Why is it so difficult to provide quality mental health care for multicultural populations? How can quality care be achieved? Understanding Cultural Identity in Intervention and Assessment centers on this dilemma. This text for multicultural courses in counseling, psychotherapy, clinical psychology and social work begins with a description of the existing societal context for mental health services in the United States and the limitations of available services for multicultural populations. It documents the cultural competence a practitioner needs to provide adequate, credible, and potentially beneficial services to diverse clientele. It presents a model for effective culture-specific services that emphasizes the description and understanding of cultural/racial identity and the use of this information to develop cultural formulations to increase the accuracy of diagnoses. To provide examples of this model, the author devotes four chapters to a discussion of mental health services for a variety of domestic groups: African Americans, American Indians/Alaska Natives, Asian Americans, and Hispanic Americans. A valuable supplement to a variety of courses, Understanding Cultural Identity in Intervention and Assessment will enhance students' understanding of multicultural mental health issues in fields such as clinical/counseling psychology, multicultural psychology, educational psychology, social work, health services, and ethnic studies.

Identities of Clients and Providers

Identities of Clients and Providers

Identities of clients and providers

This chapter is about the cultural/racial identities of clients and their service providers. For practical purposes, it is absolutely necessary to have information on client identity, including acculturation and a description of clients as cultural beings prior to the onset of any assessment or intervention services. Information on acculturation is provided by cultural orientation identification and is necessary because not all clients who appear to belong to a particular cultural group in terms of appearance, surname, or preferred language will share the worldview, values, beliefs, and perceptions of that group.

To avoid stereotyping based on appearances alone, cultural orientation information from an interview or test should be used. Cultural orientations reflect the relative contributions from an original ...

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