Background:In the context of the Australian Psychological Society’sformalapology and the increasing awareness of the need to develop interventions thatimprove the social and emotional wellbeing of clients who identify from Abo-riginal and Torres Strait Islander cultural backgrounds, this article considers theclinical psychology case conceptualisation. The primary aim of any case concep-tualisation is to inform intervention and, in the initial stages of treatment, isconsidered important in helping the psychologists to develop a stronger thera-peutic relationship whilst also providing a reference point from which to evalu-ate treatment progress. In other words, it enables practitioners to develop acoherent set of explanatory inferences—based in theory—that describe andexplain why the person has a particular problem at a particular time.Method: The model draws together mainstream case formulation processeswith culturally specific understandings of social and emotional health and well-being. A worked case example is used in this article to illustrate how the non-Indigenous psychologist can integrate influence of the broader social and culturalcontext into the case conceptualisation to enhance culturally responsive practice.Results: The proposed model provides the psychologist with an entry pointfor understanding an individual’s experience within a broader socio-histori-cal–political context. The model may help the practitioner to identify areas inwhich he or she needs to develop their cultural intelligence.Conclusions: Developing and enhancing culturally responsive practice is apractical way in which clinical psychologists can meaningfully participate in“active reconciliation” within a clinical psychology encounter.