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.

Hispanic Americans/Latinos

Hispanic Americans/Latinos

Hispanic Americans/Latinos

Hispanic Americans are a diverse and heterogeneous population of over 22 million persons, with 13.5 million Mexican Americans (62%), 2.7 million Puerto Ricans (13%; with an additional 3.3 million in Puerto Rico), and more than 1 million Cubans (5%) (U.S. Bureau of the Census, 1990a). In addition to these three major groups, there are 5 million other Hispanics (12%) from 16 Spanish-speaking countries of Latin America and elsewhere, including Spain (8%). This Spanish-origin population is expected to increase to over 35 million by the year 2000 (Casas & Vasquez, 1996) and comprise 15% of the total population, or 47 million people, by 2020 (Davis, Haub, & Willette, 1988).

Mexican Americans have settled primarily in California, Texas, Arizona, New Mexico, and Colorado. Puerto Ricans ...

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