Voices of the Filipino Community Describing the Importance of Family in Understanding Adolescent Behavioral Health Needs

Javier, Joyce R.; Galura, Kristina; Aliganga, Frank Anthony P.; Supan, Jocelyn; Palinkas, Lawrence A.

doi:10.1097/fch.0000000000000173

Cited by 22 publications

(27 citation statements)

References 33 publications

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“…Research examining disruptions in the family because of parental migration reveal experiences of economic challenges, emotional problems, and poor health [ 40 , 41 , 42 ]. Where family cohesion is present, Filipino adolescents felt supported, had great academic ambitions, and mental health [ 43 ]. In our study, family disruptions often took place during times of war with some of the youth never reuniting with their parents.…”

Section: Discussionmentioning

confidence: 99%

African Refugee Youth’s Experiences of Navigating Different Cultures in Canada: A “Push and Pull” Experience

Woodgate

Busolo

2021

IJERPH

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Refugee youth face challenges in navigating different cultures in destination countries and require better support. However, we know little about the adaptation experiences of African refugee youth in Canada. Accordingly, this paper presents the adaptation experiences of African refugee youth and makes recommendations for ways to support youth. Twenty-eight youth took part in semi-structured interviews. Using a thematic analysis approach, qualitative data revealed four themes of: (1) ‘disruption in the family,’ where youth talked about being separated from their parent(s) and the effect on their adaptation; (2) ‘our cultures are different,’ where youth shared differences between African and mainstream Canadian culture; (3) ‘searching for identity: a cultural struggle,’ where youth narrated their struggles in finding identity; and (4) ‘learning the new culture,’ where youth narrated how they navigate African and Canadian culture. Overall, the youth presented with challenges in adapting to cultures in Canada and highlighted how these struggles were influenced by their migration journey. To promote better settlement and adaptation, youth could benefit from supports and activities that promote cultural awareness with attention to their migration experiences. Service providers could benefit from newcomer-friendly and culturally sensitive training on salient ways of how experiences of multiple cultures affect integration outcomes.

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Section: Discussionmentioning

confidence: 99%

African Refugee Youth’s Experiences of Navigating Different Cultures in Canada: A “Push and Pull” Experience

Woodgate

Busolo

2021

IJERPH

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“…Given the cultural emphasis on AsA family interdependence (Kim et al, 2001), family involvement, which has been shown to enhance youth psychotherapy efficacy in general (Haine-Schlagel & Walsh, 2015), might also increase treatment engagement for AsA youth (Sandil, 2006). Consistent with this possibility, qualitative evidence suggests that improving family cohesion during treatment is beneficial for the behavioral health of AsA youth (e.g., Filipino youth; Javier et al, 2018).…”

Section: Family Involvementmentioning

confidence: 98%

A Systematic Narrative Review of Cognitive-Behavioral Therapies with Asian American Youth

Xin¹,

Fitzpatrick²,

Lai³

et al. 2021

Preprint

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Asian American (AsA) youth comprise a large and fast-growing proportion of the U. S. population. AsA youth have comparable, and in some cases higher, rates of mental health concerns compared to White youth, but are significantly less likely to utilize mental health services. Cognitive-behavioral therapy (CBT), although originally designed by and for White and Western populations, might provide clinical benefits for AsA youth because several CBT characteristics overlap with AsA values (e.g., directive therapeutic style; family involvement). Despite this promise, there has yet to be a synthesis of evidence on the effectiveness of CBT, either culturally-adapted or non-adapted, for AsA youth. A systematic narrative review identified randomized controlled trials (RCTs) of CBT conducted with AsA youth. Electronic databases used included PsycINFO, Web of Science, PubMed, and ProQuest. Our search yielded 2,059 articles, of which, 8 RCTs (386 participants) met inclusion criteria. Studies were heterogeneous across targeted problems (e.g., phobia, depression) and age (M=8.4-22.1 years). Findings suggest that both culturally-adapted and non-adapted CBT (3 and 5 RCTs, respectively) were effective in reducing a range of emotional and behavioral problems for AsA youth. The dearth of studies with AsA youth underscores the need for enhancing the cultural responsiveness of clinical research and practice, as well as harnessing community-engaged methods to improve the accessibility and utilization of evidence-based mental health services for AsA youth.

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“…For the present study, we chose to conduct focus groups with adult participants because the definition to be developed would have to resonate with parents and caregivers first due to their place of authority and influence within the family hierarchy to seek and consent to the utilization of mental health services by their adolescents (Javier et al, 2018).…”

Section: Stigmatization Shame and Hiyamentioning

confidence: 99%

Creating a shared definition of adolescent mental health in the Filipino American community: A comparative focus group analysis.

Coffey¹,

Sepúlveda²,

David³

et al. 2022

Asian American Journal of Psychology

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Despite high rates of mental health disparities, Filipino Americans have low rates of mental health service utilization. This is especially significant for Filipino American adolescents, as research suggests that this demographic is experiencing many serious behavioral health disparities. Underutilization of mental health services may depend on the conceptualization, definition, and expression of psychological distress. Thus, our research team conducted five focus groups (N = 37) to develop a shared community definition of Filipino American adolescent mental health to address this critical issue. We used narrative and content analyses for explicit theory construction to develop the shared definition: "Mental health or peace of mind is a sense of acceptance and balance that comes from having a strong system of friendship and sound family relationships that allow adolescents to be the best they can be. A compassionate community, like a family of extended family, is a source of help where making connections with others leads to open communication within families, friends, and community. Understanding the Filipino American experience in terms of generational, cultural, and immigration level differences as well as how colonial mentality is still affecting Filipino Americans promotes a sense of identity and self-worth within Filipino American adolescents." Anticipated impact on Filipino American behavioral health disparities was discussed. We concluded that future interventions are needed beyond traditional systems of health care. We proposed a new cultural conversation based on kapwa [shared identity] to decrease the stigmatization associated with mental health care and promote peace of mind within Filipino American adolescents.

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Voices of the Filipino Community Describing the Importance of Family in Understanding Adolescent Behavioral Health Needs

Cited by 22 publications

References 33 publications

African Refugee Youth’s Experiences of Navigating Different Cultures in Canada: A “Push and Pull” Experience

African Refugee Youth’s Experiences of Navigating Different Cultures in Canada: A “Push and Pull” Experience

A Systematic Narrative Review of Cognitive-Behavioral Therapies with Asian American Youth

Creating a shared definition of adolescent mental health in the Filipino American community: A comparative focus group analysis.

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