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

Autor: Gao C; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Cho LL; Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.; BC Mental Health and Substance Use Services Research Institute, Vancouver, British Columbia, Canada., Dhillon A; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada., Kim S; Department of Psychiatry, McMaster University, Hamilton, Canada.; Waypoint Research Institute, Waypoint Centre for Mental Healthcare, Penetanguishene, Canada., McGrail K; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada., Law MR; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada., Sunderji N; Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada., Barbic S; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Jul 15; Vol. 19 (7), pp. e0304907. Date of Electronic Publication: 2024 Jul 15 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0304907
Abstrakt: The objective of the review is to identify factors related to how East and Southeast Asian immigrant youth aged 12-24 and their families access mental health and substance use (MHSU) services. To address how East and Southeast Asian youth and their families access mental health and substance use services, a scoping review was conducted to identify studies in these databases: PubMed, MEDLINE (Ovid), EMBASE (Ovid), PsychINFO, CINAHL, and Sociology Collection. Qualitative content analysis was used to deductively identify themes and was guided by Bronfenbrenner's Ecological Systems Theory, the process-person-context-time (PPCT) model, and the five dimensions of care accessibility (approachability, acceptability, availability and accommodation, appropriateness, affordability). Seventy-three studies met the inclusion criteria. The dimensions of healthcare accessibility shaped the following themes: 1) Acceptability; 2) Appropriateness; 3) Approachability; 4) Availability and Accommodation. Bronfenbrenner's Ecological Systems Theory and the PPCT model informed the development of the following themes: 1) Immediate Environment/Proximal Processes (Familial Factors, Relationships with Peers; 2) Context (School-Based Services/Community Resources, Discrimination, Prevention, Virtual Care); 3) Person (Engagement in Services/Treatment/Research, Self-management); 4) Time (Immigration Status). The study suggests that there is a growing body of research (21 studies) focused on identifying acceptability factors, including Asian cultural values and the model minority stereotype impacting how East and Southeast Asian immigrant youth access MHSU services. This review also highlighted familial factors (16 studies), including family conflict, lack of MHSU literacy, reliance on family as support, and family-based interventions, as factors affecting how East and Southeast Asian immigrant youth access MHSU care. However, the study also highlighted a dearth of research examining how East and Southeast Asian youth with diverse identities access MHSU services. This review emphasizes the factors related to the access to MHSU services by East and Southeast Asian immigrant youth and families while providing insights that will improve cultural safety.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Gao et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje