Despite evidence that First Nations people experience a disproportionate degree of mental health concerns relative to other Canadians, many within this population do not access Western-based mental health services. In this article we extend a socio-political and historical rationale for attending to key cultural differences when working with First…

It is important that counsellors provide evidence regarding the efficacy of their services. Although there has been an increased focus on generic outcome measurement of counselling programs and services, little attention has been paid to accountability issues for meeting the needs of diverse populations. This article highlights the increasing…