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There is substantial evidence to suggest that clinical psychology services are failing to meet the psychological and clinical needs of people from minority ethnic groups. This paper reviews current knowledge and understanding of factors that may be contributing to this, by examining the diversity of clinical psychology service provisions for minority ethnic groups in the United Kingdom (UK). Research that focuses on the poor utilization of clinical psychology services by minority ethnic groups is identified, and this is related to the limitations offered by mainstream psychological services. References to developments from abroad are also included where they enhance understanding of the current situation affecting minority ethnic groups in the UK. The findings show that minority ethnic groups are generally marginalized and excluded from mainstream clinical psychology services on a number of different levels. These are often influenced by referral conventions, professional misunderstandings of psychological distress and an over-reliance on ethnocentric and eurocentric conceptual frameworks. Cultural factors are also implicated. This review illustrates that the profession needs to be more considerate in its provision of services for minority ethnic users and indelible steps taken to increase the accessibility and credibility of clinical psychology services to Black and other minority ethnic groups.
There is substantial evidence to suggest that clinical psychology services are failing to meet the psychological and clinical needs of people from minority ethnic groups. This paper reviews current knowledge and understanding of factors that may be contributing to this, by examining the diversity of clinical psychology service provisions for minority ethnic groups in the United Kingdom (UK). Research that focuses on the poor utilization of clinical psychology services by minority ethnic groups is identified, and this is related to the limitations offered by mainstream psychological services. References to developments from abroad are also included where they enhance understanding of the current situation affecting minority ethnic groups in the UK. The findings show that minority ethnic groups are generally marginalized and excluded from mainstream clinical psychology services on a number of different levels. These are often influenced by referral conventions, professional misunderstandings of psychological distress and an over-reliance on ethnocentric and eurocentric conceptual frameworks. Cultural factors are also implicated. This review illustrates that the profession needs to be more considerate in its provision of services for minority ethnic users and indelible steps taken to increase the accessibility and credibility of clinical psychology services to Black and other minority ethnic groups.
Despite the increasing attention given to issues of multicultural training in counseling programs, there is a dearth of information available on the unique training needs of racial and ethnic minority trainees. The authors review the sparse literature relevant to the training needs of ethnic minority students, offer examples of training and supervisory issues, and make recommendations for future research and training.
Findings suggest that the completion of or exposure to multicultural counseling coursework or literature does not necessarily indicate an acceptance of or valuing of multicultural counseling literature. Survey results of counselor trainees' observations and perceptions of peers whose perspectives on diversity differ are presented and discussed. Implications for training and supervision are addressed.Multiculturalism has been identified as the "fourth force" in counseling and education that will revolutionize mental health (Pedersen, 199 1). Over the past three decades, through the influence of accreditation bodies of professional associations (American Psychological Association, 1983. 1991a. 1991b Aponte, 1992; Stricker et al., 1990) and state and national boards, academic programs have been mandated to attend to racial and cultural diversity in the training of mental health professionals (Carter & Qureshi, 1995). Multicultural competence has been defined by some leaders in the field as an ethical imperative (Myers, Wohlford, Guman. & Echemendia, 199 1; Sue, Arrendondo, & McDavis. 1992). In response to this mandate, some academic programs and training sites across the nation have , 1994;Ponterotto, 1988), the influence of exposure to diversity-related curriculum and the degree to which multiculturalism is embraced among members of the profession remains relatively unexamined (Reynolds, 1995).Where there is a new and powerful force, there is a challenge: where there is a challenge, there will be a reaction: and where there is a reaction, some form of decision making that will lead to resistance or accommodation will certainly follow. In light of the counseling profession's decision to embrace multiculturalism, the influence of this challenge on traditional practices and interpersonal relationships should be expected. Practitioners and academics have been challenged by the multicultural counseling literature to examine beliefs about race and culture at both the cognitive and affective levels (Corvin & Wiggins. 1989;Helms, 1984;Ponterotto, 1988); stretch their awareness, extend their knowledge, and expand their repertoire of counseling competencies (D'Andrea & Daniels, 199 1): and increase their intentionality through increasing purposive control over the assumptions that guide the professional's behavior, attitudes, and insights (Midgette & Meggert, 1991). Professionals and trainees are challenged to make appropriate behavioral, cognitive. and affective adjustments because environments have become more diverse due to the activities previously described. Researchers are challenged to address race, culture, and ethnicity in sampling, design, and limitations of their research. Although, ideally, easy and effective accommodation of such challenges might be anticipated, and might be the experience of some faculty and trainees, for many White and minority faculty and students, exposure to multicultural training and diversity in general 14Journal of Multicultural Counseling and Development / January 1998 / Vol. 26 /...
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