A Community-Engaged Approach to Examining Barriers and Facilitators to Accessing Autism Services in Korean Immigrant Families

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  • Author(s): Fong, Vanessa C. (ORCID Fong, Vanessa C. (ORCID 0000-0001-7457-0418); Lee, Bo Sang; Iarocci, Grace
  • Language:
    English
  • Source:
    Autism: The International Journal of Research and Practice. Feb 2022 26(2):525-537.
  • Publication Date:
    2022
  • Document Type:
    Journal Articles
    Reports - Research
  • Additional Information
    • Availability:
      SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: [email protected]; Web site: http://sagepub.com
    • Peer Reviewed:
      Y
    • Source:
      13
    • Subject Terms:
      Foreign Countries; Asians; Parent Attitudes; Barriers; Access to Education; Cultural Influences; Language Usage; Children; School Policy; Student Needs; Costs; Autism; Pervasive Developmental Disorders; Immigrants; Access to Health Care; Professional Personnel; Family Influence
    • Subject Terms:
      Canada
    • Accession Number:
      10.1177/13623613211034067
    • ISSN:
      1362-3613
    • Abstract:
      This study adopted a community-engaged approach to explore Korean parents' perceptions of barriers and facilitators to accessing autism services in British Columbia, Canada. Understanding the experiences of culturally and linguistically diverse families and their children may help facilitate the development of more inclusive, appropriate, and culturally sensitive services. Semi-structured interviews with 20 Korean parents of autistic children were analyzed using a thematic approach. Barriers and facilitators at the system, provider, and family/cultural level were identified. Barriers at the system level included delays and waitlists for services, and ineffective school policies to address child behavioral challenges. At the provider level, barriers included a lack of qualified professionals, negative attitudes, and lack of guidance navigating services. For family/cultural-related barriers, language and communication difficulties, out-of-pocket costs, and stigma impeded service access. Facilitators at the system level included family-centered care and prioritization of mental health supports. At the provider level, strengths included culturally competent and bilingual professionals. The family/cultural-related facilitators identified were informal support networks, characteristics of the parent, and connections to cultural community organizations. The findings emphasize the need to understand and consider diverse experiences, preferences, and values in the design and provision of autism services for families and their children.
    • Abstract:
      As Provided
    • Publication Date:
      2022
    • Accession Number:
      EJ1328538