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[0] 9. Cultural Competency: Individuals with mental illness are treated within systems of care that demonstrate knowledge and sensitivity to cultural differences including ethnicity, race, gender, religion/spirituality, sexual orientation and other factors. [1] Does the agency value and adapt to local cultural diversity? Does the agency utilize representatives of diverse local groups in planning and assessing the cultural appropriateness of services? Does the agency provide training and experience in instituting service adaptations to better serve ethnic minorities? Does the agency provide a treatment staff whose members represent the variations of the local cultural groups? Does the agency provide education literature, signage and ambiance adapted to the variations in the local cultural groups languages and values? [3] Culturally sensitive professional disciplines and specialists are available to each and every plan enrollee. [2] 
Survey of consumers asks about whether they were able to choose a treating professional who was from the same, or who was bale to understand the racial and ethnic issues involved in their therapy. Survey of consumers asks about whether the agency conveyed treatment information to them in the language that they understood the best.
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