This article examines the relationship between acculturation and factors such as cultural identity, educational and income attainment, and family practices among Hmong Americans. Later generations of Hmong show higher education and income, and cultural and family practices that mirror that of mainstream Americans. However, second generation Hmong appeared to obtain lower numbers of advanced degrees in proportion to their population size when compared to first generation Hmong. In addition, although early studies of newly arrived Hmong refugees showed high rates of mental distress such as depression, anxiety, and PTSD, mental health symptom, mental health symptomology of first generation Hmong were comparable to those of second generation Hmong respondents. This indicated that the mental health of early refugees tend to improve over time as they adjust to their life in America; eventually mirroring mental health profiles of their second generation counterparts. Concerns among Hmong immigrants across two generations continue to center around socioeconomic mobility and maintenance of cultural identity. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: chapter)