Mental Health Service Use Types Among Asian Americans with a Psychiatric Disorder: Considerations of Culture and Need
- 951 Downloads
Despite levels of need that are comparable with other groups, relatively few Asian Americans receive mental health care. While studies have described the tendency for Asian Americans to delay care until mental health symptoms are severe, relatively little research has examined how the severity of symptoms impact mental health service use. This study uses publicly available data from the National Latino and Asian American Study (NLAAS) and focuses solely on Asian American respondents with a psychiatric disorder (n = 230). Unexpectedly, few Asian Americans with a psychiatric disorder received care in a medical setting. The perception of mental health needs increased the likelihood of using mental health specialist care. Social and systemic barriers together hinder mental health service use. Implications for addressing Asian American mental health service use within a changing health care environment are discussed.
KeywordsMental Health Mental Health Service Mental Health Care General Medical Service Sheehan Disability Scale
Conflict of interest
No conflict of interest exists in the current study.
- 3.US Department of Health and Human Services. Mental health: Culture, race, and ethnicity - A supplement to mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2001.Google Scholar
- 6.Jang M, Lee E, Woo, K. Income, language, and citizenship status: Factors affecting the health care access and utilization of Chinese Americans. Health and Social Work. 1998;23(2).Google Scholar
- 8.New Freedom Commission on Mental Health. Achieving the promise: Transforming mental health care in America. Final report. Rockville, MD: DDHS Pub; 2003.Google Scholar
- 11.Pescosolido BA, Boyer CA. How do people come to use mental health services? Current knowledge and changing perspectives. In: Horowitz AV, Scheid TL, eds. A handbook for the study of mental health: Social contexts, theories, and systems. New York: Cambridge University Press. 1999:392-411.Google Scholar
- 16.Alegría M, Pescosolido BA, Williams S, et al. Culture, race/ethnicity and disparities: Fleshing out the socio-cultural framework for health services disparities. In: Pescosolido BA, Martin, JK, McLeod JD, et al., eds. Handbook of the Sociology of Health, Illness, and Healing A Blueprint for the 21st Century. New York: Springer. 2011:363-382.CrossRefGoogle Scholar
- 17.Nguyen D, Lee R. Nativity and level of need: Toward an integrative view of Asian American mental health service use. Journal of Immigrant Health, 2013. doi: 10.1007/s10903-013-9812-x
- 21.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association. 1994.Google Scholar
- 23.Sheehan DV. The Anxiety disease. New York: Scribner. 1983Google Scholar
- 24.Rush JA, First MB, Blacker D. Handbook of Psychiatric Measures,Washington, DC: American Psychiatric Association. 2000.Google Scholar
- 36.Kilo CM, Wasson JH. Practice redesign and the patient-centered medical home: History promises, and challenges Health Aff. (Millwood) 2010;29(5):773-778.Google Scholar