National Conference on Women, Addiction and Recovery July 12-13, 2004 Ann S. Yabusaki, Ph.D. Clinical Treatment Among Culturally Diverse Populations: Asian Americans

Source: Takaki, R. Strangers from a different shore. A history of Asian Americans. NY: Penguin Group

Asian Pacific Islanders Fastest growing group in the U.S.: %4.2% (10.9 million) Age Distribution: 29% (3.2 million) 18 years or younger 7% (673,000) 65+ years 1999 Census:

Foreign Born APIs 59% (6.4 million) are foreign born 54% (3,490,000) of foreign born APIs entered the U.S. between Mar. Census Bureau data (Sept. 2000)

Source: Takaki, R. Strangers from a different shore. A history of Asian Americans. NY: Penguin Group FIRST WAVESECOND WAVE 1835–1920’s1965– –1979 Chinese Japanese Korean Filipino “New” Chinese Filipino Korean Vietnamese (Primarily Students) Vietnamese Cambodian Laotian Hmong Mien *(1905 Korea prohibits emigration)

Source: Takaki, R. Strangers from a different shore. A history of Asian Americans. NY: Penguin Group Vietnam War Ho Chi Minh Defeats French Gulf of Tonkin U.S. enters Vietnam Fall of Saigon Communists takeover Vietnam SECOND WAVE

Clinical Issues Migration Stress Role reversals Parental expectations Acculturation Language Gender Age

Clinical Issues, continued Stigma Employment/Financial Status Social Isolation Political status Racism, Prejudice, and Discrimination

Value-Based Treatment Imbalance of energy forces Supernatural intervention Character flaw Mind, body, emotions, spirit Food as medicine Metaphors and stories

Summary Know your cultural self Learn about others Experience other cultures Seek consultation