Multiethnic Advocates for Cultural Competence (MACC) is a statewide organization committed to transforming systems through the implementation and sustainment of concepts related to cultural competence. We are a clearinghouse for training, resources, research, best practices, and collaboration.


We define cultural competence as a continuous learning process that builds knowledge, awareness, skills and capacity to identify, understand and respect the unique beliefs, values, customs, languages, abilities and traditions of all Ohioans in order to develop policies to promote effective programs and services.

MACC serves the state of Ohio as a non-profit leader identifying barriers and offering and implementing solutions to health care access, employment, and equity in all sectors. 


The history of the Multiethnic Advocates for Cultural Competence, Inc. (MACC) is tied to concerns with disparities in mental health outcomes of racial and ethnic minorities in the state’s mental health system. In 1984, the Ohio Department of Mental Health (ODMH) established the Minority Concerns Committee to look at mental health service utilization of minority populations in Ohio. Throughout the 1980’s the Minority Concerns Committee issued reports and recommendations on service utilization, language on cultural competence to be included in the Mental Health Reform Act of 1988 and held the first Annual Cultural Diversity Mental Health Conference in Ohio.

In 1990, the Multi-Ethnic Mental Health Consortium was established by the Ohio Department of Mental Health. In 2003, the Consortium was formally organized, as the Multiethnic Advocates for Cultural Competence, Inc. (MACC) to make cultural competence a cornerstone in Ohio's behavioral health system.


MACC conducted the first ever-statewide mental health needs assessment among eleven racial, ethnic and cultural communities titled, “Learning Your Needs” Cultural Competence Needs Assessment Project 2006; in 2008 the report was updated to include the Somali culture. In late 2010, the organization completed and released their latest report to include the cultures of Veterans and their families.

In 2010 the organization worked with Ohio’s state departments, cultural organizations, consumers, families and others to adopt the first in the nation state cultural competence definition to assist Ohio in moving towards cultural competence in service and care.

Through its mission and work, the Multiethnic Advocates for Cultural Competence (MACC) has improved the quality of life for previously underserved populations throughout the state of Ohio.