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Engaging Asian Americans for Mental Health Research: Challenges and Solutions

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Abstract

Asian American communities have important and unmet mental health needs, but there is comparatively little research data on process and outcomes that can guide evidence-based approaches to mental health care. This paper describes our experience of building research programs in a community-based health care facility, some of the challenges we faced, and barriers that were overcome. We have learned that a) mental health services research can be carried out in a community health center with minimal intrusion on usual patient flow; b) the effort must be shared between the health center and the community; c) barriers to participation in mental health research programs are multifactorial ranging from conceptual, cultural, and attitudinal biases to practical concerns inherent in the ethnic minority population; and d) resistance can be overcome by working with participants’ cultural and social needs and using their explanatory belief models when developing and pursuing studies.

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References

  1. Uba L: Asian Americans: Personality patterns, identity, and mental health. New York: Guilford; 1994

    Google Scholar 

  2. Satcher D: Mental Health: A Report of the Surgeon General: Department of Health and Human Services. Rockville, MD; 1999

    Google Scholar 

  3. Sue S, Zane N, Young K: Research on psychotherapy with culturally diverse populations. In Bergin AE, and Garfield SL, ed. Handbook of Psychotherapy and Behavior Change (4th edn., pp. 783–817). New York: Wiley; 1994

    Google Scholar 

  4. Snowden LR, Cheung FK: Use of inpatient mental health services by members of ethnic minority groups. Am Psychol 1990; 45:347–355

    Google Scholar 

  5. Matsuoka JK, Breaux C, Ryujin DH: National utilization of mental health services by Asian Americans. J Community Psychol 1997; 25:141–145

    Google Scholar 

  6. Leong FT, Lau AS: Barriers to providing effective mental health services to Asian Americans. Ment Health Serv Res 2001; 3:201–214

    Google Scholar 

  7. Zhang AY, Snowden LR, Sue S: Differences between Asian and White Americans’ help seeking and utilization patterns in the Los Angeles area. J Community Psychol 1998; 26:317–326

    Google Scholar 

  8. Iwamasa GY, Hillgard KM: Depression and anxiety among Asian American elders: A review of the literature. Clin Psychol Rev 1999; 19:343–357

    Google Scholar 

  9. Sadler GR, Nguyen F, Doan Q, Au H, Thomas AG: Strategies for reaching Asian Americans with health information. Am J Prev Med 1998; 14:224–228

    Google Scholar 

  10. Tang TS, Solomon LJ, Yeh CJ, Worden JK: The role of cultural variables in breast self-examination and cervical cancer screening behavior in young Asian women living in the United States. J Behav Med 1999; 22:419–436

    Google Scholar 

  11. Chung H: The challenges of providing behavioral treatment to Asian Americans. West J Med 2002; 176:222–223

    Google Scholar 

  12. Chan DW: The Chinese General Health Questionnaire in a psychiatric setting: The development of the Chinese scaled version. Soc Psychiatry Psychiatr Epidemiol 1993; 28(3):124–129

    Google Scholar 

  13. Yang TZ, Huang L, Wu ZY: The application of Chinese health questionnaire for mental disorder screening in community settings in mainland China. (Chinese) Chin J Epidemiol 2003; 24:769–773

    Google Scholar 

  14. Katzman R, Zhang MY, Ouang-Ya-Qu Wang ZY, Liu WT, Yu E, Wong SC, Salmon DP, Grant I: A Chinese version of the mini-mental state examination; impact of illiteracy in a Shanghai dementia survey. J Clin Epidemiol 1988; 41:971–978

    Google Scholar 

  15. Lin SK, Lee CH, Pan CH, Hu WH: Comparison of the prevalence of substance use and psychiatric disorders between government- and self-employed commercial drivers. Psychiatry Clin Neurosci 2003; 57:425–431

    Google Scholar 

  16. Cheung CK, Bagley C: Validating an American scale in Hong Kong: The Center for Epidemiological Studies Depression Scale (CES-D). J Psychol 1998; 132(2):169–186

    Google Scholar 

  17. Chan AC: Clinical validation of the Geriatric Depression Scale (GDS): Chinese version. J Aging Health 1996; 8:238–253

    Google Scholar 

  18. Katzman R, Brown T, Fuld P, Peck A, Schechter R, Schimmell H: Validation of a short Orientation-Memory Concentration Test of Cognitive Impairment. Am J Psychiatry 1983; 140:734–739

    Google Scholar 

  19. Kramer EJ, Kwong K, Lee E, Chung H: Cultural factors influencing the mental health of Asian Americans. West J Med 2002; 176:227–232

    Google Scholar 

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Correspondence to Hongtu Chen.

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Chen, H., Kramer, E.J., Chen, T. et al. Engaging Asian Americans for Mental Health Research: Challenges and Solutions. J Immigrant Health 7, 109–118 (2005). https://doi.org/10.1007/s10903-005-2644-6

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  • DOI: https://doi.org/10.1007/s10903-005-2644-6

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