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      Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis.

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          Abstract

          This study investigated services received, length of treatment, and outcomes of thousands of Asian-American, African-American, Mexican-American, and White clients using outpatient services in the Los Angeles County mental health system. It tested the hypothesis that therapist-client matches in ethnicity and language are beneficial to clients. Results indicate that Asian Americans and Mexican Americans underutilized, whereas African Americans overutilized, services. African Americans also exhibited less positive treatment outcomes. Furthermore, ethnic match was related to length of treatment for all groups. It was associated with treatment outcomes for Mexican Americans. Among clients who did not speak English as a primary language, ethnic and language match was a predictor of length and outcome of treatment. Thus, the cultural responsiveness hypothesis was partially supported.

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          Author and article information

          Journal
          Journal of Consulting and Clinical Psychology
          Journal of Consulting and Clinical Psychology
          American Psychological Association (APA)
          1939-2117
          0022-006X
          1991
          1991
          : 59
          : 4
          : 533-540
          Article
          1918557
          © 1991

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