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Psychiatr Serv 60:1046-1050, August 2009
doi: 10.1176/appi.ps.60.8.1046
© 2009 American Psychiatric Association
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Article

Cultural Competence: A Literature Review and Conceptual Model for Mental Health Services

Mario Hernandez, Ph.D., Teresa Nesman, Ph.D., Debra Mowery, Ph.D., Ignacio D. Acevedo-Polakovich, Ph.D. and Linda M. Callejas, M.A.

Dr. Hernandez, Dr. Nesman, Dr. Mowery, and Ms. Callejas are affiliated with the Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa. Dr. Acevedo-Polakovich is with the Department of Psychology, Central Michigan University, Mt. Pleasant. Send correspondence to Dr. Hernandez, Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, 13301 Bruce B. Downs Blvd., Tampa, FL 33612-3807 (e-mail: hernande{at}fmhi.usf.edu).

This article presents a conceptual model of organizational cultural competence for use in mental health services that resulted from a comprehensive review of the research literature. The model identifies four factors associated with cultural competence in mental health services (community context, cultural characteristics of local populations, organizational infrastructure, and direct service support) and redefines cultural competence as the degree of compatibility among these factors. A strength of this model of organizational cultural competence is that it facilitates future research and practice in psychiatric services settings and links culturally competent practices to service parity.


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An Early Example of Culturally Competent Services
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