This chapter addresses the mental health status of Hispanics in the United States. It examines the prevalence and incidence of mental health disorders among different Hispanic ethnic subgroups. Patterns of mental health services utilization and barriers to mental health care are also reviewed. Lack of health benefits in the jobs and industries where Mexican immigrants are concentrated, the high cost of services and relatively low wages, pressures of work, and legal status issues all act as barriers to service utilization. One of the most potent sources of emotional distress for Cuban immigrants is the separation of families between the US and Cuba and the great difficulties of returning to Cuba for important family transitions. Sources of psychological distress prominently appear in both Dominicans' home communities and in the neighbourhoods of New York City where they have settled. However, there is a need for systematic community studies of the mental health of the Dominican community in the US.