This manual was written for both health care professionals and community leaders wishing to work together to enhance the availability of culturally appropriate health care services for refugees. The material is also relevant to people who wish to develop the sensitivity and skill needed to serve any culturally diverse clientele. The booklet describes how hospitals, clinics, and community agencies wishing to enhance the delivery of quality health care in a culturally diverse environment might organize a collaborative cross-cultural training project. A whole-system approach is described: (1) to equip medical interpreters to take on case management responsibilities; (2) to equip "mainstream" hospital and clinic staff to serve refugee patients more effectively; and (3) to increase refugees' knowledge of the health care system. Several community agencies serving limited-English speaking persons, Denver Health and Hospitals staff, and the Denver Mayor's Office of Employment and Training collaborated on the design and implementation of this demonstration training project. An appendix provides an extensive resource list, some networking possibilities, and training partners for cultural awareness and intensive case management. (LL)