Despite growing emphases on multicultural competence, Native American youth remain tremendously underserved by schools: low achievement, high dropout rates, and over-identification for special education persist. The authors analyzed responses of 403 school psychologists to a national survey regarding their competence gained in training, in current practice, and that needed for effective work with Native Americans. Respondents reported significant underpreparation in training and inadequate preparation for competent practice. Both ethnicity and length of experience with the population yielded significant differences in perceived levels of competence. (Contains 6 tables.)