Asian Americans and Mental Health Services

Chen, Sheying; Sullivan, Ning Yang; Lu, Yuhwa Eva; Shibusawa, Tazuko

doi:10.1300/j051v12n02_02

Cited by 53 publications

(12 citation statements)

References 31 publications

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“…The lack of racial/ethnic differences in length of stay is contrary to prior studies (e.g., Chen et al, 2003; Shin, 2009), and it is important to note the unique treatment setting, patient characteristics, and data source of the current study. Most prior studies that have found differences in length of stay have examined aggregated county or state mental health data.…”

Section: Discussionmentioning

confidence: 64%

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Kim

Saw

Zane

et al. 2014

Asian American Journal of Psychology

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Most of the knowledge of racial/ethnic disparities in mental health treatment utilization comes from studies examining outpatient services, and less is known about these disparities in inpatient services. This empirical gap may limit our understanding of these disparities since inpatient treatment is the most intensive form of specialty mental health care for patients with psychological disorders. We conducted a systematic chart review of 129 Asian American and 198 White American psychiatric inpatients to examine patterns of inpatient psychiatric treatment utilization. Demographic and clinical data were extracted from admission and discharge records during a two-year timeframe. Patterns of diagnoses revealed that Asian American patients utilized inpatient services for more severe psychiatric diagnoses compared to White American patients. Despite this, there were no racial/ethnic differences in levels of functional impairment at admission, and there were no racial/ethnic differences in length of treatment stay. For Asian American patients, level of psychosocial functioning at admission predicted length of stay. A better understanding of patterns of inpatient treatment use is needed to meet the clinical needs of Asian Americans with psychiatric disorders.

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Section: Discussionmentioning

confidence: 64%

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Kim

Saw

Zane

et al. 2014

Asian American Journal of Psychology

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“…Sue, Yan Cheng, Saad, & Chu, 2012). This mental health disparity manifests in a multifaceted manner, such as lower service utilization rates rela tive to Whites (Matsuoka, Breaux, & Ryujin, 1997), presenting for professional help with more severe symptoms compared to other races (S. Chen, Sullivan, Lu, & Shibusawa, 2003), and a prefer ence for receiving help from sources outside of professional men tal health services (e.g., mental health courses; Ruzek, Nguyen, & Herzog, 2011). What is especially troubling is the recent evidence based on national data indicating that Asian Americans continue to lag behind other groups (African Americans, Hispanics, and nonHispanic Whites) in mental health service utilization, even while factoring in rates of distress (S. Sue et al, 2012).…”

mentioning

confidence: 99%

Etiology beliefs moderate the influence of emotional self-control on willingness to see a counselor through help-seeking attitudes among Asian American students.

Kim¹,

Kendall²

2015

Journal of Counseling Psychology

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To identify correlates of Asian American professional help-seeking, we tested a mediation model describing Asian American help-seeking (Asian value of emotional self-control → help-seeking attitudes → willingness to see a counselor; Hypothesis 1) in a sample of Asian American college students from the Pacific Northwest region of the United States (N = 232). We also examined biological and spiritual etiology beliefs as moderators of the mediation model (Hypotheses 2a and 2b). Our findings indicated that help-seeking attitudes significantly mediated the relation between emotional self-control and willingness to see a counselor, consistent with our mediation hypothesis. Furthermore, biological and spiritual etiology beliefs moderated this mediation model, providing partial support for our moderation hypotheses. Our findings suggest that researchers can contribute to the Asian American literature by investigating conditions in which established Asian American help-seeking models may or may not hold. In addition, the findings suggest additional nuanced ways for counselors to reach out to Asian American students to increase their mental health service utilization.

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“…Similarly, some studies (e.g. Chen et al, 2003) have reported that API Americans may present for a dementia evaluation later than NHWs, though the research involving this group is scant. However, Watari and Gatz (2004) did not find evidence for a statistically significantly longer delay to dementia diagnosis among their sample of Korean American dementia outpatients as compared to their NHW counterparts.…”

Section: Level Of Cognitive Impairment At and Time To Initial Evaluatmentioning

confidence: 99%

Cross-cultural differences in dementia: the Sociocultural Health Belief Model

Sayegh

Knight

2012

Int. Psychogeriatr.

118

103

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The SHBM provides an empirically based conceptual framework for examining cross-cultural differences in dementia care-seeking among diverse groups. We provide recommendations for future research, such as the need for research with more diverse ethnic subgroups and the examination of group-specific cultural values. We conclude with a discussion of the clinical and service implications of our review, including potential interventions aimed at facilitating timely dementia diagnoses among ME older adults.

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Asian Americans and Mental Health Services

Cited by 53 publications

References 31 publications

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Patterns of utilization and outcomes of inpatient psychiatric treatment in Asian Americans.

Etiology beliefs moderate the influence of emotional self-control on willingness to see a counselor through help-seeking attitudes among Asian American students.

Cross-cultural differences in dementia: the Sociocultural Health Belief Model

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