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Community-based participatory research (CBPR) approaches to promoting justice focus on working from the ground up and giving a voice to marginalized communities regarding their concerns, potential solutions, and how to address social justice issues that matter to them. The pursuit of justice is often related to efforts to attain personal as well as collective well-being. In this paper, we illustrate three exemplars of community psychologists' efforts to promote justice. Within each case study, we discuss the social and community context and examine how the researchers built partnerships and solidarity, developed ways of doing, and approached challenges and solutions. First, we present an example to promote economic justice through an entrepreneurship initiative developed in collaboration with young Black youth with disabilities in the United States. The second case illustrates an effort to promote reproductive justice in collaboration with Roma women and girls in Spain. The third exemplar depicts the use of life stories as a method to raise the voices of displaced, marginalized indigenous women in Peru. Based on these three case studies, we present a synthesis model of social justice. We also discuss implications for future studies emphasizing the importance of engaging community participants in research meaningful ways, developing sustainable partnerships, and decolonizing research.

Asset mapping is a participatory methodology that engages community members in identifying services and settings that promote health and well-being. This study aimed to identify community assets from the perspective of Latinx immigrant families with youth with disabilities. Latinx immigrant families (n = 21) participated in the mapping, followed by a reflection session and an open forum (n = 30). The findings revealed that families identified faith-based organizations and social service agencies as some of the main assets in their communities, while they identified mental health services as the most needed. The results also showed that participants preferred to utilize services and resources that are within walking distance of their homes, provide safe spaces, treat them well, offer bilingual services, do not require documentation, and are affordable. This study has important implications for community scholars and practitioners interested in implementing asset-based methodologies that focus on participants as experts of their own realities and agents of change and that promote advocacy and empowerment actions.

This special issue highlights work that contributes to our understanding of health disparities and community-based participatory research (CBPR) approaches to promoting health equity across diverse populations and issues that matter to communities. We take on a global perspective, and thus, various efforts across international contexts are illustrated. Articles elucidate a variety of CBPR approaches designed to empower and build capacity among individuals and communities in order to seek changes at the level of community practices, programs, and systems. These articles span across diverse populations-children, youth, and families; adults and older adults; immigrants; refugees; Black people; Latinx people; Native Americans/Indigenous people, the Roma community; Muslim women, and women with disabilities-experiencing inequities of interest to community psychologists and other researchers and practitioners.

The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being, (2) explored the impact of the pandemic on families’ overall eating and physical activity routines, and (3) identified emergent themes from caregivers’ experiences during the pandemic. Thirty-seven Latinx caregivers participated in three interviews in which several validated instruments were administered. The results indicated that perceived social support, annual family income, food security, and receipt of financial benefits were correlated with fewer depressive symptoms. Annual family income was also significantly correlated with perceived general health. Most caregivers reported that the pandemic had placed a strain on their economic situation, increased their isolation, and disrupted their child’s therapeutic supports, online education, eating routines, and engagement in physical activity. Meanwhile, some caregivers reported positive changes as a result of the pandemic. Implications for future research and practice are discussed.

Vulnerable populations are exposed to several disparities and inequalities representing an infringement of social justice and limiting their opportunities to live healthy and fulfilling lives. Latinx immigrant families with youth and young adults with disabilities represent one such vulnerable population. The purpose of this article is to describe and discuss the participation of Latinx immigrant families of youth and young adults with disabilities in two interrelated civic engagement projects aimed at promoting social justice and community participation. First, we will discuss the conceptual framework of social justice that grounded these cases of civic engagement, and then we will describe two case studies. Both cases of civic engagement emerged from Latinx immigrant families as part of meaningful conversations they had with the research team related to healthy lifestyles and community participation. The first case of civic engagement addresses walkability safety, and the second describes a community-engaged asset-mapping process. These two cases of civic engagement provided participants an opportunity to advocate for justice. Finally, we discuss the implications and challenges that vulnerable populations experience in making their voices heard by those in positions of power.

The purpose of this study was to examine the lived experiences of Latinx cancer survivors and their family caregivers during survivorship. Eighteen semi-structured interviews were conducted with a variety of stakeholders including Latinx cancer survivors (n = 8), their family caregivers (n = 5), and cancer care providers (n = 5). Data were analyzed thematically to describe occupational participation. Latinx families lived in political, economic, language, and social contexts that facilitated and hindered their well-being. Survivors simultaneously experienced occupational deprivation and posttraumatic growth. To promote occupational justice, occupational therapy practitioners and researchers are called to partner with Latinx survivors and their families to facilitate skills needed for everyday participation.

Date Presented 04/01/2022 This study used a mixed-methods approach to explore how the coronavirus disease 2019 (COVID-19) pandemic affected the well-being of 37 Latinx caregivers of children with developmental disabilities. Perceived social support, family income, and receipt of financial benefits were associated with caregiver depressive symptoms. Most caregivers reported that the pandemic had placed a strain on their economic situation, increased their isolation, and disrupted their child’s therapeutic supports, online education, and routines. Primary Author and Speaker: Jasmine Brown-Hollie Contributing Authors: Mansha Mirza, Yolanda Suarez-Balcazar, Vanessa Errisuriz, Weiwen Zang, Nazanin Hyderian, Deborah Parra-Medina, Paula Morales, Hilda Torres, Sandy Magana, Sarah Camillone, Estefania Garcia Gomez

The condition of disability and disabled persons in society has shifted and transformed throughout time and history with the rise of medical interventions, capitalism, and disability advocacy. This article discusses the different theories and models that have dominated the study of disability and further explains the contributions of disability theory on disability identity, as well as the intersection of disability and race. Also, with the rise of the social model ideals, there has been an increase in advocacy and empowerment within the disability community. This article concludes with an overview of advocacy and empowerment interventions for and with individuals with disabilities and recommendations for future research in sociology.

Community-based participatory research (CBPR) is an optimal approach that brings together community stakeholders, researchers and practitioners in an effort to understand and address social issues and health disparities experienced by vulnerable populations. Latino immigrant families in the United States with youth and young families with disabilities have experienced a number of barriers in gaining positive health outcomes. These families face challenges in maintaining a healthy lifestyle, placing them at high risk for obesity, diabetes, and other chronic health conditions. The purpose of this study was to develop a healthy lifestyles intervention in collaboration with Latino immigrant families with youth and young adults with disabilities using a CBPR approach, and to examine the impact of the intervention from participants' perspectives.Grounded in the principles of CBPR, we developed a partnership with community stakeholders to create a healthy lifestyles intervention aimed at meeting the needs of Latino families in the United States. During and following implementation of the intervention, we conducted focus groups with 12 intervention participants to examine the impact of the intervention.Participants identified the intervention program as meeting a need in the community and reported specific positive aspects related to health behaviors, social learning, inclusion, community participation, and peer advocacy.CBPR healthy lifestyle interventions are relevant to the needs of Latino immigrant families with youth and young adults with disabilities. Health professionals should involve community residents in the design of healthy lifestyles programming to ensure strategies for change are relevant and relatable.

Objective To investigate the incidence of successful rehabilitation, defined as 90 successive days in employment, within individuals with disabilities receiving occupational/vocational training (OVT) service. Method The follow-up records between January 1, 2004 and December 31, 2012 of 5313 individuals aged 15-55 who obtained OVT in the vocational rehabilitation (VR) program of the State of Illinois were examined. Cox regression models were used to analyze the effect of study factors on VR outcomes. Results After controlling for the other factors, males (incidence ratio [IR] 1.11, 95% CI 1.03-1.20), individuals with learning disability (IR 1.14, 95% CI 1.03-1.26), had existing employment (IR 1.40, 95% CI 1.26-1.56), and persons who were referred from educational institutions (IR 1.17, 95% CI 1.01-1.36) or community agencies (IR 1.30, 95% CI 1.14-1.48) appeared to have a relatively high incidence of successful rehabilitation. In contrast, those who lived in densely populated areas (IR ranged from 0.56 to 0.89), had physical disability (IR 0.77, 95% CI 0.68-0.88), had disability of most significant degree (IR 0.85, 95% CI 0.79-0.93), and persons with Supplemental Security Income/Social Security Disability Insurance supports (IR 0.84, 95% CI 0.76-0.94), tended to have a lower incidence of rehabilitation than their counterparts. Conclusion The incidence of successful rehabilitation seems to be related to the demographic, disability, and pre-service characteristics, but not necessarily the provider factors.

This themed issue focuses on understanding and addressing several public health issues affecting communities today nationally and internationally. Health disparities, and global health in general, cover a large breadth of health concerns impossible to address in one issue. Here we provide a scope of some health disparities while focusing on health promotion and well-being of diverse populations, specifically within urban undeserved populations, rural communities in Peru, Roma minorities in Spain, and refugee communities. We focus on understanding contextual issue that affect health disparities as well as on examining the effectiveness of community-based interventions and community coalitions designed to address disparities.

Walking is correlated with both improved physical and emotional health. However, walking behavior is often heavily influenced by environmental conditions. The goal of this study was to examine actual and perceived walkability safety and the relationship between perceived walkability safety and self-rated levels of walkability participation, defined as the number of places one walks within the community on a regular basis. Researchers used a mixed-methods approach, combining direct observations of traffic safety and in-person surveys within a specific Chicago neighborhood from 2015 to 2016 and from 2016 to 2017, respectively. We conducted behavioral assessments on 25 intersections and 48 sidewalks and surveyed 96 pedestrians on perceived walkability safety and walkability participation. Findings showed 68% and 81% of vehicles in 2015 and 2016, respectively did not obey street signs, placing pedestrians at significant risk. Pedestrians expressed concerns about the safety of walking in their neighborhood yet walked to a median of eight places weekly. The results indicated a marginally significant positive relationship between self-reported community participation and walking habits, as well as relationships between various factors of perceived walkability and age, gender, or language of survey completion. It is clear from the results of this study that walkability in this community is not a safe activity. However, walking habits may also be influenced by community satisfaction and SES factors. Communities need to engage in safe driving campaigns and educate walkers on how to protect themselves from distracted drivers. Local governments should implement policy initiatives such as police enforcement and drivers’ education campaigns.

Community psychologists have contributed significantly to the body of literature on community-based participatory research (CBPR) and its application in understanding and addressing health and community participation disparities. At the core of CBPR are mutually beneficial partnerships with communities, whereby community members' voices are heard and they become co-researchers, helping guide the research process. In this article, I argue that for community psychologists to change the landscape of community participation, health, and well-being disparities experienced by many vulnerable populations who often face multiple forms of oppression, CBPR needs to be transformative and emancipatory. Stakeholders must be meaningfully involved as co-creators of knowledge and promoters of social justice embracing a human rights agenda. Drawing from work conducted with Latinx immigrant families with youth who have disabilities, I propose the following strategies moving forward: promoting meaningful participation of community members as co-creators of knowledge; promoting meaningful conversations that matter to communities; promoting civic engagement, activism, and advocacy; promoting an assets- and strengths-based approach to research; and promoting culturally relevant interventions. Community psychologists have the opportunity to make significant contributions to addressing disparities when community residents' knowledge is valued and recognized.

Addressing health disparities and promoting health equity for Roma has been a challenge. The Roma are the largest disadvantaged ethnic minority population in Europe and have been the victims of deep social and economic injustices, institutional discrimination, and structural antigypsyism over many centuries. This has resulted in a much worse health status than their non-Roma counterparts. Current strategies based on ameliorative and top-down approaches to service delivery have resulted in paradoxical effects that solidify health disparities, since they do not effectively address the problems of vulnerable Roma groups. Following a health justice approach, we present a community-based participatory action research case study generated by a community and university partnership intended to address power imbalances and build collaboration among local stakeholders. This case study involved a group of health providers, Roma residents, researchers, Roma community organizations, and other stakeholders in the Poligono Sur, a neighborhood of Seville, Spain. The case study comprises four phases: (1) identifying Roma health assets, (2) empowering Roma community through sociopolitical awareness, (3) promoting alliances between Roma and community resources/institutions, and (4) building a common agenda for promoting Roma health justice. We highlighted best practices for developing processes to influence Roma health equity in local health policy agendas.

Individuals migrate to improve their wellbeing and quality of life, and often experience adverse situations, both during the process of migration and once within the host country. The purpose of this paper is to unpack the barriers to and facilitators of community participation, among Latinx immigrants with disabilities in the United States and Latinx migrant workers in Canada, following the Social Ecological Model. The authors draw from an appraisal of existing literature and their own participatory research with Latinx immigrants. Based on this integrative literature review, Latinx experience individual issues such as language barriers and lack of knowledge of the services available to them. At the community level they experience discrimination, limited opportunities for community participation, and lack of opportunities for meaningful employment. At the systemic and policy level in the United States, the antimigrant political environment keeps Latinx immigrants with disabilities from participating in their communities due to fear of deportation. In Canada, Latinx workers experience the paradox of migration and discrimination. The discussion of barriers and facilitators is followed by recommendations for community research and action.

The significant increase in the Latinx population in the USA has also resulted in an increase in Latinx persons with disabilities. This chapter provides an overview of the prevalence and the most common types of disability in the Latinx population and a review of the health care status and barriers to health care experienced by Latinx persons. Empowerment-based interventions to address some of the barriers are also discussed here. We close the chapter with a discussion of implications for future research.

In this paper, the authors discussed the nexus between the Americans with Disabilities Act and the founding of the field of Community Psychology. Contributions of the latter and future areas of research are reviewed here in three areas of importance to both fields: Community living and participation, employment, and transition from high school. Community psychology can make potential contributions to advancing research in these three areas. Implications for future research are discussed.

Trends in policy, practice, and research point to the need for a community-engaged Scholarship of Practice (SOP) model that can be used to inform the development of occupational therapy practitioners, educators, and researchers. This article describes a community-engaged SOP model, the evidence justifying the need for such a model, and strategies to effectively create community-engaged practitioners, educators and career scientists within occupational therapy. We highlight several examples of community-based participatory research to further inform this model, and in turn, translate this knowledge back to communities for action and systems change that can affect the lives of people with disabilities and the communities in which they seek to live and participate long term.

Adolescents and young adults with disabilities experience several health inequalities and challenges in maintaining healthy lifestyles. As a group, individuals with disabilities experience higher rates of obesity compared to youth without disabilities. This study was designed to examine the types of challenges experienced by youth with disabilities and parents of youth with disabilities in maintaining a healthy lifestyle. Strong evidence indicates that having a healthy lifestyle and preventing obesity are not only the result of an individual's behavior related to physical activity and consumption of healthy products but also several complex factors in the person's environment. This study was designed to understand the perceptions of youth with disabilities and their parents about the challenges they experience in engaging in physical activity and consuming healthy products, and ideas and strategies for promoting healthy lifestyles. Overall, youth with disabilities lack access to opportunities for engaging in physical activity as well as access to affordable foods. Implications for systems and policy changes are discussed.

Community needs assessment is grounded in the belief that people are often the best judges of things that matter most to them, that no one can walk in someone else’s shoes and that for health care interventions to make an impact, they need to include the perspectives of the consumers [1]. Community needs assessments go beyond focusing on identifying the needs and problems of communities to identifying their assets, strengths, and capacities.

Grant writing is an important component of a community psychologist’s career, whether in academia or independent practice. Getting funds to support research projects, secure contracts or to assist community agencies in expanding or continuing programs and services is a critical skill. This chapter discusses the roles of grant writing in community psychologists’ careers, the main types of grants available, the main sources of grant funding, basic principles of proposal writing, and some ethical considerations about grant writing. The authors also explain 12 basic principles of proposal writing in some detail in order to inform the readers of the main components of the process. The authors recommend that graduate programs in community psychology should consider a grant writing class where students can have the experience of grant writing, perhaps as a service to local agencies.

One factor contributing to the childhood obesity epidemic is easy access to foods with high fat content available in public schools. After several years of advocacy efforts conducted by a city-wide coalition, the public schools system in an urban Midwestern city introduced fresh salad bars for lunch in three schools. Researchers have argued, however, that the introduction of salad bars in schools, without nutrition education, is not enough to produce changes in eating patterns. In this study, researchers used a target and control school to evaluate the impact of a 5-month nutrition education program. The results indicated that once the nutrition education program was implemented, the number of children consuming salad entrees and salad items doubled and quadrupled respectively, and knowledge about fruits and vegetables increased. Implications for community researchers interested in addressing childhood obesity are discussed.

Background People with mental illness often experience major difficulties in finding and maintaining sustainable employment. African Americans with mental illness have additional challenges to secure a job, as reflected in their significantly lower employment rates compared to Whites. Objective To examine the factors that contribute to racial disparities in employment outcomes for African-American and White Vocational Rehabilitation (VR) consumers with mental illness. Methods This study used VR data from a Midwestern state that included 2,122 African American and 4,284 White participants who reported mental illness in their VR records. Logistic regression analyses were conducted. Results African Americans had significantly more closures after referral and were closed as non-rehabilitated more often than Whites. Logistic regressions indicated that African Americans are less likely to be employed compared to Whites. The regression also found differences by gender (females more likely to find jobs than males) and age (middle age consumers [36 to 50] were more likely to find jobs than younger consumers [18 to 35]). Case expenditures between $1,000 and $4,999 were significantly lower for African Americans. Conclusions VR agencies need to remain vigilant of potential discrepancies in service delivery among consumers from various ethnic groups and work hard to assure as much equality as possible.

A synthesis of the state of the literature is discussed in this section of the Evaluation Capacity Building (ECB) forum organized around four critical questions: (1) What is ECB? (2) How can we make it happen? (3) How do we know it is happening? and (4) What is its impact? The authors argue that to move the field of ECB forward we need to envision the science of ECB, not as the sole activity of creating new knowledge but in a close congruent and reciprocal relationship with practice. By adhering to a science-practice model, we conduct research that directly responds to and contributes to practice thus creating strong synergies between ECB practitioners and researchers. Research on ECB needs to be informed by real issues happening in practice, and practice of ECB needs to be informed by the new knowledge created. We must strengthen the science to refine our practice and strengthen the practice to refine the science.

This study describes the development and validation of the Evaluation Capacity Assessment Instrument (ECAI), a measure designed to assess evaluation capacity among staff of nonprofit organizations that is based on a synthesis model of evaluation capacity. One hundred and sixty-nine staff of nonprofit organizations completed the ECAI. The 68-item measure assessed participants’ perceptions of individual and organizational predictors of two evaluation capacity outcomes: mainstreaming and use of evaluation findings. Confirmatory Factor Analysis and internal consistency results support the inclusion of the items and factors measured by the ECAI. Moreover, structural equation modeling results support the synthesis model and its depiction of relationships among evaluation capacity predictors and outcomes. We discuss the implications of using a validated model and instrument in evaluation capacity building research and practice.

Five years ago, an academic department in the United States and the Ann Sullivan Center of Peru (CASP) initiated an international partnership to foster research collaborations and reciprocal consultation, and to create an advanced clinical placement for occupational therapy doctoral students. CASP is a globally recognized hub for community-based research, demonstration and training for people with disabilities (most of whom are from low-income families). CASP has provided occupational therapy students and faculty with a rich cultural environment in which to learn and collaborate as well as opportunities for developing research collaborations. The purpose of this manuscript is to discuss an innovative model of international collaboration highlighting specific areas of exchange and reciprocal learning. First, we will describe the collaboration and CASP's rich learning opportunities. Second, we will discuss a model of collaboration that includes three main phases: planning and preparation, developing and sustaining the partnership, and evaluating and celebrating outcomes and benefits. We illustrate the partnership with a case example and describe exchanges between CASP and a local community agency with whom faculty have collaborated for 20 years. Finally, we discuss implications of our innovative model towards developing and sustaining global partnerships. .

Latino immigrant families with children with disabilities experience multiple sources of oppression during their settlement process in the United States. Unfair social structures and dominant cultural values and norms and the way they influence the immigrants' personal life stories generate a cycle of oppression very difficult to break. This paper presents a case study of how a group of Latino parents carried out a process of liberation fueled by the generation of empowering community narratives (critical awareness leading to transformative action) that resulted from a community-university partnership. Participants initiated a process that led them to discover their own stories of oppression and create new stories; to deconstruct the dominant cultural narratives and modify existing ones; and to understand contexts for power sharing. This joint reflection and increased awareness propelled group members to take action by founding a grassroots organization to redress some of the injustices that were partly responsible for their oppression, thus generating shifts at the personal, relational, and collective levels. In light of the theory of liberation, we discuss the participants' development of critical awareness that led them to take action to address their unmet needs.

Ciclovias create temporary spaces for physical activity by closing off streets to motorized traffic for short periods of time—typically a day at a time. In Chicago, these health promotion events are called “Open Streets” and follow a route through five diverse communities. We report findings for evaluation of 2008–2009 Open Streets events. The evaluation creates a framework for examining Ciclovia outcomes and tracks attendance, participant characteristics, participant feedback, and community development outcomes. Evaluation data include attendance counts, participant surveys and semi-structured interviews with event organizers. Data analysis includes quantitative and qualitative methods.We use a capacity building conceptual model for interpreting community development outcomes. Contact with neighbors and exposure to new communities was a primary benefitof participation in Open Streets. These “exposures” contribute to the strengthening of social networks among Open Streets communities. Moreover, we found t...

Evaluation capacity building (ECB) has become a popular approach for helping community-based organizations (CBOs) to meet their funders’ demands for accountability. This case study reports the ECB process with one staff member using a catalyst-for-change approach. The authors analyzed the role of the catalyst in diffusing evaluation knowledge and skills and in promoting evaluation mainstreaming and use within the CBO; and the outcomes achieved as a result of the catalyst’s role in the process of building evaluation capacity. Implications based on the study findings are discussed.

Child mortality has been a problem in developing countries for many years. This article summarizes the factors that were identified as contributing to the sustainability of a community‐based growth‐monitoring program for the prevention of child mortality in Honduras. The program used community volunteers to measure children's growth from birth until they reached two years of age. Honduras received support from the USAID to implement the program. The authors conducted an evaluation of the program that included responses from 32 health care workers, 45 weight monitors, 96 participating mothers and 32 non‐participating mothers. Individual, community, environmental and institutional factors that contribute to the sustainability of the program are summarized. The implications for program replication are discussed.

The current study was conducted to identify challenges in engaging consumers with disabilities from diverse ethnic and cultural backgrounds and effective strategies to overcome these challenges in the Vocational Rehabilitation (VR) system. Twenty one VR counselors from a large Midwestern state were nominated by their supervisors to participate in semi-structured qualitative interviews because of exemplary work over more than five years. Interviews were transcribed verbatim and subjected to qualitative analysis. Counselors identified the following challenges for some of their multicultural consumers: (1) lack of knowledge about their responsibilities and role within the VR system; (2) lack of a vision and plan for their future success; and (3) lack of a sense of efficacy about their ability to be successful. These challenges are related to experiences of oppression. Effective strategies were related to processes of empowerment within the context of the therapeutic relationship. Study findings have implications for the VR system related to providing support and training to VR counselors and VR counseling students on how to work effectively with consumers with disabilities from diverse ethnic backgrounds.

This article describes a participatory needs assessment process in which Colombian immigrants in Chicago collaborated with university researchers to identify their common concerns and implement self-help efforts to address some of their most pressing needs. A total of 261 Colombians completed a needs assessment survey, and 46 attended a public forum in which the issues were discussed and groups of volunteers were organized to coordinate and plan actions to address identified needs. Groups of volunteers conducted the research and developed a guide to health care and a guide to social services in the state of Illinois, which were widely distributed in the community. The participatory methodology appears to have effectively mobilized individuals who volunteered their time to help others—particularly newcomers who often find themselves at a loss to maneuver and understand a complex array of systems and services that are completely unfamiliar. Implications for future research are discussed.

People from around the globe rely on the Internet for daily use in a variety of ways from downloading information and staying connected with friends and family to collecting data for research purposes. Although the authors have seen rapid growth in access to the Internet among multicultural populations, some groups are still far behind. In particular, those with most limited access include non-English-speakers and low-income and working-class individuals in general. This paper discusses the use of the Internet as a research tool with culturally diverse populations with a focus on two specific purposes: The Internet as a tool to collect information about participants (e.g., survey research, qualitative and descriptive research, and needs assessment); and the Internet as an intervention tool in itself (e.g., intervention research and participatory research). The authors will discuss issues and challenges of using the Internet as a research tool and provide recommendations for using the Internet with culturally diverse populations in a culturally competent manner.

Purpose. To describe the development of a conceptual framework for cultural competence that could help and guide the training of rehabilitation practitioners, students and researchers.Method. A systematic review of the literature yielded 259 usable documents that were further reviewed by two independent readers to identify 32 publications that described cultural competence conceptual models.Results. After eliminating redundancy, 18 unique cultural competence models were identified. A synthesis model was first developed which included four components. After an empirical validation of the model, a new model with only three components emerged.Conclusion. The empirically validated conceptual framework is a promising tool for training and evaluation of cultural competence.