The authors suggest that many managed mental health care (MMHC) practices have oppressive effects on members of cultural and ethnic minority groups. They examine the dissonance between institutional practices and cultural traditions that reflect insensitivity and forced conformity, particularly regarding time, pace, and intervention uniformity as…

Counselors and early interventionists increasingly serve Spanish-speaking families. Yet, often, cultural accommodations merely imply use of interpreters or bilingual providers. Cultural competence requires self-awareness and understanding the client's community and specific risk and resiliency factors. Implications for serving clients of Latino…