There is strong evidence of the inadequacy of existing therapeutic modalities for Spanish speaking clients. Intended to bring together new information on the psychotherapeutic approaches, techniques, and goals appropriate to the Spanish speaking, this monograph contains seven articles which attempt to study the multiplicity of variables involved in the development of effective mental health services to the Spanish speaking. Focusing on the process involved in developing specific therapeutic techniques demonstrating their possible usefulness in working with the Spanish speaking, the articles discuss: mental health service utilization by Mexican Americans; mental health services in East Los Angeles--an urban community case study; Mexican American dropouts in psychotherapy as related to level of acculturation; psychotherapist ethnicity and expertise as determinants of self-disclosure; applicability of a behavioral model in serving the mental health needs of the Mexican American; assertive training with low income Mexican American women; and behaviorally oriented group therapy--a successful application in the treatment of low income Spanish speaking clients. (NQ)