A statewide data collection effort was implemented to assess the validity and reliability of a 52-item consumer assessment instrument of the cultural competency mental health providers. Following a 2-year, community-driven instrument development process, a consumer assessment tool was administered to 238 African American, Latino, and Vietnamese American mental health consumers across the state of Maryland. A subsequent principal components analysis indicated that 44 of the 52 items loaded on one of four factors, which accounted for 52% of the variance in the principal components analysis. It was also found that the overall instrument had a Cronbach's alpha of .92. The authors conclude that although these findings suggest this scale has good psychometric properties and can be used as a clinical tool in the assessment of the cultural competency of mental health providers, more work is needed to finetune the scale.

In 1997, Maryland implemented a new managed care mental health system. Consumer satisfaction, evaluation and cultural competency were considered high priorities for the new system. While standardized tools for measuring consumer satisfaction were readily available, no validated, reliable and standardized tool existed to measure the perception of people from minority groups receiving mental health services. The MHA*/MHP* Cultural Competency Advisory Group (CCAG) accepted the challenge of developing a consumer assessment tool for cultural competency. The CCAG, composed of people in recovery, clinicians and administrators used their collective knowledge and experiences to develop a 52-item tool that met standards for validity and reliability. Consultation from a researcher helped to further develop the tool into one possessing tremendous potential for statewide implementation within Maryland's Public Mental Health System. Recognizing the limitations of the study and the need for further research, this instrument is a work in progress. Strategies to improve the instrument are currently underway with the Mental Hygiene Administration's Systems Evaluation Center of the University of Maryland and several national researchers.