This report describes a 4-year long bilingual interdisciplinary primary health care project that was designed to make culturally sensitive services available to underserved Korean immigrants in Chicago. It also describes some of the particular needs of this population and the strategies that the project staff adopted to identify and address the population's mental health needs. The project reflected the successful collaborative efforts of four participating principals: the Korean community, the University of Illinois at Chicago College of Nursing, the Chicago Department of Public Health, and the W. K. Kellogg Foundation. The model of service demonstrated in the project paired a bilingual advanced practice nurse, a certified family nurse practitioner, with a bilingual community advocate to conduct a program emphasizing community outreach and health promotion and prevention. A bilingual physician provided consultation for the nurse and attended to patients in need of medical care. Patients were referred to bilingual community social service agencies for assistance with a variety of other problems. A central goal of the project was for the services developed during its course to be assimilated into the regular programming of the Chicago Department of Public Health, a goal that was achieved. Finally, some of the challenges of introducing role change into an organization are discussed.

Leininger (1970, p. 22) noted that "health and illness states are strongly influenced and often primarily determined by the cultural background of an individual." From this perspective, adequate, effective, and comprehensive health care of people from different cultures requires knowledge of their health care patterns. One cultural group of special interest is the over-650,OOO Indochinese refugees who have settled in the United States since 1975. This article focuses on identifying the health care patterns and folk medicine practice of one of these Indochinese groups, the Hmong.There is limited knowledge of the folk medicine practices and the health care patterns of Hmong refugees in the United States. Yet such information is important if health care providers are to render culturally and socially appropriate, acceptable health servicesto refugees. A better understanding and recognition of these folk medicine practices and health care patterns by health care providers will improve their rapport with refugees, help them to plan culturally acceptable health care options, and help them to improve refugees' understanding of, and compliance with, health care plans.