Cultural competence is provision of effective and respectful care that is compatible with the cultural health and mental health beliefs, practices and languages of the people receiving services. Cultural Competence activities need to be imbedded within all stages of development, implementation and evaluation of evidence-based practices. Readiness for implementation needs to include skill development and policy guidance to ensure clinical and administrative practices are responsive to the diversity of the population served. Assessment of systems and providers needs to evaluate effectiveness of evidence-based practices across cultures and continue to build the evidence base for strategies demonstrated to be effective for everyone receiving the service (authors).