This study identifies social, political, and cultural barriers to help seeking from health care organizations faced by abused Latina and Asian immigrant women. Qualitative data were collected through four semistructured ethnic-specific focus group interviews with 28 abused Latina and Asian immigrant women. Participants who had suffered intimate partner abuse were recruited through urban community-based organizations in San Francisco, California. Sociopolitical barriers to help seeking and patient-provider communication included social isolation, language barriers, and, for some, discrimination and fears of deportation. Sociocultural barriers included dedication to the children and family unity, shame related to the abuse, and the cultural stigma of divorce. Abused Latina and Asian immigrant women face significant social, cultural, and political barriers to patient-provider communication and help seeking. Medical and social service providers and policy makers may improve the quality of care for these women by understanding and addressing these barriers.

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This paper presents preliminary findings of two studies conducted with Chicana/Latina secondary and university students. Ninety-four women were surveyed concerning alcohol and drug use, behavioral efficacy, knowledge of HIV infection, and sexual practices. In addition, two focus groups were conducted in the high school and four in the university. The focus groups examined the women's perception of the role of cultural values and family communication in their ability to prevent high risk behaviors (alcohol and drug use, unsafe sexual practices). The implications of the findings are discussed in terms of Chicano scholarship, health promotion, and methodological issues in research with Latinas.

General guidelines are offered for the successful engagement of Latino families in family therapy. It is suggested that a therapist's involvement of Latinos in therapy requires both skills in family therapy and sensitivity to cultural issues.Factors found to be useful in the family assessment are presented. Furthermore, issues in the engagement and evaluation phases of family therapy with Latino families are discussed, and illustrative clinical material is presented.