Reducing cultural barriers to substance abuse treatment among Asian Americans: A case study in New York City

Yu, Jun; Clark, Lucia Perfetti; Chandra, Lalita; Dias, Agnelo; Lai, Ting-Fun May

doi:10.1016/j.jsat.2009.05.006

Cited by 37 publications

(32 citation statements)

References 14 publications

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“…"Tailoring" refers to the creation of interventions that utilize information about a given individual to determine what specific content s/he will receive, the contexts surrounding that information, by whom it will be presented and the way it will be delivered (Hawkins et al, 2008). Yu et al (2009) implemented strategies to enhance the continuum of care in the Asian American community by adapting a well-documented generic early intervention model in a culture-specific setting. They found that when culturally competent services combined with case management and motivational interviewing are provided, there tends to be an increase in Asian American clients' chance of accomplishing treatment goals.…”

Section: Discussionmentioning

confidence: 99%

Comparison of substance abuse treatment utilization and preferences among Native Hawaiians, Asian Americans and Euro Americans

Goebert

Nishimura

2011

Journal of Substance Use

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Use and preferences for substance abuse treatment can vary by ethnicity. However, little is known about use and preferences among Native Hawaiians and Asian Americans. Interviews from 192 admitted multi-ethnic residents from two treatment facilities in Hawaii were conducted. More similarities than differences were found. The most utilized treatments were Alcoholics Anonymous and the emergency department, with no significant ethnic differences. However, Native Hawaiians and Asian Americans were significantly less likely to have spoken to a mental health provider about alcohol problems (32%, 39%, respectively vs. 69% of Euro Americans) and to have seen a physician for a drinking-related problem (21% of Native Hawaiians and 19% of Asian Americans vs. 41% of Euro Americans). Native Hawaiians were significantly more likely to consider marriage counselling to be an effective form of treatment (33% vs. 11% of Asian Americans and 9% of Euro Americans). Implications for substance abuse treatment are discussed. The findings suggest that it is important to integrate the field of substance abuse in multiple systems; including substance abuse, medical, criminal, social service and community settings to ensure treatment preferences are met. Ethnic differences may also have implications for expanding and tailoring services.

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Section: Discussionmentioning

confidence: 99%

Comparison of substance abuse treatment utilization and preferences among Native Hawaiians, Asian Americans and Euro Americans

Goebert

Nishimura

2011

Journal of Substance Use

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“…Yu et al (2009) described an approach to SBIRT adaptation for Asian Americans. Recommendations included screening with culturally sensitive materials in informal settings, using translated materials and specifically addressing misunderstandings that Asian Americans may have about alcohol and drug use.…”

Section: Resultsmentioning

confidence: 99%

Adapting Screening, Brief Intervention, and Referral to Treatment for Alcohol and Drugs to Culturally Diverse Clinical Populations

Manuel

Satre

Tsoh

et al. 2015

Journal of Addiction Medicine

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OBJECTIVE To review the literature on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach to alcohol and drug use with racial and ethnic subgroups in the United States and to develop recommendations for culturally competent SBIRT practice. METHODS Articles reporting on the use of SBIRT components (Screening, Brief Intervention, Referral to Treatment) for alcohol and drug use were identified through a comprehensive literature search of PubMed from 1995–2015. RESULTS A synthesis of the published literature on racial and ethnic considerations regarding SBIRT components (including motivational interviewing techniques) was created using evidence-based findings. Recommendations on culturally competent use of SBIRT with specific ethnic groups also are described. CONCLUSIONS Based on the literature reviewed, SBIRT offers a useful set of tools to help reduce risky or problematic substance use. Special attention to validated screeners, appropriate use of language/literacy, trust building, and incorporation of patient and community health care preferences may enhance SBIRT acceptability and effectiveness. PRACTICE IMPLICATIONS Providers should consider the implications of previous research when adapting SBIRT for diverse populations, and use validated screening and brief intervention methods. The accompanying case illustration provides additional information relevant to clinical practice.

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“…Dennis, Scott, Funk, & Foss, 2005;Hser, 2007;Hser, Longshore, & Anglin, 2007), we subdivided each of the racial-ethnic groups based on numbers of admissions and compared these characteristics for those with a first, second, or third admission. This analysis may help inform whether existing services are culturally sensitive, as this has been found to be one of the key factors for increasing ethnic minority's access to treatment services (Yu, Clark, Chandra, Dias, & Lai, 2009). …”

Section: Introductionmentioning

confidence: 99%

Service Utilization of Asians and Other Racial-Ethnic Groups: Comparisons in a State Substance Abuse Treatment System

Warner

Haverly

et al. 2013

Substance Use & Misuse

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Based on an administrative data base of 410,000 substance abuse treatment clients in New York State, Asians are a small minority who differ significantly from other racial-ethnic groups on income, primary language, treatment setting, substance of abuse, referral source, and discharge status. In particular, relative to other race-ethnicity groups such as whites, blacks, and Hispanics, significantly greater percentages of Asians are referred from drinking-driving programs and completed treatment. However, most of the significant differences between Asians and other groups are found among clients with a first admission, and tended to attenuate among clients with a second or third admission.

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Reducing cultural barriers to substance abuse treatment among Asian Americans: A case study in New York City

Cited by 37 publications

References 14 publications

Comparison of substance abuse treatment utilization and preferences among Native Hawaiians, Asian Americans and Euro Americans

Comparison of substance abuse treatment utilization and preferences among Native Hawaiians, Asian Americans and Euro Americans

Adapting Screening, Brief Intervention, and Referral to Treatment for Alcohol and Drugs to Culturally Diverse Clinical Populations

Service Utilization of Asians and Other Racial-Ethnic Groups: Comparisons in a State Substance Abuse Treatment System

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