Strategies for Working with Asian Americans in Mental Health: Community Members’ Policy Perspectives and Recommendations

Weng, Suzie S.; Spaulding-Givens, Jennifer

doi:10.1007/s10488-016-0784-8

Cited by 7 publications

(12 citation statements)

References 23 publications

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“…Financial, healthcare, and legal barriers to mental health services were common manifestations of structural stigma, combining a lack of resources with the high costs of healthcare (Cheng et al., 2015; Ling et al., 2014; Yang et al., 2014a). Asian immigrants, particularly refugees, older adults, and undocumented immigrants (Weng & Spaulding‐Givens, 2017), worried about their citizenship status and healthcare eligibility and experienced difficulties navigating a foreign system, from daily hurdles such as lack of transportation to more significant challenges such as applying for public assistance (Bith‐Melander et al., 2017).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions

Misra

Jackson

Chong

et al. 2021

American J of Comm Psychol

142

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Stigma is integral to understanding mental health disparities among racial and ethnic minority groups in the United States. We conducted a systematic review to identify empirical studies on cultural aspects of mental illness stigma (public, structural, affiliative, self) among three racial and ethnic minority groups (Asian Americans, Black Americans, Latinx Americans) from 1990 to 2019, yielding 97 articles. In comparison studies (N = 25), racial and ethnic minority groups often expressed greater public and/or self‐stigma than White American groups. In within‐group studies (N = 65; Asian American, n = 21; Black American, n = 18; Latinx American; n = 26), which were primarily qualitative (73%), four major cultural themes emerged: 1) service barriers including access and quality (structural stigma); 2) family experiences including concealment for family’s sake, fear of being a burden, and stigma extending to family (affiliative stigma); 3) lack of knowledge about mental illness and specific cultural beliefs (public stigma); and 4) negative emotional responses and coping (self‐stigma). These findings confirmed stigma has both similar and unique cultural aspects across groups. Despite this, few studies tested stigma reduction interventions (N = 7). These cultural insights can inform contextual change at the health systems and community levels to reduce stigma, and empowerment at the interpersonal and individual levels to resist stigma.

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Section: Resultsmentioning

confidence: 99%

Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions

Misra

Jackson

Chong

et al. 2021

American J of Comm Psychol

142

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“…Notably, when structural and/or cues to action variables were examined (i.e., language/cultural discrimination and costs), they were done primarily for the studies examining Chinese Americans’ formal help-seeking. Researchers argued that the model minority stereotype may need to be dispelled across all stakeholders in AA mental health care, in addition to recruiting a more diverse and culturally competent workforce, help-seeking patterns may improve [ 64 ]. Similarly, Korean Americans and Vietnamese Americans identified structural barriers such as stigma, high cost, and lack of culturally sensitive services playing an important role in help-seeking attitudes and behaviors.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Mental Health Help-Seeking Among Asian Americans: a Systematic Review

Kim

Lee

2021

J. Racial and Ethnic Health Disparities

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Objective Asian Americans are underutilizing mental health services. The aim of the current systematic review was to identify protective and risk factors of mental health help-seeking patterns among the disaggregated Asian Americans and to classify types of help. Methods A systematic literature review was conducted using the PRISMA guidelines. The Health Belief Model served as the theoretical framework for this review. Thirty-four articles were reviewed, and the studies investigated one of the following Asian ethnic subgroups: Chinese, Filipino, Asian Indian, Korean, or Vietnamese. Data were extracted based on the study characteristics, sample characteristics, and protective and risk factors to mental health help-seeking patterns. Results Predisposing factors like female gender, higher levels of English proficiency, and history of mental illness increased the likelihood for help-seeking across several ethnic groups. Interestingly, cues to action and structural factors were under-examined. However, cues to action like having a positive social network did increase the likelihood of using formal support services among Chinese and Filipinx participants. Structural factors like lacking ethnic concordant providers and access to healthcare served as barriers for Korean and Vietnamese participants. Discussion The findings showed a need for ethnic tailored approaches when supporting mental health help-seeking patterns. Asian ethnic group’s immigration status, acculturation level, and psychological barriers to help-seeking should continue to be emphasized. Psychoeducational groups can be beneficial to expand the knowledge base surrounding mental illness and to link group members to culturally responsive resources.

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“…Individual and systemic barriers stem from a universal approach to mental healthcare, where AA culture does not fit the norm. Examples of such barriers are AAs' cultural mistrust of the mental health system [14], the reluctance to admit mental health problems to others [15,16], and language barriers [16]. These barriers can deter would-be patients from seeking psychological help [14].…”

Section: Universal Approachmentioning

confidence: 99%

“…Therefore, BH care should be integrated in every healthcare system. An increasing number of general practitioners treat BH conditions but barriers such as language, access, insurance, and stigma conspire to discourage obtaining treatment [16]. Providers should know about the effects of stigma and shame in order to properly diagnose and help their AA patients.…”

Section: Ways To Address Behavioral Health Disparitymentioning

confidence: 99%

“…It is, therefore, imperative to train providers to remain as objective as possible. This is especially so where patient and provider are of different race or ethnicity, and for people with multiple chronic conditions and behavioral health comorbidities such as depression and anxiety, which lead to poor health outcomes [16,22].…”

Section: Addressing Preference Of Diverse Populationsmentioning

confidence: 99%

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Eliminating racial and ethnic disparities in behavioral healthcare in the United States

Appel¹,

Nguyen²,

Bang³

2021

jhi

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This article discusses individual and systemic barriers to accessing behavioral healthcare, tailoring the examination to the specific needs of Asian Americans (AAs). Some barriers include language barriers, lack of access to behavioral health care, and providers that may not be culturally sensitive to patients' needs. These barriers lead to the underuse of health services and worse mental health outcomes. AAs are said to be the "model minority, " a term most often to describe Chinese Americans, East Asians or Southeastern Asians. This is a myth; AAs with behavioral health needs encounter numerous barriers. Among the barriers are health insurance coverage, especially Medicaid expansion, which is not available in every state. Also, healthcare workers and providers are not always prepared to treat behavioral health needs in their primary care practice. This paper highlights the need to further investigate these topics in order to help eliminate the disparities that still exist in our growing populations of racial and ethnic minorities from the standpoint of healthcare practitioners in their practices. Asian Americans now comprise the largest growing minority group in the United States (US). Asian Americans include all those that may be born in any Asian countries, or born in the US to parents who are not native English speakers. However, there remains insufficient comprehensive discussion and action to reduce the barriers to behavioral healthcare they face. It is important to tailor an all-inclusive agenda with the purpose of eliminating racial and ethnic disparities in behavioral healthcare for AAs in the US.

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Strategies for Working with Asian Americans in Mental Health: Community Members’ Policy Perspectives and Recommendations

Cited by 7 publications

References 23 publications

Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions

Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions

Factors Associated with Mental Health Help-Seeking Among Asian Americans: a Systematic Review

Eliminating racial and ethnic disparities in behavioral healthcare in the United States

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