Treatment FAQ

how culture impacts on the treatment of mental illnesses among asian-americans.

by Wiley Toy Published 3 years ago Updated 2 years ago

In Seattle, "as many as half of Asian-Americans' visits to primary care physicians are due to conditions caused or exacerbated by mental or emotional problems," according to ACRS. Collectively, Asian cultures tend to stigmatize mental illness by valuing silence, modesty and face-saving, according to ACRS.

In manyAsian cultures, mental illness is stigmatizing; it reflects poorly on familylineage and can influence others' beliefs about the suitability of anindividual for marriage. It is more acceptable for psychological distress tobe expressed through the body than through themind.

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What are the cultural factors that affect Asian mental health?

4 rows · KEY CULTURAL FACTORS THAT INFLUENCE MENTAL HEALTH. Culture influences the Asian health ...

Do Asian Americans seek help for mental illness?

Jan 28, 2021 · A study found stigmas that associate mental illness with disability are the largest barrier to Asian Americans accessing mental healthcare. Cultural norms and values Shaming related to mental...

Is there a stigma around mental health in Asian cultures?

The results showed that participants reported several common sources of stress that affected their overall mental health: Parental pressure to succeed in academics Discussing mental health concerns is considered taboo in many Asian cultures and as a result Asian Americans tend to dismiss, deny or neglect their symptoms

What are the barriers to Asian Americans accessing mental health care?

May 10, 2021 · Mental health stigma affects all ethnicities, cultures, and nationalities, but Asian Americans may be more impacted than most. The National Latino and Asian American Study reported that while 18% of the general U.S. population sought mental health services and resources, only 8.6% of Asian Americans did so. A related study found that white U.S. citizens …

How does culture affect the view of mental illness?

Furthermore, research has shown that the mental health experience of minorities has been greatly affected by culture and how society at large views that culture. Racial and ethnic minorities in the U.S. are less likely than white people to seek mental health treatment, or to delay treatment until symptoms are severe.Apr 16, 2017

How does culture contribute to mental illness?

Cultures may influence and contribute to the causation of mental illnesses, mould symptoms, render certain sub-groups more vulnerable as well as modify beliefs and explanations of illnesses. This demonstrates that cultural beliefs and values represent a crucial factor in mental illness.Feb 18, 2021

How does culture and ethnicity affect mental health?

Racial and ethnic minorities have less access to mental health services than do whites. They are less likely to receive needed care. When they receive care, it is more likely to be poor in quality. These disparities have powerful significance for minority groups and for society as a whole.

How does culture affect treatment for mental health?

Cultural factors can determine how much support someone gets from their family and community when it comes to mental health. Because of existing stigma, minorities are sometimes left to find mental health treatment and support alone.Jul 11, 2019

How does cultural stigma affect mental health?

For Asian American and Middle Eastern American communities, cultural beliefs that seeking mental health treatment will bring shame and dishonor to the family leads some people to internalize their symptoms instead of seeking therapy.Aug 4, 2020

What is culture in mental health?

With respect to the context of mental health services, the chapter deals with the organization, delivery, and financing of services, as well as with broader social issues - racism, discrimination, and poverty - which affect mental health. Culture refers to a groups shared set of beliefs, norms, and values (Chapter 1).

How social and cultural attitudes towards mental health have changed over time?

One major change has been the shift in society's attitudes. People are becoming more accepting of mental health problems and more supportive of people with issues. They are more aware of common mental disorders such as depression and anxiety, and are more willing to talk to health professionals and seek treatment.Jul 10, 2018

Are there cultural differences in the prevalence of mental illness?

Cultural values correlated with lifetime prevalence of common mental disorders. Egalitarianism was associated with higher prevalence rates, controlling for GNI. Hierarchy and mastery were associated with lower prevalence rates. Embeddedness and autonomy showed weak correlations with prevalence rates.

How many Asian Americans are there in 2019?

population. Of these, roughly 15% report having a mental illness in the past year, meaning more than 2.9 million Asian Americans experienced mental illness in 2019. Findings from the National Latino and ...

What is stigma in mental health?

Stigmas are unfair, inaccurate ideas or beliefs that people use to negatively isolate and discriminate against others with certain traits or qualities. Mental health stigmas exist worldwide and can impact anyone of any race or ethnicity, creating barriers to access available mental health treatment. According to Mental Health America (MHA), Asian ...

What is the model minority myth?

The model minority myth enforces the idea that all Asian Americans are fully-integrated, intelligent, industrious, and have overcome racial bias. This places pressure on those within this group to meet these standards or expectations.

How to combat stigma?

The best way to combat stigmas is to become educated about mental health facts and engage positively with people who experience mental illness. Other ways to combat stigmas include: talking openly with family, friends, or using social media. promoting the idea that physical and mental illness are equal.

How many Asian women were killed in the Atlanta spa shooting?

Even before the Atlanta spa shooting in March – during which eight people, six of whom were Asian women, were killed – the amount of anti-Asian rhetoric and incidents had been on a steep incline, increasing by 150% since the previous year, studies show.

How many people are in the AAPi community?

The AAPI community is made up of more than 22.6 million individuals with more than 40 distinct ethnicities, along with distinct differences in language, religion, education, socioeconomic status and immigration patterns.

Who is Jeffrey Hsu?

Dr. Jeffrey Hsu, a cardiologist at UCLA and co-author with Dr. Gee on an article describing the plight of the AAPI community during the COVID-19 pandemic , says culturally competent care, or equipping providers with education and training to understand a person’s values, experiences and personal beliefs, is essential to improving health outcomes.

Pressures in the Community

One University of Maryland study examined the mental health needs of young Asian American adults. Study participants were either born in India, Cambodia, China, Indonesia, Korea, Taiwan, Thailand, or Vietnam or recently immigrated from those countries.

Facing the Stigma

Underlying all these factors is mental health stigma. Asian Americans fear being thought of as weak or “crazy” for having a psychological disorder—perhaps more than any other group. Shame and embarrassment force many to struggle in silence and never seek help.

Webinar – Watch Now!

Dr. Geoffrey Liu talks about what’s preventing Asian Americans from getting the help they need and answers audience questions about rethinking the ways we engage with this population.

Overcoming Barriers to Care

Unfortunately, problems also exist for Asian Americans not held back by stigma who would like to get help for psychological issues.

How does culture affect mental health?

Attitudes towards mental health illnesses vary among individuals and often are highly influenced by the various cultures that the individuals identify with. Culture as a social concept can be defined as a set of norms, values, behaviours, and beliefs that are common and shared amongst a group of individuals (U.S. Department of Health and Human Services, 1999). Culture can be applicable to groups like Asians and Americans but also to groups of shared norms, beliefs, and values established within professions such as the culture of patients and practitioners. Culture provides these groups with structure and context to understanding their society and the world as a whole. Culture influence a wide range of aspects of mental health, including how mental health is perceived by the patient, how the patient will experience mental health stigma, and how they cope with symptoms of mental health illness. Additionally, these cultural influences impact the relationship between the patient and the practitioner in a number of ways.

What is culture in psychology?

Introduction “Culture comprises of shared beliefs values, and practices that guide a group’s members in patterned ways of thinking and acting. Culture can also be viewed as a blueprint for guiding actions that impact care, health, and well-being” (Leininger & McFarland, 2006). “Culture is more than ethnicity and social norms; it includes religious, geographic, socio-economic, occupational, ability-or disability-related, and sexual orientation-related beliefs and behaviors. Each group has cultural

What is the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders?

Culture-bound nosological systems, such as the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition-TR (American Psychiatric Association, 1999), also do not adequately address the mental health conceptualization of many Asian-Americans and Pacific Islanders.

What is the model minority?

The promulgation of the "model minority" myth, that Asian-Americans and Pacific Islanders are the most similar to European Americans, and, thus, are viewed as "models" for and/or "better than" other ethnic minority groups, has created many problems for Asian-Americans/Pacific Islanders. The result has been (a) a lack of attention to Asian-American/Pacific Islander issues in mental health research and clinical practice, (b) the creation of antagonisms with other minority groups who may view Asian Americans/Pacific Islanders as co-conspirators with European Americans, and (c) interference with the development of collaborative efforts and coalition building among racial/ethnic minority groups.

What is the fastest growing racial/ethnic group?

Asian-Americans/Pacific Islanders is one of the fastest growing visible racial/ethnic groups, with a projected increase in population to 6.2 percent by 2025, and 8.9 percent by 2050. Although the three largest Asian ethnic groups are Japanese, Chinese and Filipino, the terms "Asian-American" and "Pacific Islander" encompass more than 50 distinct ...

Is culturally competent treatment for Asian Americans and Pacific Islanders the responsibility of Asian American/Pacific Islander answer

In sum, culturally competent treatment of Asian-American/Pacific Islander individuals should not be the responsibility solely of Asian-American/Pacific Islander treatment providers. Little effort has been made to recruit and train Asian-Americans and Pacific Islanders for careers in mental health, resulting in limited numbers of Asian-American/Pacific Islander clinicians. Rather, the mental health field must be accountable for providing accessible, well- trained and knowledgeable treatment providers who can offer culturally competent interventions and services to an increasingly diverse population.

Is mental health related to physical health?

For many Asian-Americans and Pacific Islanders, mental health is strongly related to physical health. In many Asian-American/Pacific Islander ethnic groups, the belief is that if one is physically healthy, then one is more likely to be emotionally healthy. Emotional or psychological health is also believed to be strongly influenced by willpower or cognitive control. For example, when one is feeling sad, not dwelling on negative thoughts or avoiding negative thoughts is viewed as an appropriate coping method. In addition, focusing on one's family or community and behaving in a way that maintains interpersonal harmony in the face of psychological distress is demonstrative of strong will and emotional health. As such, many Asian-Americans and Pacific Islanders associate stigma and loss of face with admitting to psychological problems. As a result, in many Asian-American/Pacific Islander cultures, individuals may often report somatic or physical manifestations of stress, as they are viewed as more acceptable than psychological symptoms. Whether these Asian-Americans and Pacific Islanders experience the distress as somatic and/or psychological when having problems remains to be examined.

Smiling but Never Joyful

In sharing her story, Khang is defying a deep-seated belief in many Asian-American communities, where all too often, mental illness is considered a weakness.

The Stigma of Being 'Crazy'

Frequently, words fail to capture the distinctions within mental illnesses. In different Asian languages, mental illness is boiled down to "a problem with the heart " or "crazy,” Chu says.

Cultural Considerations

Asian-Americans tend to avoid mental health services for other reasons: lack of insurance or access to care, a belief that services are mismatched to their needs, or too few professionals who understand their culture or speak their language.

Tailoring Their Own Treatment

After Khang’s doctor placed her on an antidepressant, “the heavy veil lifted,” she says. Laughing “feels good, because it feels like something, as opposed to the polite laughter that we make when we’re trying to stay engaged, when we really just want to just crawl back in bed.”

Fighting the Shame of Mental Illness

Khang teaches her three teenagers that there’s no fault or shame in having a mental illness. Although it was hard at first, she began answering her children honestly as they broached the subject of her depression. Since depression might have a genetic link, she wants them to be aware of the risk.

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