Barriers to Mental Health Care Utilization for U.S. Cambodian Refugees
Published in: Journal of Consulting and Clinical Psychology, v. 74, no. 6, Dec. 2006, p. 1116-1120
Read MoreAccess further information on this document at Journal of Consulting and Clinical Psychology
This article was published outside of RAND. The full text of the article can be found at the link above.
Asian Americans encounter barriers to mental health care, some of which are structural, whereas others may be cultural. Using data from a probability sample (N = 490) drawn from the largest Cambodian refugee community in the United States, the authors assessed the extent to which structural and cultural barriers were experienced. Surprisingly, a relatively small proportion endorsed commonly cited cultural barriers such as distrust of Western care (4%) and greater confidence in alternative care (5%), whereas most endorsed structural barriers such as high cost (80%) and language (66%). Among those with a probable diagnosis, a similar pattern was found. Findings suggest that structural, not culturally based, barriers are the most critical obstacles to care in this U.S. Cambodian refugee community.