Cultural & Linguistic Competence (CLC) Resource Library for Addressing Behavioral Health Disparities

Specific Populations

African American

Black and African American Communities and Mental Health
Website with a variety of resources regarding African American Mental health. Discusses demographics, prevalence, attitudes, treatment issues and access.

Being Black Is Not a Risk Factor
Report focusing on black family and community strengths to help black children; includes data points and examples of places were black children are succeeding.

Brother You're on My Mind: Changing the National Dialogue Regarding Mental Health Among African American Men
Toolkit with a varity of resources to help various types of organizations address the mental healt needs of African American males and conduct outreach ti a varierty of community organizations.

National Leadership Council of African American Behavioral Health
Recognized as the only national umbrella organization focused on both mental health and substance abuse for the African American population that represents an array of perspectives and disciplines.

Police Killings and their Spillover Effects on the Mental Health of Black Americans: A Population-based, Quasi-experimental Study
Study about the effects of police killings on the mental health of African Americans

Solutions and Interventions for Reducing Justice Involvement and Recidivism among Black Youth in South Florida and Beyond
Provides background information for dealing with disproportionate representation of black youth in the juvenile justice system.

Alaskan Native | American Indian

A Circle of Healing for Native Children Endangered by Drugs
Seven part video series that highlightes best practices for meeting the needs of drug-endangered youth in tribal communities.

American Indian/Alaska Native Mental Health
Website with a variety of resources regarding AI/AN mental health. Discusses cultural issues, at-risk groups, disparity data, and access to care.

Child Welfare in Indian Country: A Story of Painful Removals
Discussion of child welfare issues relative to American Indians and Alaska Natives.

Culture Card for American Indian and Alaska Native
Information regarding AIAN population for diastser workers and other service providers.

Exploratory Description of Financing and Sustainability in American Indian and Alaska Native System of Care Communities
Study of financing opportunities and challenges of Tribal systems of care.

Honoring Children, Mending the Circle: Cultural Adaptation of Trauma Focused Cognitive Behaviroal Therapy for American Indian and Alaskan Native Children
Discusses the cultural adaptation of evidence based child trauma treatment developed by the Indian Country Child Trauma Center.

Indian Country Child Trauma Center
Website with various resources for cultural adaptations for prorgrams serving AN/AI populations.

National Indian Child Welfare Association
Website of the National Indian Child Welfare Association, which works to eliminate child abuse and neglect by strengthening families, tribes, and the laws that protect them.


Culture, Poverty and Education in Appalachian Kentucky
Article on Appalachian culture in Kentucky

Mental Health Services in Appalachia
Thesis Dissertation outlining the findings of a study regarding mental health beliefs, practices and utilization rates in Appalachia.

Working With Clients of Appalachian Culture
Article on appalachian culture, health beliefs and ideas for how to work with this population.

Asian/Pacific Islander

A Snapshot of Behavioral Health Issues for Asian American/Native Hawaiian/Pacific Islander Boys and Men: Jumpstarting an Overdue Conversation
Brief that highlights issues specific to Asian American/Native Hawaiian and Pacific Islander boys and men.

Engaging Asian American Youth and Their Families in Quality Mental Health Services
Asian American youth have a higher level of unmet mental health needs and lower level of mental health service engagement than White youth. This article presents reasons for lack of engagement in mental health services among Asian American youth and families. Practical strategies to enhance their engagement in mental health services are provided.

National Asian and American and Pacific Islander Mental Health Association
Website dedicated to mproving health and well being of Asian Americans, Native Hawaiians, and Pacific Islanders living in the United.

Caribbean Islander

Tip Sheets on Haitian Culture
Tips intended to provide basic background information on relevant aspects of Haitian culture for those volunteer and professional responders who may become involved in assisting survivors of the recent earthquake, or their friends and families living in the U.S.


Behavioral Health Services for People Who Are Homeless- TIP 55
Treatment Improvement Protocol (TIP) for providing behavioral services to special populations, in this case the homeless.

Counseling Families in Poverty Moving from Paralyzing to Revitilizing
Paper that presents a strength based approach for counseling families living in poverty.

Immigrant and Refugee

Children In Immigrant Families: Chart New Path
Demographic and other data regarding Immigrant families

Falling Through the Cracks - The Impact of Immigration Enforcement on Children Caught Up in the Child Welfare System
This paper outlines the unique challenges that federal and state immigration enforcement measures pose to child well-being and family unity, including the implications for children and families involved in the child welfare system

Growing Up In A New Country: A Positive Youth Development Toolkit for Working with Refugees and Immigrants
Toolkit for developing and funding services to assist immigrant and refugee youth. Outlines best practices in various areas of program development

I Came All This Way for Them: Refugee Parents In Their Own Words, Bridging Refugee Youth and Children's Services
Resources for immigrant and refugee parents, children and youth.

Immigrant Parents and Early Childhood Programs: Addressing Barriers of Literacy, Cultureand Systems Knowledge
Report of study regarding the challenges facing immigrant families in early childhood programs and solutions to address those challenges.

Innovations and Cultural Adaptations: Some Key Lessons for Effective School Mental Health Programs
Conference presentation on innovations and cultural adaptations for mental health services for immigrant and refugee children in schools.

Mental Health Inetrventions for Refugee Children in Resettlement
Report of task force studying the effectiveness of EBPs on immigrant children.

New Directions In Mentoring Refugee Youth
Highlights emerging practices in mentoring refugee youth such as group and family mentoring

Overcoming Barriers: A Toolkiit for Helping Refugees Adjust to Life in the US
Toolkit for service providers that work with refugees.

Partnering with Parents and Families to Support Immigrant and Refugee Children at School
This paper outlines model programs that engage communities and community organizations to build effective and accessible mental health services for immigrant and refugee children and youth

Preparing Staff to Work with Immigrant Youth
Though no one person will have every characteristic, an organization can use this list to assess their staff overall.

Refugee Children in U.S. Schools: A Toolkit for Teachers and School Personnel
This toolkit was developed to support and assist schools with large numbers of refugee students.

Rise Magazine
First person stories from immigrant parents involved in the child welfare system.

Strengths-Based Programming: The Example of Somali Refugee Youth
Spotlight on Somali Refugees.


ABCs of CLC Webinar 1: This vs .That
This webinar's purpose is to provide core knowledge that will be beneficial during other training opportunities as you gain a deeper understanding of concepts around cultural competence. The ABC'S of CLC is the first of a series of webinars that are planned to build upon the information presented and further discuss cultural competence in working with specific populations.

ABCs of CLC Webinar 2: Latino Communities
This webinar provides core knowledge that may be beneficial for a deeper understanding of concepts related to working with the Latino community. This episode is one in a series of webinars that will provide basic information to supplement a podcast series that aims to build upon the information presented and further discuss cultural competence in working with specific populations.

Adaptation Guidelines for Serving Latino Children and Families Affected by Trauma
Report of work group that provides guidelinesfor serving the Hispanic/Latino populations that are receiving care for trauma.

CLC Podcast - Latino Communities
Podcast that covers cultural issues that face Latino communities seeking behavioral health care. The podcast covers explanatory models, as well as communicating about wellness and healing. Texas System of Care CLC podcasts are intended to take a deeper dive into clinical considerations of working with various populations.

Community Defined Solutions for Latino Mental Health Care Disparities
This report presents results of project that examined mental health disparities for the Latino population and includes strategies for improving mental health treatment, and strategic directions and recommendations for reducing health disparities in Latinos.

Comprehensive In-Depth Literature Review and Analysis of Hispanic Mental Health Issues
Report on hispanic culture and mental health beliefs and resulting disparities.

Creating Culturally Competent Mental Health Systems for Latinos: Perspectives from an Expert Panel
Guide with basic information and guidelines for public health professionals regarding Latinos and mental health.

Critical Disparities in Latino Mental Health- Transforming Research Into Action
Report of research from Latino Mental Health Summit. Discusses mental health issues and disparities facing Latinos and makes recommendations.

Desarrollo de Intervenciones Culturalmente Centradas para Poblaciones Hispanas y Latinas

Seminario que presenta practicas culturalmente adaptadas basadas en la evidencia que incorporan la cultura hispana y Latina.

Evidence Based Practices with Latino Youth: A Literature Review
Literature review of Evidence Based Practices.

Healthy Communities Matter: The Importance of Place to the Health of Boys of Color
This report discusses the various disparities faced by men and boys of color such as socio economic disparities, physical and emotional health disparities, disparities in safety, and disparities in readiness to learn. The report proposes community based solutions and provides best practices examples from various programs from around California.

Hispanic Latino Mental Health
Website with a variety of resources regarding Hispanic/Latino Mental health. Discusses cultural issues, at-risk groups, disparity data, and access to care.

La Importancia del Lugar de Residencia y la Raza (Translation of Why Place and Race Matter)
This report builds on earlier work to look more intentionally and explicitly at race and ethnicity and what they mean in the context of building healthy communities.

Latino Mental Health Concilio
Website for Reducing Disparities Project. Contains various resources regarding health disparities.

Mi Hermanas Keeper Toolkit
A toolkit detailing promising practices in juvenile justice prevention prorgams for Latina Youth.

National Latino Behavioral Health Association
Website of the National Lantino Behavioral Health Association

Preliminary Adaptations for Working with Traumatized Latino/Hispanic Children and their Families
This series serves to support the NCTSN commitment to raising the standard of care for traumatized children, their families, and their communities by highlighting the diversity of needs and experiences of those children, families, and communities.

The Hispanic Stress Inventory- Adolesecent Version: A Culturally Informed Psychosocial Assessment
Discusses a 2-phase study conducted to develop a culturally informed measure of psychosocial stress for adolescents.

Tu Libro de Actividades de TF-CBT
Este libro de actividades ha sido desarrollado para trabajar con ninos entre las edades de 6 a 12 anos que han tenido experiencias trauma tizantes.

Understanding Hispanic Diversity: A One Size Approach to Service Delivery May Not Fit All
This brief uses qualitative data collected during the Hispanic Healthy Marriage Initiative Grantee Implementation Evaluation and describes the Hispanic population of the United States in terms of characteristics.


Meeting Healthcare Needs of American Muslims: Challenges and Strategies for Healthcare Settings
Discussion of Islamic values and cultural practices and their impact on healthcare practices.

Sexual and Gender Diverse

A Guide to Inform Local Efforts to Support and Affirm LGBTQI2-S Children, Youth and Families
Provides information reharding SAHMSA's National Workgroup to Address the needs of LGBTQI2-S Children, Youth and Families. Also provides information on improving services to this target population.

Access to Safety: Health Outcomes, Substance Use and Abuse, and Service Provision for LGBTW Youth, YMSM, and YWSW Who Engage in Survival Sex
Research report on a three year study of LGBTQ youth engaged in survival sex. The focus is on exposure to STDs and other health issues, extent of substance abuse, and tretatment and service providers.

Addressing Truma Among Gay, Bisexual, and Queer Boys of Color
Issue brief that highlights research regarding trauma amongst GBQ boys and young men of color.

Advancing Effective Communication, Cultural Competence and Patient- and Family-Centered Care for the LGBT Community
Compilation of strategies, practice examples, resources, and testimonials designed to help hospitals in their efforts to improve communication and provide more patient-centered care to their LGBT patients. 

All Children All Families
This project of the Human Rights Campaign Foundation provides a framework for agencies to achieve safety, permanency and well-being by improving their practice with lesbian, gay, bisexual and transgender youth and families.

Asset-Based Approaches for Lesbian, Gay, Bisexual, Trasgender, Questioning, Intersex and Two-Spirit Youth anf Families in Systems of Care
This monograph offers a public health approach for communities to meet the needs of families with LGBTQIS-2 parent, youth or child

Best Practices in Creating and Delivering LGBTQ Cultural Competence Trainings for Health and Social Service Agencies
Framework for what cultural competence training should entail when addressing the LGBTQ community.

Best Practices for Asking About Sexual Orientation on Surveys
Report of expert panel regarding best practices for gathering data regarding sexual orienttion.

Bridging the Language Gap in Child Welfare: Identifying and Supporting LGBT Youth who have experienced Sexual Exploitation
Brief that discusses the issues that LGBT children and youth who are sexually exploited face when dealing with the child welfare system. The brief makes policy recommendations to make services accessible and appropriate to LGBT youth.

Building Bridges- LGBT Populations: A Dialogue on Advancing Opportunities for Recovery from Addictions and Mental Health Problems
Outlines the issue of recovery from addiction and mental health problems specifically for the LGBT population.

Collecting Transgender-Inclusive Gender Data in Workplace and Other Surveys
Article on options for gathering data on gender and gender identity.

Compemdium of Health Profession Association LGBT Policy & Position Statements
This document outlines LGBT related policy and position statements issued by health profession associations.

Creating Safe Space for GLBTQ Youth: A Toolkit
The toolkit assists young people in understanding the negative impact of homophobia and transphobia on GLBTQ youth and in taking a stand for social justice.

Designing a Measure: Measuring Social Workers Attitudes toward LGBT Youth in Child Welfare
This study reports the results of a study to analyze the reliability of a pilot instrument created to evaluate social workers' attitudes toward LGBT youth in foster care system.

Ending Conversion Therapy: Supporting and Affirming LGBTQ Youth
A report discussing effective and ineffective therapies for LGBTQ Youth. This report aims at reducing health disparities caused by the use of ineffective therapies.

Gender Transition Guide
The purpose of this guide is to provide information, best practices, and resources for adult allies working with gender transitioning youth.

Getting Down to Basics: Tools to Support LGBTQ Youth In Care
This tool kit offers practical tips and information to ensure that LGBTQ young people in care receive the support and services they deserve.

Guide for Understanding, Supporting and Affirming LGBTQI2-S Children, Youth and Families
This resource provides general information for service providers, educators, allies, and community members who seek to support the health and well-being of children and youth who are lesbian, gay, bisexual, transgender, questioning, intersex, and/or two-spirit (LGBTQI2-S) and their families. This guide will help to promote full and affirming inclusion of diverse LGBTQI2-S youth and families in all aspects of systems of care.

Guide to Being a Straight Ally
This document offers guidelines for how individuals and organizations can support and advocate for LGBT equality in their home, workplace and community.

Guidelines for Managing Information Related to the Sexual Orientation & Gender Identity and Expression of Children in Child Welfare Systems
This document offers guidelines to implement CWLA's Best Practice

Guidelines for Psychological Practice with Lesbian, Gay and Bisexual Clients
The guidelines are intended to inform the practice of psychologists and to provide information for the education and training of psychologists regarding LGB issues.

HHS LGBT Issues Coordinating Committee 2012 Report
This report identifies steps to improve the health and well-being LGBT individuals and families. 

Hidden Injustice: Lesbian, Gay, Bisexual, and Transgender Youth In Juvenile Courts
This represents the first effort to examine the experiences of LGBT youth in juvenile courts across the country.

High Burden of Homelessness Among Sexual-Minority Adolescents: Findings From a Representative Massachusetts High School Sample
American Journal of Public Health Study compares the prevalence of current homelessness among adolescents reporting a minority sexual orientation (lesbian/gay, bisexual, unsure, or heterosexual with same-sex sexual partners) with that among exclusively heterosexual adolescents.

How Many People are Lesbian, Gay, Bisexual and Transgender?
This research brief discusses challenges associated with collecting better information about the LGBT community and reviews eleven recent US and international surveys that ask sexual orientation or gender identity questions.

How to Gather Data on Sexual Orientation and Gender Identity in Clinical Settings
Brief that discussed methods for collecting data regarding sexual orientation and gender identity.

Improving the Health Care of Lesbian, Gay, Bisexual and Transgender People - Understanding and Eliminating Health Disparities
Brief describing health disparities facing the LGBT community and ways to address those disparities.

Learning from the Field: Programs Serving Youth Who Are LGBTQI2-S and Experiencing Homelesness
This report shares promising strategies for serving youth who are LGBTQI2-S and homeless.

Lesbian, Gay, and Bisexual Adolescents - Population Estimate and Prevalence of Health Behaviors
Summary of a report regarding a study of lesbian, gay, and bisexual adolescents and the factors that affect their health and well being.

Lesbian, Gay, Bisexual and Transgender Youth in the Juvenile Justice System
Practice guide for juvenile detentaion alternative sites designed to help them meet the needs of LGBTQ youth.

National Coming Out Day Youth Report
This report analyzed responses by LGBTQ identified youth regarding various questions about their coming out experience.

NDTAC Fact Sheet: Improving Services for Youth Who Are LGBT in Juvenile Justice Systems
This fact sheet serves as a resource to enhance the capacity of State and local administrators and practitioners to improve policies and practices that promote the safe, inclusive treatment of youth who are lesbian, gay, bisexual, and transgender (LGBT) in juvenile justice systems.

NRCPFC Toolkit for Practitioners & Researchers Working with LGBTQ Runaway and Homeless Youth
Toolkit to assist agencies serviing runaway and homeless LGBTQ youth.
Policy Review and Development Guide: Lebian, Gay, Bisexual, Transgender andIntersex Persons in Custodial Settings

Policy Review and Development Guide: Lebian, Gay, Bisexual, Transgender and Intersex Persons in Custodial Settings
This guide is a first step in reaching out to correctional agencies to help them identify, address, and respond to abuse of LGBTI individuals through agency policies and procedures.

Preventing Substance Abuse Among LGBTQ Teens
A brief that discusses ways to recude the risk of substance abuse by LGBTQ youth.

Preventing Suicidal Behavior among LGBT Youth: Developing LGBT Cultural Comptetence
Tool for assessing LGBT cultural competence.

Promoting Cultural Diversity
This is a Self-Assessment Checklist for Personnel Providing Services and Support to LGBTQ Youth and Their Families.

Providing Services and Supports for Youth Who Are Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex or Two-Spirit
This brief describes key strategies, policies, and practices for professionals and systems to provide more culturally and linguistically competent care for LGBTQI2-S youth.

Quality Healthcare for LGBT People: Understanding the Health Needs of LGBT People, An Introduction
This is part 1 of a 4 part webinar series, focusing on terminology and concepts associated with LGBT populations, marginaliazation and discrimation impacts on the health of LGBT people and the disparities they experience.

Recommended Practices to Promote the Safety and Well Being of LGBTQ Youth and Youth at Risk of Living with HIV in Child Welfare Settings
These Recommended Practices elaborate on the provision of services to LGBTQ youth in the areas of foster care, child protection, family preservation, adoption and youth development.

Resources for Educators
These resources share best practices on creating a safe zone, supporting transgender and gender non-conforming youth, and creating and sustaining a Gay-Straight Alliance at schools.

Safe Space Kit: A Guide to Being an Ally to LGBT Students, A Report from the Gay, Lesbian and Stright Education Network
Tool that provides strategies for supporting LGBT students.

SAHMSA's LGBT-Focused Efforts
SAMHSA's LGBT-focused efforts include encouraging States to consider LGBT needs in administering their SAMHSA Block Grants resources, promoting a sexual and gender minority focus in funding announcements where it is appropriate, supporting creation of sexual orientation questions for HHS national surveys, and providing ongoing leadership to help stop bullying of LGBT youth.

Serving Our Youth: Findings from a National Survey of Service Providers Who Work with LGBT Homeless Youth
Presents data from the LGBT Homeless Youth Provider Survey, a web-based survey conducted from October 2011 through March 2012.

Sexual Orientation Guidelines: Principles for Collecting, Coding and Reporting Identity Data
City of San Francisco policy document on gender identity data collection and reporting.

Standards of Care for Lesbian, Gay, Bisexual, Transgender, Questioning, Inetrsex, and Two-spirit American Indian/Alaska Native Youth
This article was published in the newsletter by the National Indian Child Welfare Association (NICWA) describing best practices in American Indian/ Alaska Native systems of care for current and graduated system of care communities.

Strengths and Silences:The Experience of Lesbian, Gay, Bisexual and Transgender Students in Rural and Small Town Schools
This report illustrates the difficult learning environments encountered by LGBT students, and the discrimination, bullying and violence they experience in K-12 schools.

Suicide Prevention Among Lesbian, Gay, Bisexual, and Transgender Youth: Expanding the Frame and Broadening Our Approaches
This webinar focuses on reducing risk for suicide and increasing positive outcomes for lesbian, gay, bisexual and transgender (LGBT) youth.

Supporting Your LGBTQ Youth: A Guide for Foster Parent
This report provides details on LGBTQ youth in the child welfare system, the unique risks they face, and the important role that foster parents can play in reducing those risks.

Supportive Families, Healthy Children, Helping Families with Lesbian, Gay, Bisexual and Transgender Children
Booklet for families with LGBT children and youth

Talking About Suicide & LGBT Populations
This guide provides ways to talk about suicide safely and effectively, while advancing vital public discussions about preventing suicide, helping increase acceptance of LGBT people, and supporting their well-being.

Toward Equity- A Training Curriculum for Understanding Secual Orientation, Gender Identity, and Gender Expression and Developing Competence to Service Lesbian, Gay, Bisexual and Transgender Youth in the Juvenile Justice System
Training curriculum to increase competence about sexual orientation, gender identity and gender expression. Designed for practitioners working in the juvenile justice field.

Tribal Equality Toolkit: Tribal Resolutions and Codes to Supporr Two Spirit and LGBT Justice in Indian Country
This tookit shares tribal resolutions and codes to support two spirit and LGBT justice in Indian Country.

Understanding and Overcoming the Challenges of LGBTQI Youth in Schools and Communities
Webinar that discusses the importance of allies and teaching children to be accepting and tolerant. It also provides information about changing the culture of schools and communities to be more accepting and safer places for LGBTQI youth.

Working with LGBT Students of Color: A Guide for Educators
This document shares considerations when working with LGBT students of color.

YES Intitute
Videos feature South Florida youth, parents and professionals addressing the topics of gender, orientation, and mental health.