LORNA PHAM PSYD Paul Hoang LCSW Paul Hoang

LORNA PHAM, PSYD Paul Hoang, LCSW

Paul Hoang, LCSW ü Gender: ü Male ü Homosexual ü Heterosexual ü Ethnicity: Lorna Pham, Psy. D ü Bisexual ü Transgender ü Vietnamese ü Female ü Heterosexual ü Filipino ü Ethnicity: ü Vietnamese-American ü Profession: ü Transgender ü Vietnamese ü Profession: ü Assimilated ü Filipina ü Clinical Psychologist ü Cultural Status: ü Acculturated ü Assimilated ü Acculturated ü Language Proficiency: ü Bilingual ü Bisexual ü Filipina-American ü Clinical Social Worker ü Cultural Status: ü Homosexual ü Language Proficiency: ü Monolingual ü Trilingual ? Passion ? Personality ü Bilingual ü Monolingual ? Religion/ Spirituality ü Trilingual

MENTAL HEALTH EMPOWERMENT THROUGH CULTURAL HUMILITY PAUL HOANG, LCSW & LORNA PHAM, PSYD MARCH 16, 2017

Welcome! Lorna Pham, Psy. D; Executive Director of Viet-CARE 1. 5 Generation Filipino American Paul Hoang, LCSW, President of Viet-CARE 1. 5 Generation Vietnamese-American Viet-CARE (Community Action for Resources & Empowerment

Cultural Background: Filipino Americans • Filipino Americans represent the second largest Asian American group in the United States (US Census Bureau, 2010). Roughly around 3. 5 million. • California alone has 1. 5 million • First filipino settler in San Francisco Bay area during the mid-19 th century. • Roughly about 464, 000 living in SF, with largest concentration in Santa Clara County, followed by San Jose, and Daly city. • More than half are living in West Coast and Hawaii. • Only AA that have been placed into several ethnic categories (AA, PI, Hispanics, or Filipino). • Mostly Catholics, with some Muslim and Christians.

Cultural Background: Vietnamese Americans • Relatively recent migrant group (mostly first or second-generation) • As refugees Vietnamese Americans have the highest naturalization rates in the country (76% of foreign born Vietnamese Americans are naturalized citizens compared to 67% of people from other Southeast Asian). • 4 th largest Asian American population in the United States. • California and Texas have the highest concentration of Vietnamese American. • In California, Orange County (184, 153), Los Angeles, and Santa Clara counties

Mental Health: • Vietnamese Americans: PTSD, MDD, adjustment disorder, somatization, panic attacks, schizophrenia, and GAD. 5 • 40% of the children of resettled refugees experienced an increase in conduct and oppositional defiant disorders • Filipino Americans adolescents have the highest rate of reported depressive symptoms and suicide ideations (President’s Advisory Commission on AAPI, 2001). • Low suicide rate may be due to strong influence of the Catholic Church. • Lower levels of self-esteem and higher levels of depression than other ethnic groups.

Substance Abuse API

Alcohol API: Estimated Prevalence of Alcohol use in the US (1998 data), past-month. Age group: 12 -17 (10. 5), 18 -25 (44. 0), 26 -34 (37. 5), 35+ (36. 7) Gender: Male (39. 9), Female (29. 2)

Barriers for seeking treatment Lack of Resources Stigma NIMBY Cultural appropriateness Lack of education Language Lack family support Cultural beliefs

Another group exercise…. . . What are some of your biases regarding mental health and substance? What are some of the stereotypes surrounding Asian Americans, specifically Filipino and Vietnamese Americans?

What can we do?

RECAP

RECAP Mental Health Empowerment Cultural Humility

Community Action ❑ Assessment: ❑ Needs ❑ Available resources Resources & Empowerment Compassion Education Collaboration

Culture How many Asian are there living in the United States

Culture = Collaboration Customs Values Talents/ Resources Purpose Development process

Cultural Humility • Shift in Attitudes and Mindset • Cultural Competency = Knowledge acquisition • Cultural Sensitivity = Awareness of others • Cultural Humility = Awareness of Self • Practice Mindfulness Connection • Meaningful dialogues and times spent with others • Self-reflection/ self-examination regularly

Cultural Sensitivity & Humility

THANK YOU 5. Davis RE, Kennedy MG, Austin W. Refugee Experiences and Southeast Asian Women’s Mental Health. Western Journal of Nursing Research. 2000; 22. 2: 144 -168. 9. Chu JP, Sue S. Asian American Mental Health: What we KNow and What we Don’t know. Online Readings in Psychology and Culture. 2011; 3. 1. Edman, J. L. , Andrade, N. N. , Glipa, J. , Danko, G. P. , Yates, A. , Johnson, R. C. , Mc Dermont (1998). Depressive symptoms among Filipino American adolescents. Cultural Diversity and Mental Health 4(1), 45 -54. The Asian Population: 2010. Washington DC: U. S. Bureau of the Census. Retrieved from http: //www. census. gov/prod/cen 2010/briefs/c 2010 br-11. pdf