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

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Emigrants and Immigrants*/psychology ; Substance-Related Disorders*/therapy ; Substance-Related Disorders*/ethnology ; Health Services Accessibility* ; Mental Health Services*; Humans ; Adolescent ; Asia, Southeastern/ethnology ; Child ; Young Adult ; Family ; Asia, Eastern ; Southeast Asian People

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.)

J Ment Health. 2013 Aug;22(4):361-71. (PMID: 23323847)
Int J Environ Res Public Health. 2017 Sep 12;14(9):. (PMID: 28895918)
Depress Res Treat. 2011;2011:320902. (PMID: 21961060)
Am J Public Health. 2007 Jan;97(1):91-8. (PMID: 17138905)
J Adv Nurs. 2008 Apr;62(1):107-15. (PMID: 18352969)
N Z Med J. 2021 Sep 17;134(1542):67-83. (PMID: 34531585)
Soc Work Public Health. 2016;31(3):196-203. (PMID: 26984783)
Community Ment Health J. 2019 Feb;55(2):241-248. (PMID: 30357724)
Psychiatr Serv. 2011 Oct;62(10):1180-6. (PMID: 21969644)
SSM Ment Health. 2021 Dec;1:100006. (PMID: 34494013)
Am J Crim Justice. 2020;45(4):647-667. (PMID: 32837171)
JRSM Short Rep. 2011 Jul;2(7):60. (PMID: 21847442)
Cultur Divers Ethnic Minor Psychol. 2016 Jul;22(3):311-321. (PMID: 26098454)
J Adolesc. 2007 Dec;30(6):965-75. (PMID: 17360033)
J Urban Health. 2017 Dec;94(6):764-775. (PMID: 28875414)
Transcult Psychiatry. 2009 Dec;46(4):623-41. (PMID: 20028680)
Community Ment Health J. 1977 Fall;13(3):239-48. (PMID: 913081)
J Couns Psychol. 2014 Jul;61(3):340-51. (PMID: 25019538)
Drug Alcohol Depend. 2017 Feb 01;171:1-8. (PMID: 27988403)
J Nerv Ment Dis. 2013 Jun;201(6):484-9. (PMID: 23689196)
AIDS Educ Prev. 2004 Feb;16(1):84-100. (PMID: 15058713)
Am J Health Behav. 2010 Jan-Feb;34(1):21-30. (PMID: 19663748)
Soc Sci Med. 2017 Jul;184:144-152. (PMID: 28527372)
J Health Care Poor Underserved. 2015 May;26(2 Suppl):191-237. (PMID: 25981098)
Am J Public Health. 2000 Nov;90(11):1731-4. (PMID: 11076241)
Asian J Psychiatr. 2018 Mar;33:1-6. (PMID: 29289856)
PLoS One. 2021 Mar 4;16(3):e0247812. (PMID: 33662045)
Child Adolesc Psychiatry Ment Health. 2022 Mar 3;16(1):19. (PMID: 35241121)
J Can Acad Child Adolesc Psychiatry. 2021 May;30(2):123-130. (PMID: 33953764)
J Consult Clin Psychol. 2007 Oct;75(5):785-94. (PMID: 17907860)
Arch Psychiatr Nurs. 2015 Oct;29(5):326-32. (PMID: 26397437)
J Prim Health Care. 2016 Mar;8(1):35-43. (PMID: 27477373)
BMC Health Serv Res. 2019 Apr 27;19(1):257. (PMID: 31029109)
BMC Psychiatry. 2021 Jan 7;21(1):8. (PMID: 33413195)
Can Fam Physician. 2010 Aug;56(8):778-84. (PMID: 20705886)
Med Law. 2007 Dec;26(4):699-707. (PMID: 18284111)
Am J Orthopsychiatry. 2009 Jan;79(1):125-32. (PMID: 19290732)
Am J Community Psychol. 2005 Dec;36(3-4):387-408. (PMID: 16389507)
Am J Community Psychol. 2012 Mar;49(1-2):73-86. (PMID: 21519936)
J Ment Health. 2022 May 11;:1-16. (PMID: 35543389)
J Immigr Minor Health. 2017 Jun;19(3):745-754. (PMID: 27659490)
Nurs Res. 2018 Nov/Dec;67(6):490-497. (PMID: 30067583)
Drug Alcohol Depend. 2014 Jun 1;139:71-8. (PMID: 24742864)
BMC Psychiatry. 2023 Jun 5;23(1):403. (PMID: 37277769)
Cogn Behav Pract. 2021 May;28(2):147-166. (PMID: 35422577)
Arch Psychiatr Nurs. 2010 Jun;24(3):189-201. (PMID: 20488345)
J Immigr Minor Health. 2015 Dec;17(6):1679-86. (PMID: 25672994)
Can J Psychiatry. 2020 Oct;65(10):701-709. (PMID: 32662303)
Subst Use Misuse. 1997 Jun;32(7-8):829-48. (PMID: 9220559)
Soc Psychiatry Psychiatr Epidemiol. 2008 Nov;43(11):866-71. (PMID: 18500481)
J Dev Behav Pediatr. 2010 May;31(4):295-303. (PMID: 20431400)
World Psychiatry. 2022 Feb;21(1):61-76. (PMID: 35015367)
J Health Polit Policy Law. 1998 Feb;23(1):35-51. (PMID: 9522280)
Int J Ment Health Nurs. 2005 Jun;14(2):88-95. (PMID: 15896255)
Arch Suicide Res. 2014;18(3):259-73. (PMID: 24620900)
J Racial Ethn Health Disparities. 2022 Aug;9(4):1276-1297. (PMID: 34076864)
J Behav Health Serv Res. 2022 Jan;49(1):4-21. (PMID: 34097207)
Ethn Racial Stud. 2010 Jul 1;33(7):1168-1193. (PMID: 20543888)
BMC Med Res Methodol. 2018 Nov 19;18(1):143. (PMID: 30453902)
Cureus. 2017 Aug 22;9(8):e1595. (PMID: 29062627)
Public Health Rep. 2023 May-Jun;138(3):535-545. (PMID: 36971268)
Res Involv Engagem. 2023 Jul 10;9(1):50. (PMID: 37430378)
J Psychosoc Nurs Ment Health Serv. 2018 Jan 1;56(1):48-56. (PMID: 28990637)
Focus (Am Psychiatr Publ). 2020 Jan;18(1):16-24. (PMID: 32047393)
J Consult Clin Psychol. 2002 Oct;70(5):1186-90. (PMID: 12362969)
J Consult Clin Psychol. 2009 Jun;77(3):463-473. (PMID: 19485588)
Adv Dual Diagn. 2014;7(2):90-104. (PMID: 25031627)
BMC Psychiatry. 2022 Feb 11;22(1):107. (PMID: 35144565)
Health Expect. 2022 Feb;25(1):38-47. (PMID: 34748689)
Med Decis Making. 2018 Jan;38(1):14-25. (PMID: 28691551)
Am J Public Health. 2010 Jan;100(1):115-21. (PMID: 19910344)
Psychiatry Investig. 2008 Mar;5(1):14-20. (PMID: 20046403)
J Couns Psychol. 2013 Jul;60(3):379-91. (PMID: 23647389)
J Immigr Minor Health. 2015 Jun;17(3):947-70. (PMID: 24375382)
BMC Geriatr. 2022 Nov 28;22(Suppl 1):909. (PMID: 36443664)
Ir J Psychol Med. 2015 Mar;32(1):51-60. (PMID: 31715701)
J Child Fam Stud. 2016 Jun;25(6):1926-1940. (PMID: 27346929)
Public Health Nutr. 2021 Feb;24(2):309-317. (PMID: 33077024)
Early Interv Psychiatry. 2014 May;8(2):190-7. (PMID: 24251956)
Cultur Divers Ethnic Minor Psychol. 2008 Jul;14(3):205-14. (PMID: 18624585)
Front Public Health. 2021 Mar 08;9:641605. (PMID: 33763401)
Psychiatry (Edgmont). 2007 Nov;4(11):51-9. (PMID: 20428303)
Cult Med Psychiatry. 2003 Dec;27(4):447-65. (PMID: 14727680)
Can J Public Health. 2023 Jun;114(3):464-473. (PMID: 36705858)
Asian Am J Psychol. 2014 Dec;5(4):316-324. (PMID: 25667725)
Community Ment Health J. 2005 Oct;41(5):539-55. (PMID: 16142537)
Asian J Psychiatr. 2010 Dec;3(4):169-72. (PMID: 23050882)
J Soc Clin Psychol. 2011;30(2):133-162. (PMID: 21572896)
Ment Health Serv Res. 2003 Dec;5(4):197-208. (PMID: 14672499)
J Couns Psychol. 2011 Jul;58(3):335-45. (PMID: 21574698)
J Consult Clin Psychol. 2018 Nov;86(11):915-930. (PMID: 30335424)
Int J Equity Health. 2021 Aug 21;20(1):187. (PMID: 34419053)
J Subst Abuse Treat. 2013 Mar;44(3):309-15. (PMID: 22985677)
Community Ment Health J. 2014 Nov;50(8):960-7. (PMID: 24659219)
J Am Acad Child Adolesc Psychiatry. 2018 Apr;57(4):280-287.e2. (PMID: 29588054)
Front Public Health. 2022 Nov 28;10:1006513. (PMID: 36568798)
Asian J Psychiatr. 2021 Sep;63:102764. (PMID: 34274627)
J Behav Health Serv Res. 2021 Apr;48(2):199-212. (PMID: 32347427)
Cultur Divers Ethnic Minor Psychol. 2005 Aug;11(3):227-38. (PMID: 16117590)
J Couns Psychol. 2015 Apr;62(2):148-58. (PMID: 24635590)
BMC Psychiatry. 2023 Sep 7;23(1):660. (PMID: 37679708)
Community Ment Health J. 2005 Oct;41(5):581-97. (PMID: 16142540)
J Adv Nurs. 2015 Jul;71(7):1530-8. (PMID: 25825257)
Ann Intern Med. 2018 Oct 2;169(7):467-473. (PMID: 30178033)
Fam Community Health. 2015 Jan-Mar;38(1):55-65. (PMID: 25423244)
Healthcare (Basel). 2021 May 04;9(5):. (PMID: 34064345)
Am J Public Health. 2010 Dec;100(12):2410-7. (PMID: 20299649)
Ment Health Serv Res. 2001 Dec;3(4):201-14. (PMID: 11859966)
J Chin Sociol. 2021;8(1):4. (PMID: 35822199)
J Sch Health. 2013 Aug;83(8):562-72. (PMID: 23834608)
BMC Med. 2013 Jan 29;11:20. (PMID: 23360661)
Implement Sci. 2010 Sep 20;5:69. (PMID: 20854677)
J Adv Nurs. 2011 Nov;67(11):2373-82. (PMID: 21545638)
Soc Psychiatry Psychiatr Epidemiol. 2018 Mar;53(3):299-308. (PMID: 29196773)
Glob Health Promot. 2021 Mar;28(1):51-59. (PMID: 33601961)
J Community Health. 2009 Apr;34(2):144-52. (PMID: 18931893)
J Consult Clin Psychol. 2002 Feb;70(1):44-55. (PMID: 11860055)
J Immigr Minor Health. 2017 Jun;19(3):572-581. (PMID: 27246287)
Adm Policy Ment Health. 2023 Jul;50(4):630-643. (PMID: 36988832)
Front Psychol. 2015 Sep 08;6:1272. (PMID: 26441699)
J Youth Adolesc. 2016 Mar;45(3):532-46. (PMID: 26346036)
Am J Orthopsychiatry. 2007 Jan;77(1):61-6. (PMID: 17352586)
Clin Psychol Rev. 2004 May;24(2):193-213. (PMID: 15081516)
Focus (Am Psychiatr Publ). 2020 Jan;18(1):49-51. (PMID: 32047398)
Ind Labor Relat Rev. 2017 Oct;70(5):1146-1175. (PMID: 28935997)
J Ethn Subst Abuse. 2012;11(4):318-38. (PMID: 23216439)
Psychiatr Serv. 2020 Jan 1;71(1):21-27. (PMID: 31575351)
West J Med. 2002 Sep;176(4):227-31. (PMID: 12208826)
Asian Am J Psychol. 2022 Jun;13(2):149-157. (PMID: 35983434)
Public Health Rep. 2023 Nov-Dec;138(6):885-895. (PMID: 36560878)
Int J Equity Health. 2013 Mar 11;12:18. (PMID: 23496984)
CMAJ. 2018 Oct 9;190(40):E1183-E1191. (PMID: 30301742)
Health Aff (Millwood). 2022 Feb;41(2):296-303. (PMID: 35130076)
BMC Med Res Methodol. 2020 Sep 29;20(1):242. (PMID: 32993505)
Child Psychiatry Hum Dev. 2015 Oct;46(5):693-701. (PMID: 25300193)
Curr Psychol. 2022 Jan 21;:1-17. (PMID: 35095241)
Acad Med. 2022 Jun 1;97(6):797-803. (PMID: 35703909)
Psychol Serv. 2022 Aug;19(3):551-561. (PMID: 34292006)
Acad Med. 2019 Oct;94(10):1621. (PMID: 31192804)
Community Ment Health J. 2015 Feb;51(2):153-60. (PMID: 24957253)
Health Expect. 2023 Feb;26(1):30-50. (PMID: 36385452)
Fam Process. 2023 Mar;62(1):319-335. (PMID: 35322420)
Cultur Divers Ethnic Minor Psychol. 2014 Jan;20(1):98-106. (PMID: 23914745)
Int J Qual Stud Health Well-being. 2020 Dec;15(1):1744926. (PMID: 32228393)
Early Interv Psychiatry. 2022 Apr;16(4):410-418. (PMID: 34008340)
Ethn Health. 2023 Oct;28(7):957-982. (PMID: 37160688)
J Gen Intern Med. 2004 Feb;19(2):111-9. (PMID: 15009790)
J Clin Psychol. 2010 Mar;66(3):317-32. (PMID: 20127962)
Community Ment Health J. 2010 Dec;46(6):570-8. (PMID: 20490674)
Advers Resil Sci. 2022;3(3):233-245. (PMID: 35692379)
Health Expect. 2023 Oct;26(5):1883-1894. (PMID: 37326418)
Health Educ Behav. 2021 Jun;48(3):332-341. (PMID: 34080482)
Pediatr Res. 2021 Jan;89(2):353-367. (PMID: 33462396)
Healthc Manage Forum. 2020 Nov;33(6):282-287. (PMID: 32613867)
Psychol Addict Behav. 2013 Sep;27(3):788-798. (PMID: 23276322)
Cultur Divers Ethnic Minor Psychol. 2013 Jul;19(3):236-47. (PMID: 23875849)
Pediatr Clin North Am. 2019 Jun;66(3):549-560. (PMID: 31036234)
J Prim Health Care. 2015 Dec 01;7(4):282-90. (PMID: 26668833)
Br J Psychiatry. 1990 Mar;156:384-7. (PMID: 2346839)
J Immigr Minor Health. 2008 Dec;10(6):529-40. (PMID: 18386178)
J Youth Adolesc. 2009 May;38(5):703-18. (PMID: 19636765)
Transcult Psychiatry. 2015 Jun;52(3):331-52. (PMID: 25468826)

Date Created: 20240715 Date Completed: 20240715 Latest Revision: 20240717

20240717

PMC11249267

10.1371/journal.pone.0304907

39008453