J
Consult Clin Psychol 1991 Aug;59(4):533-40
Community mental health services for ethnic minority groups: a test
of the cultural responsiveness hypothesis.
Sue S, Fujino DC, Hu LT, Takeuchi DT, Zane NW.
Department of Psychology, University of California, Los Angeles 90024-1563.
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.
PMID: 1918557 [PubMed - indexed for MEDLINE]
