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Gamst, Glenn; Aguilar-Kitibutr, Ailsa; Herdina, Adam; Hibbs, Sara; Krishtal, Elena; Lee, Rochelle; Roberg, Rene; Ryan, Elizabeth G.; Stephens, Heather; Martenson, Luann

doi:10.1023/a:1026224901243

Cited by 17 publications

(8 citation statements)

References 49 publications

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“…Given the large number of White American admissions (i.e., 10,211 treatment episodes), we used a random number generator to select a sample of 200 White American patients to serve as the comparison group. An a priori power analysis based on prior research (e.g., Gamst et al, 2003) indicated that 200 would be sufficient to detect differences in the outcome variables of interest (e.g., scores of levels of functioning). All of the Asian American admissions and the randomly selected White American admissions were manually searched in the hospital electronic medical records system to ensure that the treatment episode met study eligibility criteria.…”

Section: Methodsmentioning

confidence: 99%

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Kim

Saw

Zane

et al. 2014

Asian American Journal of Psychology

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Most of the knowledge of racial/ethnic disparities in mental health treatment utilization comes from studies examining outpatient services, and less is known about these disparities in inpatient services. This empirical gap may limit our understanding of these disparities since inpatient treatment is the most intensive form of specialty mental health care for patients with psychological disorders. We conducted a systematic chart review of 129 Asian American and 198 White American psychiatric inpatients to examine patterns of inpatient psychiatric treatment utilization. Demographic and clinical data were extracted from admission and discharge records during a two-year timeframe. Patterns of diagnoses revealed that Asian American patients utilized inpatient services for more severe psychiatric diagnoses compared to White American patients. Despite this, there were no racial/ethnic differences in levels of functional impairment at admission, and there were no racial/ethnic differences in length of treatment stay. For Asian American patients, level of psychosocial functioning at admission predicted length of stay. A better understanding of patterns of inpatient treatment use is needed to meet the clinical needs of Asian Americans with psychiatric disorders.

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Section: Methodsmentioning

confidence: 99%

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Kim

Saw

Zane

et al. 2014

Asian American Journal of Psychology

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“…While the MAIP has historically been used to examine the effects of fundamental constructs such as client-practitioner ethnic/racial match (e.g., Gamst, Dana, Der-Karabetian, & Kramer, (2000); Gamst et al, 2003), acculturation and ethnic identity (Gamst et al, 2002), and practitioner self-reported cultural competence (Gamst et al, 2004; Keyser, Gamst, Meyers, Der-Karabetian, & Morrow, 2014) on clinical outcomes, the client multicultural status assessment phase of the MAIP model can also be expanded to other contexts and phenomena in which cultural variables impact actions and thoughts. One such expansion is the phenomenon of shifting, particularly with respect to African American women.…”

mentioning

confidence: 99%

Development and validation of the African American Women’s Shifting Scale (AAWSS).

Johnson

Gamst

Meyers

et al. 2016

Cultural Diversity & Ethnic Minority Psychology

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“…Twenty-one studies discussed the dimension of acceptability in relation to how Asian immigrant youth access MHSU services [ 109 – 128 ]. Several studies found that Asian cultural values can give rise to public stigma, stigma by close others (e.g., family or friends), and self-stigma, which decrease acceptability of MHSU service use [ 109 , 118 – 122 , 125 , 127 , 129 ].…”

Section: Resultsmentioning

confidence: 99%

Understanding the factors related to how East and Southeast Asian immigrant youth and families access mental health and substance use services: A scoping review

Gao,

Cho,

Dhillon

et al. 2024

PLoS ONE

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The objective of the review is to identify factors related to how East and Southeast Asian immigrant youth aged 12–24 and their families access mental health and substance use (MHSU) services. To address how East and Southeast Asian youth and their families access mental health and substance use services, a scoping review was conducted to identify studies in these databases: PubMed, MEDLINE (Ovid), EMBASE (Ovid), PsychINFO, CINAHL, and Sociology Collection. Qualitative content analysis was used to deductively identify themes and was guided by Bronfenbrenner’s Ecological Systems Theory, the process-person-context-time (PPCT) model, and the five dimensions of care accessibility (approachability, acceptability, availability and accommodation, appropriateness, affordability). Seventy-three studies met the inclusion criteria. The dimensions of healthcare accessibility shaped the following themes: 1) Acceptability; 2) Appropriateness; 3) Approachability; 4) Availability and Accommodation. Bronfenbrenner’s Ecological Systems Theory and the PPCT model informed the development of the following themes: 1) Immediate Environment/Proximal Processes (Familial Factors, Relationships with Peers; 2) Context (School-Based Services/Community Resources, Discrimination, Prevention, Virtual Care); 3) Person (Engagement in Services/Treatment/Research, Self-management); 4) Time (Immigration Status). The study suggests that there is a growing body of research (21 studies) focused on identifying acceptability factors, including Asian cultural values and the model minority stereotype impacting how East and Southeast Asian immigrant youth access MHSU services. This review also highlighted familial factors (16 studies), including family conflict, lack of MHSU literacy, reliance on family as support, and family-based interventions, as factors affecting how East and Southeast Asian immigrant youth access MHSU care. However, the study also highlighted a dearth of research examining how East and Southeast Asian youth with diverse identities access MHSU services. This review emphasizes the factors related to the access to MHSU services by East and Southeast Asian immigrant youth and families while providing insights that will improve cultural safety.

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Untitled

Cited by 17 publications

References 49 publications

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Development and validation of the African American Women’s Shifting Scale (AAWSS).

Understanding the factors related to how East and Southeast Asian immigrant youth and families access mental health and substance use services: A scoping review

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