As the diversity of U.S. society continues to expand and interrelate, so do the training needs of counselors in training and early counseling professionals who encounter these very diverse populations and needs. The purpose of this qualitative research study was to explore the perceptions of advanced masters'-level mental health counseling students and recent graduates regarding multicultural awareness, knowledge, and skills to provide effective counseling services and interventions to African American women who have co-occurring histories of childhood sexual abuse and substance abuse. During a 2month period, in-depth interviews were conducted with counselors in training and early counseling professionals who were working with African American women at the time of the study or who were likely to work with them in the future. This study arose partially from the personal experiences of the researcher who is an African American woman and masters'-level counselor who previously encountered women with these co-occurring histories. The study was also derived from a review of current research that indicated this ever-growing population lacks the level of engagement and effective therapeutic services that focus specifically on their needs. The vii TABLE OF CONTENTS LIST OF FIGURES .
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