This study describes the relationships between clients' perception of cultural competency of mental health providers and service outcomes. A study was conducted of a public children's mental health program that used a community-based, systems of care approach. Data from a subsample (N = 111) of families with youths (average age 12.3) and primarily African-American (81.5%) were analyzed for this study. Findings demonstrate statistically significant associations between cultural competence of the provider and better overall clinical outcomes including access, participation, satisfaction, and service outcomes. This study provides empirical clinical data that improved cultural competency leads to improved clinical outcomes. (Contains 2 tables.)