Six reports in this month's issue highlight the importance of addressing racial-ethnic and cultural issues. Benjamin L. Cook, Ph.D., M.P.H., and colleagues report that disparities in mental health care have persisted and worsened for African Americans and Hispanics. The authors compared Medical Expenditure Panel Survey data for 2003—2004 with data for 2000—2001 using a more rigorous definition of racial disparity that adjusts for health status and allows for mediation of disparities through socioeconomic factors (page 1533). Hoyt S. Alverson, Ph.D., and colleagues report on an 18-month study in which field ethnographers spent time with 25 ethnically diverse persons with severe mental illness, sharing in activities and engaging in informal interviewing. The aim was to record each client's "illness account"—the changing narrative that an individual uses to tell others about his or her illness. The authors found group commonalities in the accounts of African Americans, Puerto Rican Americans, and European Americans, which have important implications for the treatment alliance (page 1541). Erum Nadeem, Ph.D., and coauthors report on a study in which more than 15,300 low-income women were screened for depression. They compared U.S.-born white women with U.S.-born black women and immigrant black and Latina women and found differences in their reported desire for treatment, which were linked to stigma-related concerns (page 1547). Todd P. Gilmer, Ph.D., and colleagues examined how more than 9,200 persons with severe mental illness, some with limited English proficiency, initially accessed public mental health services. The authors found that Latino and Asian clients with limited proficiency were less likely than their English-proficient peers to first access the system through emergency services; the pattern persisted for the Asian clients but not for the Latino clients (page 1555). In the Open Forum, Rob Whitley, Ph.D., discusses the ways in which two powerful paradigms—cultural competence and evidence-based medicine—can enrich each other (page 1588). Finally, Alejandro Interian, Ph.D., and colleagues conducted a qualitative analysis of the discussions of six focus groups of Latino outpatients taking antidepressants and found that stigma was a prominent concern (page 1591).