The idea of a clinical high risk (CHR) for psychosis has focused attention on early intervention to prevent or attenuate psychosis. However, many clinicians may still not be very familiar with the concept of CHR. Current studies have not allowed for an in-depth examination of the challenges and strategies of working with youth from the range of racial/ethnic minority families, Asian American families in particular. The purpose of this paper is three fold. First, we critically review Asian cultural values and beliefs about mental illness, psychosis in particular, while highlighting specific challenges that Asian American families encounter. Second, we provide a clinical case to illustrate these challenges and inform clinical practice when working with Asian youth at risk for psychosis and their families. Third, practical and easy-to-follow clinical strategies are provided. Implications for clinical practice and directions for future research are presented.
Studies of the early phase of psychosis reveal that culturally relevant beliefs and practices are related to attitudes toward these symptoms and to help-seeking behaviors. Therefore, a systematic and comprehensive literature review will help to develop more culturally sensitive clinical approaches to serving patients and their family members and lay a foundation for conducting culturally relevant research. Our primary aim was to provide a review of cultural factors of patients with a duration of fewer than 5 years of illness (early psychosis), from Chinese backgrounds around the world. Five themes were identified related to culturally relevant beliefs and practices and help-seeking behaviors among patients with early psychosis and their families: These themes included expressed emotions, caregivers' experience, help-seeking pathways, quality of life, and duration of untreated psychosis. Directions for future research and clinical practice were presented.
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