ABSTRACT
According to the U.S. Census Bureau (2011), between 2000 and 2010 the proportion of ethnic and racial minorities (defined by the Census Bureau as people who are Asian American, Black or African American, Hispanic or Latino, Native Hawaiian or other Pacific Islander, and American Indian or Alaska Native) in the U.S. rose from 30.9% to 36.3%. Furthermore, the growth of minorities in the U.S. is outpacing the growth of non-Hispanic Whites such that the Census Bureau estimates ethnic and racial minorities will outnumber non-minorities by 2043, only three decades from now (U.S. Census Bureau, 2012). This increased diversity in the population is reflected in clinical practice: service utilization rates are rising for ethnic minorities in community mental health centers over time (O'Sullivan, Peterson, Cox, & Kirkeby, 1989).
