This book is one of the most comprehensive, synthetic and useful accounts of everything clinicians need to be aware of to work effectively with cultural diversity. It stems from the clinical experience and research conducted over the years by the Cultural Consultation Service of the Jewish General Hospital of Montreal (Canada). Among the merits of this book is its balanced attention to both theory and practice, with an abundance of clinical material in each chapter.

Cultural diversity is still rather challenging for mental health professionals. Health services in postcolonial Western societies have (one hopes) mostly acknowledged that assimilating culturally different patients into standard practices by normalising and ignoring differences in the name of generic principles of equality does not work. The way forward is to acknowledge the differences and to develop new or modified theoretical models and embed them in creative clinical practices. Denying the validity of this principle is just as hard as putting it into practice, this book tells us.

Change is hard and relying on ‘universally valid’ theoretical models of mind and diagnostic systems is reassuring for mental health professionals. Cultural Consultation comes to the clinician’s aid at a stage where we are beginning to realise that the simple and well-intended provision of traditional forms of healing or of ethnically matched mental health workers, in an extreme attempt to maintain the validity of our Western models of care, will not necessarily produce any better clinical outcomes for ethnic minorities.

The authors effectively illustrate how the focus of the whole cultural consultation process is broader than achieving an accurate diagnostic assessment with treatment recommendations; on the contrary, the focus is shifted to the whole system and the process is always open to an analysis of the contextual factors of patients’ experience within the care environment, the ideologies of the organisation/institution, the cultures of the treating teams and how these affect the process of care and its outcomes.

Ultimately, cultural consultation works ‘with the system’ while challenging it and changing it through advocacy, education and critique. It is by doing so that cultural consultation fulfils its training mandate and comes to achieve a political role within society. The authors show us how, in a healthcare environment under pressure, pulled in every direction by competing agendas and oppressed by limited resources, the cultural consultation model is ultimately time saving and cost-effective. The book makes a strong case for the widespread adoption of the model, highlighting not only what ethnic minority patients can get from it, but most of all what the workforce and the larger society can gain.

To use the authors’ words, cultural diversity in itself is good: ‘Every language and cultural tradition offers us imaginative possibilities that may help us to adapt to new circumstances or address some of the limitations, injustices and inequities in our own way of life … Rather than viewing others from a distant, disengaged and uninformed view of their experience … we can engage them directly in dialogue and in the process enlarge our imagination of what it is to be human’. A message one hopes will reach beyond the workforce within care institutions, to be heard and understood by commissioners, politicians and society at large.