Journal of Substance Abuse Treatment
Volume 37, Issue 4 , Pages 398-406, December 2009

Reducing cultural barriers to substance abuse treatment among Asian Americans: A case study in New York City

  • Jiang Yu, Ph.D.

      Affiliations

    • New York State Office of Alcoholism and Substance Abuse, Albany, NY 12203, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 518 457 0053; fax: +1 518 457 5674.
  • ,
  • Lucia Perfetti Clark, M.A.

      Affiliations

    • New York State Office of Alcoholism and Substance Abuse, Albany, NY 12203, USA
  • ,
  • Lalita Chandra, Ph.D.

      Affiliations

    • New York State Office of Alcoholism and Substance Abuse, Albany, NY 12203, USA
  • ,
  • Agnelo Dias, Ed.D.

      Affiliations

    • Asian Outreach Program, Child Center of New York, Elmhurst, NY 11373, USA
  • ,
  • Ting-Fun May Lai, M.S.W.

      Affiliations

    • Behavioral Health Services, Hamilton Madison House, New York, NY 10002, USA

Received 31 December 2008; received in revised form 21 May 2009; accepted 21 May 2009. published online 25 June 2009.

Abstract 

This article addresses the issue of underutilization of treatment services by Asian Americans. Although Asian Americans continue to be the fastest growing ethnic minority in New York City, they are reported to underutilize substance abuse treatment services. However, much of the underutilization may be attributed to cultural and language barriers hindering them from seeking help and support. Past literature indicates that when culturally appropriate services are available, service utilization tends to increase among Asian Americans. This study tested strategies to enhance the continuum of care in the Asian community by adapting a well-documented generic early intervention model in a culture-specific setting. The results of this study indicate that these models may be successfully adapted to culturally specific settings such as Asian American communities. When culturally competent services combined with case management and motivational interviewing are provided, there tends to be an increase in Asian clients' chance of accomplishing treatment goals.

Keywords: Asian American, Substance abuse, Cultural competency, Early intervention model

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PII: S0740-5472(09)00090-7

doi:10.1016/j.jsat.2009.05.006

Journal of Substance Abuse Treatment
Volume 37, Issue 4 , Pages 398-406, December 2009