Community Mental Health Allies: Referral Behavior Among Asian American Immigrant Christian Clergy

Yamada, Ann-Marie; Lee, Karen Kyeunghae; Kim, Min Ah

doi:10.1007/s10597-011-9386-9

Cited by 31 publications

(30 citation statements)

References 26 publications

(33 reference statements)

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“…Furthermore, if they believe the conditions described to be wholly of a spiritual aetiology, they are unlikely to see the benefits of collaboration. Yamada, Lee, and Kim (2012) observed that in a sample of Asian clergy, respondents who had received some mental health education were more likely to refer members with mental health symptoms to appropriate services. Consequently, improving collaboration between clergy and mainstream mental health services in our setting might require educational interventions targeted at clergy.…”

Section: Discussionmentioning

confidence: 99%

Clergy as collaborators in the delivery of mental health care: An exploratory survey from Benin City, Nigeria

James

Igbinomwanhia

Omoaregba

2014

Transcult Psychiatry

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The paucity of skilled manpower in sub-Saharan Africa limits the delivery of effective interventions for the mentally ill. Individuals with mental disorders and their caregivers frequently consult clergy when mental symptoms cause distress. There is an urgent need for collaboration with nonprofessionals in order to improve mental health care delivery and close the widening treatment gap. Using a cross-sectional descriptive method, we explored clergy's (Christian and Muslim) aetiological attributions for common mental illness (schizophrenia and depression) from Benin City, Nigeria, as well as their willingness to collaborate with mainstream mental health services. We observed that a majority of clergy surveyed were able to correctly identify mental illnesses depicted in vignettes, embraced a multifactorial model of disease causation, and expressed willingness to collaborate with mental health care workers to deliver care. Clergy with a longer duration of formal education, prior mental health training, and Catholic/Protestant denomination expressed a greater willingness to collaborate. Educational interventions are urgently required to facilitate this partnership.

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Section: Discussionmentioning

confidence: 99%

Clergy as collaborators in the delivery of mental health care: An exploratory survey from Benin City, Nigeria

James

Igbinomwanhia

Omoaregba

2014

Transcult Psychiatry

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“…More than 40% of Asian Americans with a mental disorder cited seeking treatment for somatic issues, which may reflect a common, cultural tendency to somatize psychological symptoms. In a study of Asian American Christian clergy in California, prior mental health education, knowledge of mental illness, education level, time spent providing individual counseling and referral to general practitioners were positively associated with making mental health referrals (Yamada et al, 2012). Increasing referral to specialist mental health treatment could also help improve retention for mental health treatment (Fortuna et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Mental health service use from a religious or spiritual advisor among Asian Americans

John

Williams

2013

Asian Journal of Psychiatry

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Background Asian Americans experience significant underuse of mental health treatment. Religious clergy and spiritual advisors play a critical role in delivering mental health care in the United States. Limited knowledge exists about their use among Asian Americans. Objective We describe mental health service use from a religious/spiritual advisor among Asian Americans. Methods We analyzed data from 2095 respondents in the 2002–2003 National Latino and Asian American Study. Results Lifetime and 12-month prevalence of mental health service use from a religious/spiritual advisor (5.5% and 1% overall, respectively) was generally higher among U.S.-born Asians and those with a 12-month mental disorder (23.6% and 7.5%, respectively). Religious/spiritual advisors were seen by 35% of treatment-seeking Asian Americans with a lifetime mental disorder. They were seen as commonly as psychiatrists but less commonly than a mental health specialist or general medical provider. Approximately 70% of those seeking treatment had a mental disorder, significant proportions of whom sought treatment in the absence of a psychiatrist, a mental health specialist or even a healthcare provider. A significant majority with 12-month use perceived the care as helpful, felt accepted/understood and satisfied (71–86%). However, only 31% rated the care as excellent, 28% quit completing care, and referral rates for specialty mental health treatment were low, even among those with a mental disorder (9.5%). Conclusions Religious/spiritual advisors are a key source of treatment-seeking for Asian Americans with a mental disorder. Quality of care and low referral rates for specialty mental health treatment warrant further attention and need for increased collaboration with the mental health system.

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“…, Yamada et al . ). It is estimated that more than 23% of the U.S. population seek help from the clergy for emotional concerns (Wang et al .…”

Section: Introductionmentioning

confidence: 97%

“…, Yamada et al . ). A number of studies explored mental health literacy among African American clergy (e.g.…”

Section: Introductionmentioning

confidence: 97%

Mental health literacy in religious leaders: a qualitative study of Korean American Clergy

Jang

Park

Yoon

et al. 2016

Health Soc Care Community

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Although religious leaders in ethnic minority communities are often the first point of contact for mental health needs, little is known about their mental health literacy. The aim of the current study was to explore the knowledge and beliefs about depression held by Korean American clergy, using a qualitative approach. The Gateway Provider Model (GPM) and Jorm's conceptualisation of mental health literacy served as a framework for the enquiry. Seventeen clergy members serving in Korean communities in two U.S. metropolitan cities participated in an individual in-depth interview during the spring of 2013. Using the constant comparison method, the research team coded the data independently, compared and modified codes, and derived major categories and themes in consensus approach. Eight themes emerged from the interviews, and they were grouped into five categories: (i) the ability to identify the problem; (ii) knowledge about causes and risk factors; (iii) knowledge and beliefs about treatment; (iv) knowledge about resources and services; and (v) contextual factors. Despite some variations, a majority of the participants acknowledged that depression is an important issue in the Korean American community and felt a sense of responsibility for the well-being of their community members. The findings highlight the need for mental health education and training for religious leaders in ethnic minority communities to help them properly respond to community mental health needs.

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Community Mental Health Allies: Referral Behavior Among Asian American Immigrant Christian Clergy

Cited by 31 publications

References 26 publications

Clergy as collaborators in the delivery of mental health care: An exploratory survey from Benin City, Nigeria

Clergy as collaborators in the delivery of mental health care: An exploratory survey from Benin City, Nigeria

Mental health service use from a religious or spiritual advisor among Asian Americans

Mental health literacy in religious leaders: a qualitative study of Korean American Clergy

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