“…In addition, counseling psychologists can advocate for policies, system procedures, and health care environment characteristics that improve the quality of care experienced by low-income and ethnic minority patients and that reduce or eliminate barriers that affect access to health care. For example, informed by the Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations (APA, 1990), counseling psychologists can jointly encourage providers to seek training in health-related foreign language proficiency to improve their communication and health care service relationships with patients of limited English proficiency, as these types of training have been linked to improved cultural competence and cultural sensitivity among students and providers in the health care field (Monroe & Shirazian, 2004). Counseling psychologists using these guidelines can also encourage health care organizations to engage in other creative and effective practices that appear successful in the provision of services to individuals who have limited English proficiency and who often have limited health care-related knowledge and resources (see Youdelman & Perkins, 2005, for a detailed list of such practices).…”