What is culturally appropriate mental health treatment for Asian-Americans/Pacific Islanders?
Culturally appropriate mental health treatment for Asian-Americans/Pacific Islanders should be cost-effective, accessible (located within Asian-American/Pacific Islander communities), and provided at convenient times (e.g., after work and weekends).
Why don’t more mental health providers treat Asian culture-bound syndromes?
If the treatment orientation is different from that of the client, the client will not likely benefit from the treatment. Indeed, many mental health treatment providers lack knowledge and training regarding the existence, prevalence, manifestation, and treatment of Asian culture-bound syndromes.
Do special problems of Asian patients affect diagnosis and treatment?
Special problems of Asian patients have considerable impact on diagnosis and treatment, and the number of persons of Asian ancestry seen in primary care in the United States is increasing.
How do Asian Americans deal with the stigma of mental health stigma?
Some Asian Americans have found ways to work around the stigma. Most participants in the University of Maryland study reported they reached out to friends, relatives, and members of their church for support instead of contacting mental health professionals.
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What cultural considerations are important for Asian American?
Individuals from China, Japan, Korea, and the Philippines are included in this group.Values and Communication.Harmony and conflict avoidance are highly valued, as is respect. ... They may avoid direct eye contact as a way of showing respect. ... Filial piety (respect for and duty to one's parents) is an important value.More items...•
What is Asian American culture?
American Asians & Asians American Asians comprise one of the fastest growing groups in North America. They are highly diverse, including dozens of ethnicities and languages; these include individuals from Chinese, Japanese, Korean, Indonesian, Laotian, Philippine, Thai, and Vietnamese ancestry.
What are some things counselors should consider during assessment and problem definition when working with Asian American clients?
When counseling Asian Americans, What are some things counselors should consider during assessment and problem definition? Consider the family and community context. Define the problem as related to family enmeshment. Begin to develop client autonomy.
What do Asians believe about health care?
Chinese: Health is maintained through a balance between "yin" (cold) and "yang" (hot) forces. A lack of "chi" (energy) causes illness. The body is viewed as a gift and must be valued through proper care. Japanese: Health is maintained through harmony with the world.
What are three factors or specific aspects of diversity that counselors should consider when working with clients from a different culture?
Defining Diversity But cultural diversity includes many groups of clients and many important factors that affect treatment—a client's gender, age, sexual preference, spiritual beliefs, socioeconomic status, physical and mental capacities, and geographic location.
Which of the following has been described as a challenge faced by counselors in treating culturally diverse population?
which of the following has been described as a challenge faced by counselors in treating culturally diverse populations? all of the choices: linguistic barriers, to understand worldview, cultural values and life circumstances, and to play roles other than that of "psychotherapist" based on the needs of the client.
What did you learn about the importance of cultural sensitivity in treatment planning?
Cultural sensitivity also allows a therapist to gain and maintain cultural competence, which is the ability to first recognize and understand one's own culture and how it influences one's relationship with a client, then understand and respond to the culture that is different from one's own.
What are some things counselors should consider during assessment and problem definition?
Because of a possible collectivistic orientation, it is important for counselors to consider the family and community context during assessment and problem definition. A therapist should also be open to different family orientations and to avoid automatically considering interdependence as a sign of enmeshment.
What has been found regarding value differences and their impact on counseling practice?
What has been found regarding value differences and their impact on counseling practice? Among many Asian groups restraint of emotions is equated with maturity. Feelings of shame or embarrassment may interfere with self-disclosure in Asian American clients.
Which of the following best describes mismatch syndrome?
Which of the following best describes "mismatch syndrome"? C. somatization of physical illness.
Why is it difficult to evaluate the effectiveness of psychotherapy?
Unfortunately, RCT's of psychotherapy are a lot different than, say, drug studies, because there are a nearly infinite number of factors which help to decide whether a course of a given type of psychotherapy will lead to a positive outcome, and there is simply no way to control for them all.
How do Asian Americans work around stigma?
Most participants in the University of Maryland study reported they reached out to friends, relatives, and members of their church for support instead of contacting mental health professionals.
What is the stigma of Asian Americans in 2021?
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.
Why are there bilingual services in Asian Americans?
To address this, many mental health professionals have called for more bilingual services and better coordination between health systems and community resources that serve Asian Americans.
Where did the origins of psychotherapy come from?
Liu pointed to another barrier to care: the origins of psychotherapy. “Mainstream psychotherapy in America has its roots in Western Europe, ” he said. “Assumptions that some take for granted, like ‘talking about it will make you feel better,’ may not be shared with some Asian Americans who may prefer to deal with emotions by doing things, such as sports or academics. Taking the steps to understand a patient’s background and remove any assumptions could reduce barriers and sustain ongoing treatment.”
Do Asian Americans seek help?
Although Asian Americans still do not seek help at the same rates as other groups in the U.S., there are signs that the situation is improving.
Why were reviews excluded from the 2000 study?
Reviews were excluded if they described cultural competency in other non-health settings (e.g. education system), were conducted prior to the year 2000, or did not contain a methods section that included information on: search strategy, number of included studies, and details of studies.
When was systematic review conducted?
A systematic review of review articles published between January 2000 and June 2012 was conducted. Electronic databases (including Medline, Cinahl and PsycINFO), reference lists of articles, and key websites were searched. Reviews of cultural competency in health settings only were included. Each review was critically appraised by two authors using a study appraisal tool and were given a quality assessment rating of weak, moderate or strong.
How many questions are asked in a health evidence review?
Each review was critically appraised independently by two authors using the health-evidence.org tool for reviews [12]. This tool consists of ten questions to assess the quality of the review using commonly accepted evidence-informed principles. Reviews were given a quality assessment rating of weak, moderate or strong.
When did cultural competency become popular?
As cultural competency did not achieve popularity until the late 1990s and government policies mandating cultural competence did not occur until the early 2000s [11], a search timeframe of 2000–2012 was chosen.
Is cultural competence training good?
No. Cultural competence training shows promise as a strategy for improving the knowledge, attitudes, and skills of health professionals. However, evidence that it improves patient adherence to therapy, health outcomes, and equity of services across racial and ethnic groups is lacking.
Is cultural competency a good intervention?
This review of reviews indicates that there is some evidence that interventions to improve cultural competency can improve patient/client health outcomes. However, a lack of methodological rigor is common amongst the studies included in reviews and many of the studies rely on self-report, which is subject to a range of biases, while objective evidence of intervention effectiveness was rare. Future research should measure both healthcare provider and patient/client health outcomes, consider organizational factors, and utilize more rigorous study designs.
What language do you use to make an appointment?
English language. As a result, making appoint-
Is palliative care a human rights issue?
Palliative care is regarded as fundamental to human dignity and falls under the definition of basic human rights. One considerable community of color whose needs are poorly understood consists of Asian Americans, including distinct priorities, expectations, and decision-making processes by diverse subgroups. The purpose of this work was to understand whether and to what extent unique considerations are understood among Asian American subgroups. A scoping review was conducted among major scientific and academic databases. Broad search terms surrounding end-of-life care were combined with individual racial and ethnic identifiers encompassing Asian American subgroups. Twenty-two articles met inclusion criteria and reflected diverse arrays of worldviews surrounding access to, utilization of, and desired outcomes from palliative care. Most articles focused on social orientations prioritizing family in disease disclosure and avenues of interventions sought with distinct patterns among subgroups. A human rights framework emphasizing palliative and other end-of-life approaches to care may be inadequate to address unique considerations among diverse Asian American subgroups. Theorists and practitioners should incorporate practices of collectivist orientations and family contexts commonly found among these diverse communities.
Introduction
Myths and Misinformation
- 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 h…
Inadequacies of Traditional Mental Health Care
- The number of Asian-American/Pacific Islander mental health providers is very low, as are mental health services accessible to various Asian-American/Pacific Islander communities. The paucity of bilingual and culturally competent therapists compounds the problem of inadequate mental health care. Even the U.S. Surgeon General documented inadequate mental health treatment for …
Culture-Specific Views of Mental Health and Healing
- 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 ...
Oppression and Racism as Mental Health Issues
- Historically, racism and sexism toward Asian-Americans and Pacific Islanders in the United States has been prevalent. Whether mandated by the U.S. government (e.g., Gentleman's Agreement of 1860, antimiscegenation laws, unconstitutional internment of Japanese-Americans during World War II) or acted upon by individuals via hate crimes, Asian-Americans and Pacific Islanders conti…
References
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders(4th Ed., text revision).Washington, D.C.: Author.
- U.S. Census Bureau. (2001). The Asian and Pacific Islander population in the United States(PDF, 177.5KB): March 2000 (Update) (PPL-146). Retrieved June 28, 2001.
- U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and eth…
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders(4th Ed., text revision).Washington, D.C.: Author.
- U.S. Census Bureau. (2001). The Asian and Pacific Islander population in the United States(PDF, 177.5KB): March 2000 (Update) (PPL-146). Retrieved June 28, 2001.
- U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to Mental health: A report of the SurgeonGeneral. Rockville, MD: U.S. Department of He...
Recommended Readings For Practitioners
- Lee, E. (1997). Working with Asian Americans: A guide for clinicians. New York, NY: Guilford Press.
- Lee, L. C., and Zane, N.W. S. (1998). Handbook of Asian American psychology.Thousand Oaks, CA: Sage Publications.
- Okazaki, S. (2000).Assessing and treating Asian Americans: Recent advances. In I. Cuellar & …
- Lee, E. (1997). Working with Asian Americans: A guide for clinicians. New York, NY: Guilford Press.
- Lee, L. C., and Zane, N.W. S. (1998). Handbook of Asian American psychology.Thousand Oaks, CA: Sage Publications.
- Okazaki, S. (2000).Assessing and treating Asian Americans: Recent advances. In I. Cuellar & F.A. Paniagua (Eds.), Handbook of multicultural mental health(pp. 171-193). San Diego, CA:Academic Press.
- Uba, L. (1994). Asian Americans: Personality patterns, identity, and mental health. New York, NY: Guilford Press.