. Changing them is humility at the agency level, which is what the Code means by holding institutions accountable.

Culture shapes a plan; it does not override safety or legal duties. A cultural explanation for an injury to a child, for example, is explored respectfully and still reported if the law requires it.

Three common misreadings

  • "Humility means you don't need to learn about cultures." The Code's own wording includes "committing to lifelong learning," and CSWE pairs humility with knowledge of how oppression works.
  • "Competence is outdated." NASW kept it as the title of standard 1.05 and placed humility inside it. The profession added a stance; it did not drop the knowledge.
  • "Culture means race or ethnicity." The Code's list runs to national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, and mental or physical ability.

On the 2026 ASWB exam

ASWB's 2026 Guidebook never uses the phrase cultural humility. The ideas are all there, though. The Diversity and Social Justice section of the outlines covers anti-oppressive and anti-racist approaches, privilege and bias (including implicit bias and microaggressions), power differences and racial privilege, how culture, race, gender, sexual orientation and intersectionality shape behavior and identity, and access in language, physical and cultural terms. A separate statement covers cultural considerations when building an intervention plan. And the NASW Code, the backbone of the ethics questions, now contains standard 1.05(c) word for word as quoted above.

On questions about culture, the keyed answers follow a steady pattern:

  • Ask, do not assume. The best option usually explores the client's own view of their culture, the problem and what would help, rather than acting on what is typical of a group.
  • Examine your own bias. When a vignette shows the social worker's assumption or discomfort, the answer addresses that first, often through supervision.
  • Adapt the plan with the client, within ethics and law. Cultural respect never cancels a safety concern or a mandated report.
  • Work at the system level when the problem is systemic. Advocacy, interpreter access and agency change are social work answers too.

Where to study it

Our Diversity and Social Justice chapter covers anti-oppressive practice, privilege and bias, and power, and Assessment Practices covers cultural considerations in planning. The six core values shows how the Code's values become questions, the culture and spirituality section of a biopsychosocial assessment shows where this sits in an intake, and ASWB ethics questions, worked covers the reasoning behind the best answer. Trauma-informed care makes cultural, historical and gender issues one of SAMHSA's six principles.

Sources: Terry L. Cross, Barbara J. Bazron, Karl W. Dennis and Mareasa R. Isaacs, Towards a Culturally Competent System of Care (Georgetown University Child Development Center, March 1989); Melanie Tervalon and Jann Murray-García, "Cultural humility versus cultural competence," Journal of Health Care for the Poor and Underserved 9, no. 2 (1998); NASW Code of Ethics, standard 1.05 (current text, and the pre-2021 text in the Internet Archive's capture of January 6, 2021); CSWE, 2022 Educational Policy and Accreditation Standards, Competency 3; ASWB Examination Guidebook (August 2026), content outlines and reference lists. Checked October 15, 2026. ASWB Master is independent and is not affiliated with, endorsed by, sponsored by or approved by the Association of Social Work Boards.

Frequently asked questions

What is the difference between cultural humility and cultural competence?
Cultural competence is the knowledge, skills and policies that let a worker or an agency work effectively across cultures. Cultural humility is a lifelong stance of self-reflection, of treating clients as the experts on their own culture, and of attending to power. Competence can sound like a finish line; humility says there is not one. Social work now asks for both.
Who came up with the idea of cultural humility?
Melanie Tervalon and Jann Murray-García, in a 1998 article on training doctors, "Cultural humility versus cultural competence." They described it as a lifelong commitment to self-evaluation and self-critique, to redressing power imbalances, and to partnerships with communities.
Does the NASW Code of Ethics mention cultural humility?
Yes, since its 2021 revision. Standard 1.05, now titled Cultural Competence, asks social workers to demonstrate awareness and cultural humility through critical self-reflection, recognizing clients as experts of their own culture, lifelong learning and holding institutions accountable. The version before 2021 did not use the word.
How does the ASWB exam test cultural humility?
Not by name: the 2026 Guidebook never uses the phrase. The outlines cover anti-oppressive and anti-racist approaches, privilege and bias, power differences and cultural considerations in planning, and questions on them reward asking clients about their own culture rather than assuming from group membership.

Practice the diversity questions

Our Diversity and Social Justice chapter covers anti-oppressive practice, privilege and bias, and culture, with practice questions that test the stance as well as the facts.

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