Meeting the Mental Health Needs of Asian People

Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com Please SUBSCRIBE and click the BELL to be notified when we release new videos and when Dr. Dawn Elise Snipes is going live each month. Access additional benefits by JOINING here https://www.youtube.com/channel/UCAE3JJi8tX7gfhZEXCUGd_A/join

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Improving Cultural Competence Working with Asian People
Instructor: Dr. Dawn-Elise Snipes, PhD

Objectives
- Learn about Asian cultures, traditions and values as they relate to mental health
- Learn about communication styles to help the counselor more effectively communicate with culturally different clients
- Explore health disparities
- Explore appropriate approaches to counseling
General Information
- Asian Americans have a 17.30 percent overall lifetime rate of any psychiatric disorder and a 9.19 percent 12-month rate, yet Asian Americans are three times less likely to seek mental health services than Whites
- Cultural factors, such as language, age, gender, and others, can influence the mental health of Asians, particularly immigrants
- Asians place great value on the family as a unit. Each individual has a clearly defined role and position in the family hierarchy and is expected to function within that role, submitting to the larger needs of the family.
- Social stigma, shame, and saving face often prevent Asians from seeking behavioral health care
- Asian patients are likely to express psychological distress as physical complaints

General cont…
- Language Knowledge of English is one of the most important factors influencing access to care. 
- Level of acculturation Typically, it takes three generations for immigrants to fully adopt the lifestyle of the dominant culture.
- Age In general, the younger people are when they migrate, the more readily they adapt
- Gender Historically, men have acculturated more rapidly than women
- Occupational Issues: Sometimes, women earn more than men, thereby disrupting family expectations and traditional values

Tips for Providers
- Checking for understanding is critical. It is all too easy to misinterpret a common gesture as agreement or understanding when the patient is actually confused or even resistant to a diagnosis/treatment.
- Asian patients/families will often be reluctant to complain or ask for clarification
- Avoiding the use of yes/no questions is very important.
- Establish the professional’s role and assume authority.
- Check for understanding
- Be patient, and consider periods of silence opportunities for reflection on what has been said.

Tips for Providers
- Provide clear and full information, such as what is expected from each participant in the discussion.
- Be attentive to nonverbal cues—Most Asian cultures have high-context communication styles.
- Address immediate needs and give concrete advice.
- Avoid direct conflict and reach consensus by compromising.
- It’s most effective to educate the entire family while treating the patient.
- When seeing Asian-American patients, the family often accompanies the patient to the interview room

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