OBJECTIVE Psychotherapy access, utilization, retention, and effectiveness require continued improvement, especially for groups for whom availability and outcomes may be currently suboptimal, including ethnoracial minorities. Further, ethnoracial status' intersectionality with other identity variables (e.g., gender) may relate to structural barriers to care and effectiveness of care, an area in need of further research. METHOD The Florida State University Psychology Clinic, a low-cost population-facing treatment center, has routinely collected clinically relevant information on all consenting clients, including severity of clinical presentation at intake and over time, number of therapy sessions attended and of no-shows, premature termination, demographics, etc. A large sample of clients (N = 2,076; 57% women; 67.9% non-Hispanic White) on whom we collected and entered at least some data, though missing data were common, has accrued. We conducted chi-square tests to examine treatment utilization gaps, analysis of variance to measure differences in intake severity, and analysis of covariance to measure differences in treatment effectiveness. RESULTS Based on the percentages of ethnoracial minority groups with mental disorders in the broader local community, we are falling short in outreach to Black clients, and when we do engage them, we retain them suboptimally. Once well engaged, however, results across groups suggest few differences in outcomes by ethnoracial status, gender, or their intersection. Ethnoracial match was associated with more sessions attended in Black people. CONCLUSIONS Psychotherapy effectiveness has the potential to be optimized for everyone, and a promising direction in this regard is the case conceptualization of a cultural formulation interview and cultural humility mindset. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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种族地位、与性别的交叉性以及心理治疗的利用、保留和结果。

目标心理治疗的获取、利用、保留和有效性需要持续改进，特别是对于可用性和结果目前可能不理想的群体，包括少数民族。此外，种族地位与其他身份变量（例如性别）的交叉性可能与护理的结构性障碍和护理的有效性有关，这是一个需要进一步研究的领域。方法 佛罗里达州立大学心理诊所是一个低成本的面向人群的治疗中心，它定期收集所有同意客户的临床相关信息，包括入院时和一段时间内临床表现的严重程度、参加治疗的次数和未出现的次数、过早终止、人口统计等。大量客户样本（N = 2,076；57% 为女性；67. 9% 的非西班牙裔白人）我们收集并输入了至少一些数据，尽管缺失数据很常见，但已经累积。我们进行了卡方检验以检查治疗利用差距，进行方差分析以衡量摄入严重程度的差异，并进行协方差分析以衡量治疗效果的差异。结果 根据更广泛的当地社区中患有精神障碍的少数民族群体的百分比，我们在与黑人客户的接触方面存在不足，当我们与他们互动时，我们留住他们的效果并不理想。然而，一旦参与度很高，各组的结果表明种族地位、性别或它们的交叉点在结果上几乎没有差异。种族匹配与黑人参加的更多会议有关。结论 心理治疗的有效性有可能针对每个人进行优化，在这方面一个有前途的方向是文化表述访谈和文化谦逊心态的案例概念化。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。