Mental Health Service Use and Perceived Unmet Needs for Mental Health Care in Asian Americans

Overview

Journal Community Ment Health J

Specialty Health Services

Date 2018 Oct 26

PMID 30357724

Citations 10

Authors

Yuri Jang

Hyunwoo Yoon

Nan Sook Park

Min-Kyoung Rhee

David A Chiriboga

Affiliations

Soon will be listed here.

Abstract

Using data from the Asian American Quality of Life (AAQoL, n = 2609) survey, logistic regression models of mental health service use and perceived unmet needs were estimated with background variables, ethnicity, and mental health status. More than 44% of the participants were categorized as having mental distress (Kessler 6 [K6] ≥ 6) and 6.1% as having serious mental illness (SMI, K6 ≥ 13). About 23% had used services (mental health specialist, general doctor, and/or religious leader) for their emotional concerns during the past year, and about 7% reported that there was a time that they needed mental health care but could not get it. In the multivariate analyses, the presence of mental distress and SMI increased the odds of using any service and having perceived unmet needs. Those who had used services exhibited higher odds of reporting unmet needs, calling concerns about the quality of services and user satisfaction.

Citing Articles

Treatment Outcomes for Asian Americans Diagnosed with Schizophrenia Spectrum Disorder.

Lim C, Um M, Schott E, Arkadie N, Hernandez M, Barrio C Community Ment Health J. 2024; 61(1):169-180.

PMID: 39222171 DOI: 10.1007/s10597-024-01340-0.

Understanding the factors related to how East and Southeast Asian immigrant youth and families access mental health and substance use services: A scoping review.

Gao C, Cho L, Dhillon A, Kim S, McGrail K, Law M PLoS One. 2024; 19(7):e0304907.

PMID: 39008453 PMC: 11249267. DOI: 10.1371/journal.pone.0304907.

Distress, multimorbidity, and complex multimorbidity among Chinese and Korean American older adults.

Oh H, Morey B, Shi Y, Lee S PLoS One. 2024; 19(1):e0297035.

PMID: 38295036 PMC: 10830023. DOI: 10.1371/journal.pone.0297035.

The mediation role of self-esteem and hope on the relationship of quality of life and unmet needs of elderly with psychiatric disorders.

Jenabi Ghods M, Fattah Moghaddam L, Hosseinabadi-Farahani M, Pourebrahimi M J Educ Health Promot. 2023; 12:89.

PMID: 37288421 PMC: 10243421. DOI: 10.4103/jehp.jehp_163_22.

Influence of Cultural Values and Integrational Acculturation Differences on the Behavioral Health Treatment of Asian American Immigrant Children in the COVID-19 Era.

Wang C, Sun M, Lin M, Wu S, Rice T South Med J. 2023; 116(4):365-368.

PMID: 37011586 PMC: 10044593. DOI: 10.14423/SMJ.0000000000001541.

References

Lee S, Martins S, Keyes K, Lee H . Mental health service use by persons of Asian ancestry with DSM-IV mental disorders in the United States. Psychiatr Serv. 2011; 62(10):1180-6. PMC: 3698479. DOI: 10.1176/ps.62.10.pss6210_1180. View

Jang Y, Kim G, Hansen L, Chiriboga D . Attitudes of older Korean Americans toward mental health services. J Am Geriatr Soc. 2007; 55(4):616-20. PMC: 1986774. DOI: 10.1111/j.1532-5415.2007.01125.x. View

Furukawa T, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y . The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res. 2008; 17(3):152-8. PMC: 6878390. DOI: 10.1002/mpr.257. View

Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E . Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003; 60(2):184-9. DOI: 10.1001/archpsyc.60.2.184. View

Wang P, Lane M, Olfson M, Pincus H, Wells K, Kessler R . Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6):629-40. DOI: 10.1001/archpsyc.62.6.629. View

Lee S, Martins S, Lee H . Mental disorders and mental health service use across Asian American subethnic groups in the United States. Community Ment Health J. 2014; 51(2):153-60. DOI: 10.1007/s10597-014-9749-0. View

Yamada A, Lee K, Kim M . Community mental health allies: referral behavior among Asian American immigrant Christian clergy. Community Ment Health J. 2011; 48(1):107-13. DOI: 10.1007/s10597-011-9386-9. View

Harris K, Edlund M, Larson S . Racial and ethnic differences in the mental health problems and use of mental health care. Med Care. 2005; 43(8):775-84. DOI: 10.1097/01.mlr.0000170405.66264.23. View

Dong X, Chang E, Wong E, Simon M . The perceptions, social determinants, and negative health outcomes associated with depressive symptoms among U.S. Chinese older adults. Gerontologist. 2011; 52(5):650-63. PMC: 3463416. DOI: 10.1093/geront/gnr126. View

10.

Kang Y, Guo W, Xu H, Chen Y, Li X, Tan Z . The 6-item Kessler psychological distress scale to survey serious mental illness among Chinese undergraduates: Psychometric properties and prevalence estimate. Compr Psychiatry. 2015; 63:105-12. DOI: 10.1016/j.comppsych.2015.08.011. View

11.

Derose K, Escarce J, Lurie N . Immigrants and health care: sources of vulnerability. Health Aff (Millwood). 2007; 26(5):1258-68. DOI: 10.1377/hlthaff.26.5.1258. View

12.

Jang Y, Kim M . Limited English Proficiency and Health Service Use in Asian Americans. J Immigr Minor Health. 2018; 21(2):264-270. PMC: 6252148. DOI: 10.1007/s10903-018-0763-0. View

13.

Kessler R, Green J, Gruber M, Sampson N, Bromet E, Cuitan M . Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative. Int J Methods Psychiatr Res. 2010; 19 Suppl 1:4-22. PMC: 3659799. DOI: 10.1002/mpr.310. View

14.

Snowden L, Masland M, Peng C, Wei-Mien Lou C, Wallace N . Limited English proficient Asian Americans: Threshold language policy and access to mental health treatment. Soc Sci Med. 2010; 72(2):230-7. DOI: 10.1016/j.socscimed.2010.10.027. View

15.

Kessler R, Andrews G, Colpe L, Hiripi E, Mroczek D, Normand S . Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002; 32(6):959-76. DOI: 10.1017/s0033291702006074. View