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.

Epilogue

Epilogue

As stated in the Preface, I have sought to maximize between- and within-group differences as a deliberate antidote for a history of minimizing all group differences. I do want to reverse the direction of the traditional Null Hypothesis, as Robert Malgady (1996) has done, to focus on differences rather than similarities, but I have chosen to do it with words rather than a meta-analysis of existing research literature, which also needs to occur. A premise of difference conveys respect as a beginning for understanding and provides a new perception of flaws in the extant literature.

I believe that cultural or racial identity should become the focus of attention if professional providers are to be honest about the major source of inner turmoil and external stressors ...

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