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Despite the strengths of this study, it is reasonable to question its assumption that language preference is a proxy for acculturation. The study assumed that the English-speaking Latinos in the sample were more acculturated than Spanish-speaking Latinos. Examination of the Spanish-speaking Latino sample strongly suggests that they were socioeconomically more stable and thus exposed to less stress, which in turn might have resulted in less severe mental illnesses than in either the English-speaking Latino sample or the Caucasian sample. For instance, the Spanish-speaking Latino patients entered the mental health care system more frequently through outpatient services than did the English-speaking Latino patients or the Caucasian patients. Likewise, they less frequently used emergency or jail services than the English-speaking or Caucasian samples. Similarly, Spanish-speaking Latinos had lower rates of living in board-and-care homes or being homeless than the English-speaking Latinos or Caucasian group.Spanish-speaking Latinos were indeed more often living independently or with families than their counter-