Although most individuals in psychological distress do not seek and receive mental health services, underutilization of services continues to be the major mental health disparity affecting certain racial/ethnic minority populations, such as Asian Americans (Sue, Cheng, Saad, & Chu, 2012). Unfortunately, this problem has persisted over the past few decades, and there is limited theoretical understanding of why this occurs. The goal of the current study was to apply a social psychological theoretical framework--the Health Belief Model (Rosenstock, 1966)--to understand why people in distress do not seek help, and moreover, why this problem is especially pronounced among Asian Americans. This study examined how levels of functioning, perceived susceptibility to mental health problems, perceived benefits of treatment, and perceived barriers to treatment influenced intentions to seek help among a sample of 395 Asian American and 261 White American individuals experiencing elevated levels of psychological distress. Analyses using structural equation modeling indicated that perceived benefits partially explained why Asian Americans had lower intentions to seek help relative to White Americans. For Asian Americans, functioning was negatively related to help-seeking, but this effect was not present for White Americans. As this study is one of few studies to concurrently assess barriers and facilitators of help-seeking among those experiencing current psychological distress, clinical implications of these results are discussed.

This project is unique in the field for a number of reasons, both in structure and in content. Specifically, it will have leading experts on specific age groups (Childhood to Adolescence, Young Adulthood to Middle Age, and The Elderly) within the cultural groups of interest (European-Americans, African-Americans, Asian-Americans, Hispanic-Americans, and Native Americans) contribute a chapter covering current research on both positive and negative functioning for each population. Each chapter will present basic demographic information, strengths that contribute to resilience, and three significant challenges each group faces to maintaining mental health. Each chapter will then include an integrative section, where ideas are advanced about how the strengths of each group can be harnessed to address the challenges that group faces. To conclude, each chapter will propose future directions for research which addresses integrative approaches to mental health for each group, and the implications that such approaches could have for future treatment. The main points of each section of each chapter will be visually summarized in a concluding table.

Asian American Mental Health is a state-of-the-art compendium of the conceptual issues, empirical literature, methodological approaches, and practice guidelines for conducting culturally informed assessments of Asian Americans, and for assessing provider cultural competency within individuals and systems. It is the first of its kind on Asian Americans. This volume draws upon the expertise of many of the leading experts in Asian American and multicultural mental health to provide a much needed resource for students and professionals in a wide range of disciplines including clinical psychology, medical anthropology, psychiatry, cross-cultural psychology, multicultural counseling, ethnic minority psychology, sociology, social work, counselor education, counseling psychology, and more.

There have been significant advances in research on Asian American mental health within the past decade. This chapter discusses resources and strategies for conducting culturally responsive assessment and treatment with Asian Americans that highlight the theories and knowledge gained since the publication of the previous edition of this Handbook in 2000. The first section on assessment discusses race, immigration, and culture-related factors that affect the phenomenology of distress among Asian Americans. The second section on treatment discusses theories and evidence regarding factors that increase therapeutic credibility as well as the recent advances in applying evidence-based treatment with Asian Americans.

This book has two objectives: to show that the research does not support the belief that Asians in the United States are well adjusted, and therefore, do not need mental health services; and, to show the effects of cultural differences between Americans and Asians in the recognition and treatment of mental health problems. The book has eight chapters which discuss the following subjects: why Asian Americans should be studied; patterns of disturbance and use of mental health services; cultural issues in recognizing symptoms and identifying disturbed persons; the Asian American family; personality, sex-role conflicts and ethnic identity; improving intervention and treatment; and future directions for Asian American mental health. In each chapter the author reviews and criticizes the research to date these subjects. The author's conclusions include: 1) the rate of mental disorders among Asian Americans has been underestimated; 2) the expression of symptoms is influenced by culture; and 3) the Asian American family has both positive and negative effects on mental health. While the author only briefly mentions the special problems of Asian American refugees, the mental health issues discussed in the book are applicable to all Asian American immigrants, including refugees.

Asian American Mental Health is a state-of-the-art compendium of the conceptual issues, empirical literature, methodological approaches, and practice guidelines for conducting culturally informed assessments of Asian Americans, and for assessing provider cultural competency within individuals and systems. It is the first of its kind on Asian Americans. This volume draws upon the expertise of many of the leading experts in Asian American and multicultural mental health to provide a much needed resource for students and professionals in a wide range of disciplines including clinical psychology, medical anthropology, psychiatry, cross-cultural psychology, multicultural counseling, ethnic minority psychology, sociology, social work, counselor education, counseling psychology, and more.