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Cultural Competence Standards
in Managed Care Mental Health Services:
Four Underserved/Underrepresented
Racial/Ethnic Groups

Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
U.S. Department of Health and Human Services


This document was prepared by the authors through the Western Interstate Commission for Higher Education (WICHE) Mental Health Program under Purchase Order No. 97MO4762401D with the Division of Program Development, Special Populations and Special Programs Development Branch, Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Service (DHHS). Harriet G. McCombs, Ph.D., served as Project Officer.

The opinions expressed herein are the views of the Consensus Panel members and do not reflect the official position of the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration or the Center for Mental Health Services. No official support or endorsement of CMHS, SAMHSA or DHHS for the standards and guidelines described in this document is intended or should be inferred. The guidelines in this document should not be considered substitutes for local assessment, planning and program development.

Center for Mental Health Services
Substance Abuse and Mental Health Services

Table of Contents

Preface
Introduction
Guiding Principles
Overall System Standards and Implementation Guidelines
   Cultural Competence Planning
   Governance
   Benefit Design
   Prevention, Education, and Outreach
   Quality Monitoring and Improvement
   Decision Support and Management Information Systems
   Human Resource Development
Clinical Standards and Implementation Guidelines
   Access and Service Authorization
   Triage and Assessment
   Care Planning
   Plan of Treatment
   Treatment Services
   Discharge Planning
   Case Management
   Communication Styles and Cross-cultural Linguistic and Communication Support
   Self Help
Provider Competencies
   Knowledge, Understanding, Skills, and Attitudes
Appendix A: Glossary
Appendix B: Panel Members

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SMA00-3457
1/2001

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