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The Counseling Psychologist, Vol. 29, No. 1, 18-54 (2001)
DOI: 10.1177/0011000001291002

Chicanas/os and Mental Health Services

An Overview of Utilization, Counselor Preference, and Assessment Issues

Loreto R. Prieto

University of Akron, lprieto{at}uakron.edu

Brian W. McNeill

Washington State University

Rebecca G. Walls

University of Oklahoma

Sylvia P. Gómez

Washington State University

This article reviews recent literature pertaining to Chicanas/os’ utilization of conventional mental health services, their counselor preferences, and the psychological testing and assessment of Chicanas/os. Chicanas/os likely underutilize mental health services, instead preferring family or nontraditional helpers for assistance. However, both Chicanas/os’ level of identification with their indigenous culture as well as their level of acculturation to the majority culture appear to affect their use of services and counselor preferences. Despite longstanding concerns ranging from language barriers to clinician bias in interpreting test results, the literature continues to lack validation studies that specifically support the use of many major psychological tests with Chicanas/os. Unfortunately, these instruments continue to be routinely used clinically to assess Chicana/o clientele, even though the literature cautions that these instruments may generate an inaccurate picture of Chicanas/os’ psychological functioning. Recommendations for counseling practice and future research concerning Chicanas/os are offered.


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