Resources

 

This resource list approaches wealth as one important facet of identity alongside race, gender, culture, and other social locations, to support mental health care that is both culturally competent and culturally humble.

Understanding Cultural Competence & Cultural Humility

Improving Cultural Competency for Behavioral Health Professionals

Free online training on cultural identity and working effectively with diverse clients in behavioral health settings.
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A Systematic Review of Cultural Competence Trainings for Mental Health Professionals

Evidence that cultural competence training can positively shift providers’ attitudes, knowledge, and skills.
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Resources to Center Cultural Humility

Practical exercises and reflection tools to cultivate cultural humility in clinical practice.
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Wealth as a Cultural Identity in Mental Health Care

 

These resources frame wealth as one intersecting identity among many in the provision of culturally competent, culturally humble mental health care.

Intersectionality and clients of wealth: Building stronger relationships in uncertain times
Hokemeyer, P.L.(2025). The International Family Offices Journal, 9(1), 13–20.

Introduces an intersectional framework for understanding clients of wealth, showing how class, culture, gender, race, and family role interact to shape mental health needs and therapeutic alliances.
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Fragile Power: Why having everything is never enough: Lessons from treating the wealthy and famous
Hokemeyer, P.L.(2019). Hazelden Publishing.

Book exploring the psychological, relational, and identity challenges associated with wealth, fame, and power.
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Clients of wealth: Extending culturally competent care througha systemic lens
Hokemeyer, P.L.(2025). Family Therapy Magazine, 24(2).

Article on adapting systemic family therapy and cultural competence principles to clients of wealth.
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Treating wealthy patients and their families: A guide for competent psychotherapeutic care
Hokemeyer, P.L.(2012).The Journal of Wealth Management, 15(1), 9–11.

Foundational guide to culturally competent, ethically grounded psychotherapy with wealthy individuals and families.
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Wealth and mental health: Navigating unhealthy narcissism infamilies of wealth and power
Hokemeyer, P.L.(2024). The International Family Offices Journal, 8(3), 25–34.

Discusses unhealthy narcissism in ultra‐high‐net‐worth families and offers a four‐part strategy for advisers and clinicians.
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Addressing family entropy in the context of behavioural health challenges: A new paradigm of culturally competent and clinically excellent care
Hokemeyer, P.L.(2023).The International Family Offices Journal, 7(4), 21–27.

Introduces “family entropy” to describe destabilization in families of wealth, and outlines a culturally competent clinical response.
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Clinical Tools for Working with Clients of Wealth

Better therapy with wealthy clients
Hokemeyer, P.L.(2026). The Psychologist (British Psychological Society).

Practical guidance on adapting assessment, formulation, and therapeutic stance when working with wealthy clients.
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Addressing addictive disorders in families of wealth: Why cutting them off doesn’t work
Hokemeyer, P.L.(2017). Addiction Professional (HMPGlobal).

Explores why “tough love” and financial cut‐offs often fail in affluent families and offers alternative treatment strategies.
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Working with the wealthy and well known: Evidence‐based guidance for treatment plans and
strategies
Verhaagen, D.(2026).Routledge.

Clinically focused book covering assessment, treatment planning, and managing dynamics of money, fame, and privilege when serving wealthy and prominent clients.
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Clinicians’ experiences of personal wealth: Impacts within clinical practice
Sarah Schwartz Sax.(2015).Smith College School for Social Work (Master’s thesis).

Qualitative study of clinicians who themselves have wealth, examining how class and privilege dynamics show up in fee setting, boundaries, and the therapeutic alliance.
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