This project through the Kentucky PBRN analyzes variation in the cultural and linguistic competence of local health departments within Kentucky, adapt and test a series of training modules designed to strengthen cultural and linguistic competence among staff, and evaluate the effectiveness of these training models. The study uses existing baseline data from an earlier project that conducted organizational assessments of each department using an instrument designed to measure compliance with the National Standards on Culturally and Linguistically Appropriate Services (CLAS).