The author discusses the adherence of culturally sensitive treatment (CST) to evidence-based practice. CST is distinguished from empirically supported treatment. Therapists are advancing CST by designing and evaluating interventions and evolving their understanding of what makes CST work. (Contains 2 tables.)

Appalachians have been referred to as the forgotten people and are often overlooked in multicultural counseling. A case study is presented using the extended case method to enhance counselor awareness and demonstrate how counselors can apply knowledge of the Appalachian culture in the provision of best practices for this population.