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Capacity for Delivering Culturally Competent Mental Health Services in New Mexico: Results of a Statewide Agency Survey

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An Erratum to this article was published on 27 June 2009

Abstract

The Federal government has promoted National Standards for Culturally and Linguistically Appropriate Services (CLAS) to reduce mental health disparities among Hispanic and Native American populations. In 2005, the State of New Mexico embarked upon a comprehensive reform of its behavioral health system with an emphasis on improving cultural competency. Using survey methods, we examine which language access services (i.e., capacity for bilingual care, interpretation, and translated written materials) and organizational supports (i.e., training, self-assessments of cultural competency, and collection of cultural data) mental health agencies in New Mexico had at the onset of a public sector mental health reform (Office of Minority Health 2001).

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References

  • Alegría, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., et al. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services (Washington, DC), 53(12), 1547–1555. doi:10.1176/appi.ps.53.12.1547.

    Google Scholar 

  • Anderson, L. M., Scrimshaw, S. C., Fullilove, M. T., Fielding, J. E., & Normand, J. (2003). Culturally competent healthcare systems: A systematic review. American Journal of Preventive Medicine, 24(Suppl. 3), 68–79. doi:10.1016/S0749-3797(02)00657-8.

    Article  PubMed  Google Scholar 

  • Barrio, C., Yamada, A. M., Hough, R. L., Hawthorne, W., Garcia, P., & Jeste, D. V. (2003). Ethnic disparities in use of public mental health case management services among patients with schizophrenia. Psychiatric Services (Washington, DC), 54(9), 1264–1270. doi:10.1176/appi.ps.54.9.1264.

    Google Scholar 

  • Beals, J., Manson, S. M., Mitchell, C. M., & Spicer, P. (2003). Cultural specificity and comparison in psychiatric epidemiology: Walking the tightrope in American Indian research. Culture, Medicine and Psychiatry, 27(3), 259–289. doi:10.1023/A:1025347130953.

    Article  PubMed  Google Scholar 

  • Beals, J., Manson, S. M., Whitesell, N. R., Spicer, P., Novins, D. K., & Mitchell, C. M. (2005a). Prevalence of DSM-IV disorders and attendant help-seeking in 2 American Indian reservation populations. Archives of General Psychiatry, 62(1), 99–108. doi:10.1001/archpsyc.62.1.99.

    Article  PubMed  Google Scholar 

  • Beals, J., Novins, D. K., Whitesell, N. R., Spicer, P., Mitchell, C. M., & Manson, S. M. (2005b). Prevalence of mental disorders and utilization of mental health services in two American Indian reservation populations: Mental health disparities in a national context. The American Journal of Psychiatry, 162(9), 1723–1732. doi:10.1176/appi.ajp.162.9.1723.

    Article  PubMed  Google Scholar 

  • Beinecke, R. H., Shepard, D. S., Leung, M., & Sousa, D. (2002). Evaluation of the Massachusetts behavioral health program: Year 8. Administration and Policy in Mental Health, 30(2), 141–157. doi:10.1023/A:1022585102102.

    Article  PubMed  Google Scholar 

  • Beinecke, R. H., & Vore, N. (2002). Provider assessments of the Massachusetts behavioral health program: Year 7. Administration and Policy in Mental Health, 29(6), 519–524. doi:10.1023/A:1020780411239.

    Article  PubMed  Google Scholar 

  • Beinecke, R. H., & Woliver, R. (2000). Assessment of the Massachusetts behavioral health program: Year 6. Administration and Policy in Mental Health, 28(2), 107–129. doi:10.1023/A:1026655423320.

    Article  PubMed  CAS  Google Scholar 

  • Burnam, M. A., Hough, R. L., Karno, M., Escobar, J. I., & Telles, C. A. (1987). Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. Journal of Health and Social Behavior, 28(1), 89–102. doi:10.2307/2137143.

    Article  PubMed  CAS  Google Scholar 

  • Cabassa, L. J., Zayas, L. H., & Hansen, M. C. (2006). Latino adults’ access to mental health care: A review of epidemiological studies. Administration and Policy in Mental Health, 33(3), 316–330. doi:10.1007/s10488-006-0040-8.

    Article  PubMed  Google Scholar 

  • Calloway, M., Fried, B., Johnsen, M., & Morrissey, J. (1999). Characterization of rural mental health service systems. The Journal of Rural Health, 15(3), 296–307. doi:10.1111/j.1748-0361.1999.tb00751.x.

    Article  PubMed  CAS  Google Scholar 

  • Campbell, C. I., & Alexander, J. A. (2002). Culturally competent treatment practices and ancillary service use in outpatient substance abuse treatment. Journal of Substance Abuse Treatment, 22(3), 109–119. doi:10.1016/S0740-5472(02)00221-0.

    Article  PubMed  Google Scholar 

  • Center for Mental Health Services. (2000). Cultural competence standards in managed mental health care for four underserved/underrepresented racial/ethnic groups (pp. 1–68). Rockville, MD: United States Department of Health and Human Services.

    Google Scholar 

  • Chow, J. C., Jaffee, K., & Snowden, L. (2003). Racial/ethnic disparities in the use of mental health services in poverty areas. American Journal of Public Health, 93(5), 792–797. doi:10.2105/AJPH.93.5.792.

    Article  PubMed  Google Scholar 

  • Cook, B. L., McGuire, T., & Miranda, J. (2007). Measuring trends in mental health care disparities, 2000 2004. Psychiatric Services, 58(12),1533–1540.

    Google Scholar 

  • Cross, T. L., Bazron, B. J., Dennis, K. W., & Issacs, M. R. (1989). Towards a culturally competent system of care: A monograph on effective services for minority children who are severely emotionally disturbed. Washington, DC: Georgetown University Child Development Center.

    Google Scholar 

  • Dougherty, R. H. (2004). Reducing disparity in behavioral health services: A report from the American College of Mental Health Administration. Administration and Policy in Mental Health, 31(3), 253–263. doi:10.1023/B:APIH.0000018833.22506.fc.

    Article  PubMed  Google Scholar 

  • Fiscella, K., Franks, P., Doescher, M. P., & Saver, B. G. (2002). Disparities in health care by race, ethnicity, and language among the insured: Findings from a national sample. Medical Care, 40(1), 52–59. doi:10.1097/00005650-200201000-00007.

    Article  PubMed  Google Scholar 

  • Fitzmaurice, G. M., Laird, N. M., & Ware, J. H. (2004). Applied longitudinal analysis. Hoboken, NJ: Wiley Inter-Science.

    Google Scholar 

  • Gale, J. A., & Deprez, R. D. (2003). A public health approach to the challenges of rural mental health services integration. In B. H. Stamm (Ed.), Rural behavioral health care: An interdisciplinary guide. Washington, DC: American Psychological Association.

    Google Scholar 

  • Gamm, L. D., Stone, S., & Pittman, S. (2003). Mental health and mental disorders—a rural challenge Rural healthy people 2010. Retrieved October 18, 2008, from http://www.srph.tamhsc.edu/centers/rhp2010/08Volume1mentalhealth.htm.

  • Goode, T. (2002). Promoting cultural diversity and cultural competency—self assessment checklist for personnel providing services and supports to children with disabilities & special health care needs. Retrieved March 10, 2009, from http://www11.georgetown.edu/research/gucchd/NCCC/foundations/frameworks.html.

  • Goode, T., Jones, W., & Mason, J. (2002). A guide to planning and implementing cultural competence organizational assessment. Washington, DC: National Center for Cultural Competence.

    Google Scholar 

  • Guzman, B. (2001). The hispanic population: Census 2000 briefs. Hyattsville, MD: US Census Bureau.

  • Han, E., & Liu, G. G. (2005). Racial disparities in prescription drug use for mental illness among population in US. The Journal of Mental Health Policy and Economics, 8(3), 131–143.

    PubMed  Google Scholar 

  • Harrison, J. P., & Sexton, C. (2004). The paradox of the not-for-profit hospital. The Health Care Manager, 23(3), 192–204.

    PubMed  Google Scholar 

  • Hauenstein, E. J., Petterson, S., Rovnyak, V., Merwin, E., Heise, B., & Wagner, D. (2007). Rurality and mental health treatment. Administration and Policy in Mental Health, 34(3), 255–267. doi:10.1007/s10488-006-0105-8.

    Article  PubMed  Google Scholar 

  • Hawaii Adult Mental Health Division. (2005). 3-year multicultural strategic plan [Electronic Version]. Retrieved October 2, 2007, from http://amh.health.state.hi.us/Public/REP/Planning/MulticulturalStrategicPlan.pdf.

  • Hodgkin, D., Shepard, D. S., & Beinecke, R. H. (2002). Management of alcohol and drug abuse treatment by medical plans: Michigan providers’ experience. Alcoholism Treatment Quarterly, 20(1), 79–96. doi:10.1300/J020v20n01_05.

    Article  Google Scholar 

  • Howard, D. L. (2003). Culturally competent treatment of African American clients among a national sample of outpatient substance abuse treatment units. Journal of Substance Abuse Treatment, 24(2), 89–102. doi:10.1016/S0740-5472(02)00348-3.

    Article  PubMed  Google Scholar 

  • Hyde, P. S. (2004). State mental health policy: A unique approach to designing a comprehensive behavioral health system in New Mexico. Psychiatric Services (Washington, DC), 55(9), 983–985. doi:10.1176/appi.ps.55.9.983.

    Google Scholar 

  • Interagency Behavioral Health Purchasing Collaborative. (2005). Statewide behavioral health services contract. Santa Fe, NM: State of New Mexico.

    Google Scholar 

  • Interagency Behavioral Health Purchasing Collaborative. (2006). Statewide behavioral health services contract. Santa Fe, NM: State of New Mexico.

    Google Scholar 

  • Interagency Behavioral Health Purchasing Collaborative. (2008). Statewide behavioral health services contract. Santa Fe, NM.

  • Kimerling, R., & Baumrind, N. (2005). Access to specialty mental health services among women in California. Psychiatric Services (Washington, DC), 56(6), 729–734. doi:10.1176/appi.ps.56.6.729.

    Google Scholar 

  • Kleinman, A., & Benson, P. (2006). Culture, moral experience and medicine. The Mount Sinai Journal of Medicine (New York), 73(6), 834–839.

    Google Scholar 

  • Lasser, K. E., Himmelstein, D. U., Woolhandler, S. J., McCormick, D., & Bor, D. H. (2002). Do minorities in the United States receive fewer mental health services than Whites? International Journal of Health Services, 32(3), 567–578. doi:10.2190/UEXW-RARL-U46V-FU4P.

    Article  PubMed  Google Scholar 

  • Lau v. Nichols, 563 (Supreme Court 1974).

  • Libby, A. M., Orton, H. D., Barth, R. P., Webb, M. B., Burns, B. J., Wood, P. A., et al. (2007). Mental health and substance abuse services to parents of children involved with child welfare: A study of racial and ethnic differences for American Indian parents. Administration and Policy in Mental Health, 34(2), 150–159. doi:10.1007/s10488-006-0099-2.

    Article  PubMed  Google Scholar 

  • Lieu, T. A., Finkelstein, J. A., Lozano, P., Capra, A. M., Chi, F. W., Jensvold, N., et al. (2004). Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children. Pediatrics, 114(1), e102–e110. doi:10.1542/peds.114.1.e102.

    Article  PubMed  Google Scholar 

  • Lopez, S. R., & Guarnaccia, P. J. (2000). Cultural psychopathology: Uncovering the social world of mental illness. Annual Review of Psychology, 51, 571–598. doi:10.1146/annurev.psych.51.1.571.

    Article  PubMed  CAS  Google Scholar 

  • Magnabosco, J. L. (2006). Innovations in mental health services implementation: A report on state-level data from the US evidence-based practices project. Implementation Science; IS, 1, 13. doi:10.1186/1748-5908-1-13.

    Article  PubMed  Google Scholar 

  • Miranda, J., Duan, N., Sherbourne, C., Schoenbaum, M., Lagomasino, I., Jackson-Triche, M., et al. (2003). Improving care for minorities: Can quality improvement interventions improve care and outcomes for depressed minorities? Results of a randomized, controlled trial. Health Services Research, 38(2), 613–630. doi:10.1111/1475-6773.00136.

    Article  PubMed  Google Scholar 

  • National Technical Assistance Center for State Mental Health Planning, & National Association State Mental Health Program Directors. (2004). Cultural competency: Measurement as a strategy for moving knowledge into practice in state mental health systems (pp. 1–28). Alexandria, VA: National Technical Assistance Center for State Mental Health Planning/The National Association of State Mental Health Program Directors.

    Google Scholar 

  • Office of Minority Health. (2001). National standards on culturally and linguistically appropriate services (CLAS): Final report. Retrieved March 10, 2009, from http://www.omhrc.gov/assets/pdf/checked/finalreport.pdf.

  • Ojeda, V. D., & McGuire, T. G. (2006). Gender and racial/ethnic differences in use of outpatient mental health and substance use services by depressed adults. The Psychiatric Quarterly, 77(3), 211–222. doi:10.1007/s11126-006-9008-9.

    Article  PubMed  Google Scholar 

  • Opler, L. A., Ramirez, P. M., Dominguez, L. M., Fox, M. S., & Johnson, P. B. (2004). Rethinking medication prescribing practices in an inner-city Hispanic mental health clinic. Journal of Psychiatric Practice, 10(2), 134–140. doi:10.1097/00131746-200403000-00009.

    Article  PubMed  Google Scholar 

  • Quintero, G., Lilliott, E., & Willging, C. (2007). Substance abuse treatment provider views of “culture”: Implications for behavioral health care in rural settings. Qualitative Health Research, 17(9), 1256–1267. doi:10.1177/1049732307307757.

    Article  PubMed  Google Scholar 

  • Rabe-Hesketh, S., & Skrondal, A. (2005). Multilevel and longitudinal modeling using Stata. College Station, TX: Stata Press.

    Google Scholar 

  • Rapp, C. A., Bond, G. R., Becker, D. R., Carpinello, S. E., Nikkel, R. E., & Gintoli, G. (2005). The role of state mental health authorities in promoting improved client outcomes through evidence-based practice. Community Mental Health Journal, 41(3), 347–363. doi:10.1007/s10597-005-5008-8.

    Article  PubMed  Google Scholar 

  • Refowitz, M. (2002). San Diego County mental health system cultural competence assessment. San Diego: San Diego State University Foundation.

    Google Scholar 

  • Reichman, J. S. (2003). Immigration, acculturation and health: The Mexican diaspora. In S. J. Gold & R. G. Rumbaut (Eds.), The new Americans: Recent immigration and American society. New York: LFB Scholarly Publishing.

    Google Scholar 

  • Research and Polling Inc. (2006). NMMRA/NM HSD behavioral health provider satisfaction study. Albuquerque, NM.

  • Rost, K., Fortney, J., Fischer, E., & Smith, J. (2002). Use, quality, and outcomes of care for mental health: The rural perspective. Medical Care Research and Review, 59(3), 231–265. doi:10.1177/1077558702059003001. discussion 266–271.

    Article  PubMed  Google Scholar 

  • Schlesinger, M., Dorwart, R., Hoover, C., & Epstein, S. (1997). Competition, ownership, and access to hospital services. Evidence from psychiatric hospitals. Medical Care, 35(9), 974–992. doi:10.1097/00005650-199709000-00009.

    Article  PubMed  CAS  Google Scholar 

  • Schlesinger, M., & Gray, B. H. (2006). How nonprofits matter in American medicine, and what to do about it. Health Affairs (Project Hope), 25(4), W287–W303. doi:10.1377/hlthaff.25.w287.

    Article  Google Scholar 

  • Shepard, D. S., Daley, M., Ritter, G. A., Hodgkin, D., & Beinecke, R. H. (2002). Managed care and the quality of substance abuse treatment. The Journal of Mental Health Policy and Economics, 5(4), 163–174.

    PubMed  Google Scholar 

  • Siegel, C., Davis-Chambers, E., Haugland, G., Bank, R., Aponte, C., & McCombs, H. (2000). Performance measures of cultural competency in mental health organizations. Administration and Policy in Mental Health, 28(2), 91–106. doi:10.1023/A:1026603406481.

    Article  PubMed  CAS  Google Scholar 

  • Siegel, C., Haugland, G., & Chambers, E. D. (2003). Performance measures and their benchmarks for assessing organizational cultural competency in behavioral health care service delivery. Administration and Policy in Mental Health, 31(2), 141–170. doi:10.1023/B:APIH.0000003019.97009.15.

    Article  PubMed  Google Scholar 

  • Sue, S., Fujino, D. C., Hu, L. T., Takeuchi, D. T., & Zane, N. W. (1991). Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis. Journal of Consulting and Clinical Psychology, 59(4), 533–540. doi:10.1037/0022-006X.59.4.533.

    Article  PubMed  CAS  Google Scholar 

  • Technical Assistance Collaborative. (2002). Behavioral health needs and gaps in New Mexico. Santa Fe, NM: State of New Mexico Department of Health.

    Google Scholar 

  • The MacArthur Foundation Network on Mental Health Policy Research. (2005). Transformation of a behavioral health care system: The New Mexico evaluation project. Chicago, IL.

  • The President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: US Department of Health and Human Services.

    Google Scholar 

  • Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services (Washington, DC), 52(1), 45–50. doi:10.1176/appi.ps.52.1.45.

    CAS  Google Scholar 

  • US Census Bureau. (2000a). Census 2000 demographic profile highlights publication. Retrieved March 6, 2009, from US Department of Commerce: http://factfinder.census.gov/servlet/SAFFFacts?_event=&geo_id=04000US35&_geoContext=01000US|04000US35|05000US35057&_street=&_county=&_cityTown=&_state=04000US35&_zip=&_lang=en&_sse=on&ActiveGeoDiv=&_useEV=&pctxt=fph&pgsl=050&_submenuId=factsheet_1&ds_name=DEC_2000_SAFF&_ci_nbr=null&qr_name=null&reg=null%3Anull&_keyword=&_industry=.

  • US Census Bureau. (2000b). Census 2000: Summary file 1 Publication. Retrieved March 6, 2009, from US Department of Commerce: http://factfinder.census.gov.

  • US Census Bureau. (2000c). Census 2000: Summary file 3 (Publication. Retrieved March 6, 2009, from US Department of Commerce: http://factfinder.census.gov.

  • US Census Bureau. (2000d). DP-2 profile of selected social characteristics: 2000 (Publication. Retrieved March 6, 2009, from US Department of Commerce: http://factfinder.census.gov/servlet/QTTable?_bm=y&-geo_id=04000US35&-qr_name=DEC_2000_SF3_U_DP2&-ds_name=DEC_2000_SF3_U.

  • US Census Bureau. (2000e). GCT P6 race and Hispanic or Latino 2000 (Publication. Retrieved March 6, 2009, from US Census Bureau: http://factfinder.census.gov/servlet/GCTTable?_bm=y&-geo_id=01000US&-_box_head_nbr=GCT-P6&-ds_name=DEC_2000_SF1_U&-format=US-9.

  • US Census Bureau. (2000f). Table 5. Detailed list of languages spoken at home for the population 5 years and over by state: 2000 (Publication. Retrieved March 6, 2009, from US Department of Commerce: http://www.census.gov/population/cen2000/phc-t20/tab05.pdf.

  • US Census Bureau. (2000g). TM-P002. Persons per square mile: 2000 (Publication. Retrieved March 10, 2009, from US Department of Commerce: http://factfinder.census.gov/servlet/ThematicMapFramesetServlet?_bm=y&-tm_name=DEC_2000_SF1_U_M00090&-ds_name=DEC_2000_SF1_U&-redoLog=false.

  • US Census Bureau. (2003). Language use and English-language ability: 2000 (No. C2KBR-29). Hyattsville, MD: US Department of Commerce.

    Google Scholar 

  • US Census Bureau. (2006). American community survey: Custom table (Publication. Retrieved October 6, 2008, from http://factfinder.census.gov/servlet/CTGeoSearchByListServlet?ds_name=ACS_2006_EST_G00_&_lang=en&_ts=241367094898.

  • US Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: US Department of Health and Human Services/Substance Abuse and Mental Health Services Administration/Center for Mental Health Services/National Institutes of Health/National Institute of Mental Health.

    Google Scholar 

  • US Department of Health and Human Services. (2001). Mental health: Culture, race and ethnicity: A supplement to mental health: A report of the Surgeon General. Rockville, MD: US Department of Health and Human Services.

    Google Scholar 

  • US Substance Abuse and Mental Health Services Administration. (2005). Mental health services locator: New Mexico. Retrieved February 17, 2005, from http://mentalhealth.samhsa.gov/databases/kdata.aspx?state=NM.

  • Vandervort, E. B., & Melkus, G. D. (2003). Linguistic services in ambulatory clinics. Journal of Transcultural Nursing, 14(4), 358–366. doi:10.1177/1043659603257338.

    Article  PubMed  Google Scholar 

  • Vega, W. A., Karno, M., Alegría, M., Alvidrez, J., Bernal, G., Escamilla, M., et al. (2007). Research issues for improving treatment of US Hispanics with persistent mental disorders. Psychiatric Services (Washington, DC), 58(3), 385–394. doi:10.1176/appi.ps.58.3.385.

    Google Scholar 

  • Vega, W. A., Kolody, B., & Aguilar-Gaxiola, S. (2001). Help seeking for mental health problems among Mexican Americans. Journal of Immigrant Health, 3(3), 133–140. doi:10.1023/A:1011385004913.

    Article  PubMed  CAS  Google Scholar 

  • Walls, M. L., Johnson, K. D., Whitbeck, L. B., & Hoyt, D. R. (2006). Mental health and substance abuse services preferences among American Indian people of the northern midwest. Community Mental Health Journal, 42(6), 521–535. doi:10.1007/s10597-006-9054-7.

    Article  PubMed  Google Scholar 

  • Wells, K., Klap, R., Koike, A., & Sherbourne, C. (2001). Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. The American Journal of Psychiatry, 158(12), 2027–2032. doi:10.1176/appi.ajp.158.12.2027.

    Article  PubMed  CAS  Google Scholar 

  • Willging, C., Tremaine, L., Hough, R. L., Reichman, J. A., Adelsheim, S., Meador, K., et al. (2007). ‘We never used to do things this way before’: Behavioral health reform in New Mexico. Psychiatric Services (Washington, DC), 58(12), 1529–1531. doi:10.1176/appi.ps.58.12.1529.

    Google Scholar 

  • Willging, C., Waitzkin, H., & Nicdao, E. (2008). Medicaid managed care for mental health services: The survival of safety net institutions in rural settings. Qualitative Health Research, 18(9), 1231–1246. doi:10.1177/1049732308321742.

    Article  PubMed  Google Scholar 

  • Ziguras, S., Klimidis, S., Lewis, J., & Stuart, G. (2003). Ethnic matching of clients and clinicians and use of mental health services by ethnic minority clients. Psychiatric Services (Washington, DC), 54(4), 535–541. doi:10.1176/appi.ps.54.4.535.

    Google Scholar 

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Acknowledgments

This study was primarily funded by the National Institute of Mental Health (R01 MH0760840) and the Substance Abuse Mental Health Services Administration. However, the views expressed in this paper are those of the authors alone.

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Authors and Affiliations

  1. Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation, 612 Encino Place NE, Albuquerque, NM, 87102, USA

    Rafael M. Semansky, Richard Hough & Cathleen E. Willging

  2. Department of Psychiatry, University of New Mexico, Albuquerque, NM, 87131, USA

    Deborah Altschul, Richard Hough & Cathleen E. Willging

  3. Department of Psychiatry, University of California, San Diego, CA, 92037, USA

    David Sommerfeld

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  1. Rafael M. Semansky
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  2. Deborah Altschul
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  4. Richard Hough
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  5. Cathleen E. Willging
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Correspondence to Rafael M. Semansky.

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An erratum to this article can be found at http://dx.doi.org/10.1007/s10488-009-0228-9

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Table 7 Safety-net institution survey—cultural competency questions
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Semansky, R.M., Altschul, D., Sommerfeld, D. et al. Capacity for Delivering Culturally Competent Mental Health Services in New Mexico: Results of a Statewide Agency Survey. Adm Policy Ment Health 36, 289–307 (2009). https://doi.org/10.1007/s10488-009-0221-3

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