ECCAC Chinese and Vietnamese Services Ethnic and Cultural - PowerPoint PPT Presentation

February 22, 2016 ECCAC Chinese and Vietnamese Services Ethnic and Cultural Communities Advisory Committee Family Outreach and Engagement Program 1

February 22, 2016 ECCAC Chinese and Vietnamese Services Mental Health Peer Support Workers Brian Cheung, Chinese Team Lead Thong Le, Vietnamese Team Lead Michael Sharpe, Vietnamese Team Chiao-Wen Chen, Chinese Team (Last day was 10/29/2015 ) Lily Le, Vietnamese Team (Last day was 01/14/2016) 2

Happy Lunar New Year! • Chúc Mừng Năm Mới ! • 恭禧發財 ! • Gong Xi Fa Cai • Gong Hey Fat Choy 3

Presentation Agenda • Culture and Mental Health in Chinese and Vietnamese communities of Santa Clara County • What are our services? • What has been effective? • What do we recommend and request? • Questions and Answers 4

Population Size by Race/Ethnicity Santa Clara County ________________________________________________________________________________________________________ U.S. Census Bureau, 1990, 2000, 2010 Census; State of California, Department of Finance, County Population Estimates an Projections, July 2007 5

Asian / Pacific Is Islander Population Santa Clara County 32.0% Asian (570,524 people) 0.4% Pacific Islander (7,060 people) 8.6% Chinese (est. 153,328) 0.1% Samoan, (est. 1,765) 7.1% Vietnamese, (est. 126,585) 0.1% Guamanian, (est. 1,765) 6.6% Indian, (est. 117,671) 0.1% Tongan, (est. 1,765) 4.9% Filipino, (est. 87,361) 0.1% Native Hawaiian (est. 1,765) 1.6% Korean, (est. 28,526) 1.4% Japanese, (est. 24,960) 0.3% Cambodian, (est. 5,349) 0.3% Pakistani, (est. 5,349) 0.1% Thai, (est. 1,783) 0.1% Laotian, (est. 1,783) 0.1% Burmese, (est. 1,783) 0.1% Indonesian, (est. 1,783) 0.1% Bangladeshi (est. 1,783) _____________________________________________________________________ 2010 United States Census, Santa Clara County 6

Nativity and Citizenship Status by Race/Ethnicity Santa Clara County ________________________________________________________________________________________________________ U.S. Census Bureau, 1990, 2000, 2010 Census; State of California, Department of Finance, County Population Estimates an Projections, July 2007 7

English Proficiency and Language Spoken at Home Santa Clara County ________________________________________________________________________________________________________ U.S. Census Bureau, 1990, 2000, 2010 Census; State of California, Department of Finance, County Population Estimates an Projections, July 2007 8

Chinese Communities of f Santa Clara County • Diversity 1 o China, Taiwan, Hong Kong, Vietnam, Singapore, Philippines, Malaysia, Thailand, Indonesia o Recent immigrants o Longtime residents o Multi-Generations • Cultural information 1 o Confucian teachings influences morality and hierarchical values o Children are socialized not to talk about family problems with people outside of the family o Mental health issues are not often discussed in Chinese countries o Limited knowledge about signs and symptoms of mental illness and services available _____________________________________________________________________ 1. Page 27, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 9

Chinese Communities of f Santa Clara County • (…continued…) o Not seeking help due to fear of being labeled or being a burden on others o Many Chinese hold a sense of responsibility for their family problems, care about their community and want to care for themselves o Language can instantly bond one Chinese person to another; for instance, when a person greets another and realizes that the other person can understand their dialect. __________________________________ 1. Page 28, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 10

Chinese Communities of f Santa Clara County • Strengths • Collective altruism • Strong family values and beliefs • Cultural traditions and activities • Resilience, love, hope and faith • Humility , politeness, harmony and non‐confrontation • Values in higher education and continual learning • Loyalty and interdependency • Respect of authority • Filial piety and reciprocal family relationship between elderly parents and adult children • Multigenerational Support (i.e. Obligation of children to support the elderly and vice-versa) __________________________________ 1. Page 27, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 11

Vietnamese Communities of f Santa Clara County • Immigration • First Wave • Second Wave • Third Wave "San Jose Tet parade, 2009" by Daryl Davis, Licensed under CC BY 2.0 via Wikimedia Commons • Cultural information • Majority of seniors were are not born in the United States • Traditional households are multi-generational • Level of authority is hierarchal • Elders are most respected and sought after for advice ________________________________________________________________________ 1. Page 55, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 12

Vietnamese Communities of f Santa Clara County (….continued ) • The relationships among family members are characterized by respect, obligation, and cooperation • In dealing with conflicts, there is a tendency to avoid confrontation out of respect for elders and others of higher status. • Many Vietnamese continue to see themselves less as individuals and more as part of the family and the larger community. Individual actions are evaluated in terms of positive or negative impact on the family and community. • Buddhism, Confucianism, and Taoism are the oldest religions in Vietnam and have the most influence on culture and tradition. ________________________________________________________________________ 1. Page 55, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 13

Vietnamese Communities of f Santa Clara County • Strengths • Strong familial ties and support • Respect for elders • Strong sense of pride in their culture • Care about the welfare of the community • Spiritual beliefs and values • Positive attitude of survival in life • Successful in their transition and adaptation to a Western society __________________________________ 1. Page 55, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 14

Chinese and Vietnamese Communities of Santa Clara County • Stigma Associated with Mental Health 2 o Ostracized by community o Losing job opportunities o Shame - labeled as crazy o Dishonoring family by revealing problems to outsiders o Bad karma, past misdeeds, and evil spirits ___________________________________________________________________________ 2. Page 28, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 15

Chinese and Vietnamese Communities of Santa Clara County • Risk Factors for Mental Health Challenges 2 o Stress associated with the migration and acculturation process o Cultural gap between youth, adults, and older adults o Cross-cultural misunderstanding between patients and health care providers o Ethnic/ cultural identity conflict (East vs. West) o Marital and parenting problems leading to depression ___________________________________________________________________________ 2. Page 28, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 16

Chinese and Vietnamese Communities of Santa Clara County • (Risk Factors continued… ) o Avoidance of seeking help due to fear of being rejected o Cultural Isolation and loneliness o Lack of support groups o Lack of social networks for elders o Lack of transitional services __________________________________ 2. Page 28, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 17

Chinese and Vietnamese Communities of Santa Clara County • Barriers and Disparities 3 o Social and cultural stigma of mental illness and treatment o Lack of culturally and linguistically appropriately services o Limited knowledge about mental illness and resources available o Lack of health insurance to obtain services o Avoidance of talking about emotional health problems due to fear of distrust of system, e.g.: racism, disparity of resources __________________________________ 3. Page 30, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 18

Chinese and Vietnamese Communities of Santa Clara County • (Barriers and Disparities continued …) o Shame and guilt o Family secrets and loss of face o Family name supersedes personal needs o Social Isolation o Westernized medical practices vs. traditional herbal remedies __________________________________ 3. Page 30, Ethnic Communities of Santa Clara County , Santa Clara County Mental Health Department 19