The mental health professions need to reconceptualize multicultural counseling competence and innovate their models in order to provide better guidance to their professionals. To this end, we first redefine multicultural counseling competence with the goal of overcoming its pervasive definitional problems. We then propose the process model of multicultural counseling competence, which aims to rectify the limitations of the existing models. Our model integrates strengths of the three major models—skills-based, adaptation, and process-oriented—while also adding new components. Seven foundational principles undergird our complex and dynamic model. The model consists of three distinct phases: preparation, intake and in-sessions, and termination. In addition, the model consists of five clinical operations. The superordinate operation is deep-structure incorporation of culture. Subordinating to and rotating around this superordinate operation are: infusing preparation, developing a therapeutic alliance, adapting interventions, and evaluating process and outcome. Although these clinical operations interact dynamically at multiple levels within the model, the ultimate purpose is still the attainment of positive therapeutic outcomes.

This article presents a hypothetical counseling case that demonstrates the use of the process model of multicultural counseling competence. The counselor is an African American woman at a university counseling service, and the client is a young Chinese American woman and a sophomore at the university. First, we present an introduction to the case, giving a profile description of the client and counselor. Second, we unveil the counseling process through the model’s three phases, with demonstrations of the various features of the model. The unfolding format of the case captures the process nature of the model and dynamic interactions in the facilitation of therapeutic change. Selected excerpts illustrate counselor and client dialogue during the course of counseling, and examples of counselor multicultural counseling competencies highlight the prescriptive use of the process model. Third, we provide a reflection of the case, adding commentary on the application of the model.