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

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

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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

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ECCAC Chinese and Vietnamese Services

Ethnic and Cultural Communities Advisory Committee Family Outreach and Engagement Program

February 22, 2016

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Thong Le, Vietnamese Team Lead Michael Sharpe, Vietnamese Team Lily Le, Vietnamese Team (Last day was 01/14/2016) Brian Cheung, Chinese Team Lead Chiao-Wen Chen, Chinese Team (Last day was 10/29/2015 )

Mental Health Peer Support Workers

ECCAC Chinese and Vietnamese Services

February 22, 2016

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Happy Lunar New Year!

  • Chúc Mừng Năm Mới!
  • 恭禧發財!
  • Gong Xi

Fa Cai

  • Gong Hey Fat Choy

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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

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Population Size by Race/Ethnicity Santa Clara County

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U.S. Census Bureau, 1990, 2000, 2010 Census; State of California, Department of Finance, County Population Estimates an Projections, July 2007

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Asian / Pacific Is Islander Population Santa Clara County

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32.0% Asian (570,524 people) 8.6% Chinese (est. 153,328) 7.1% Vietnamese, (est. 126,585) 6.6% Indian, (est. 117,671) 4.9% Filipino, (est. 87,361) 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) 0.4% Pacific Islander (7,060 people) 0.1% Samoan, (est. 1,765) 0.1% Guamanian, (est. 1,765) 0.1% Tongan, (est. 1,765) 0.1% Native Hawaiian (est. 1,765)

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2010 United States Census, Santa Clara County

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Nativity and Citizenship Status by Race/Ethnicity Santa Clara County

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U.S. Census Bureau, 1990, 2000, 2010 Census; State of California, Department of Finance, County Population Estimates an Projections, July 2007

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English Proficiency and Language Spoken at Home Santa Clara County

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U.S. Census Bureau, 1990, 2000, 2010 Census; State of California, Department of Finance, County Population Estimates an Projections, July 2007

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Chinese Communities of f Santa Clara County

  • Diversity1
  • China, Taiwan, Hong Kong, Vietnam, Singapore,

Philippines, Malaysia, Thailand, Indonesia

  • Recent immigrants
  • Longtime residents
  • Multi-Generations
  • Cultural information1
  • Confucian teachings influences morality and hierarchical values
  • Children are socialized not to talk about family problems with people outside of the family
  • Mental health issues are not often discussed in Chinese countries
  • Limited knowledge about signs and symptoms of mental illness and services available

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_____________________________________________________________________

  • 1. Page 27, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Chinese Communities of f Santa Clara County

  • (…continued…)
  • Not seeking help due to fear of being labeled or being a burden on others
  • Many Chinese hold a sense of responsibility for their family problems, care about their

community and want to care for themselves

  • 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.

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__________________________________

  • 1. Page 28, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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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)

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__________________________________

  • 1. Page 27, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Vietnamese Communities of f Santa Clara County

  • Immigration
  • First Wave
  • Second Wave
  • Third Wave
  • 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

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"San Jose Tet parade, 2009" by Daryl Davis, Licensed under CC BY 2.0 via Wikimedia Commons

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  • 1. Page 55, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Vietnamese Communities of f Santa Clara County

(….continued )

  • The relationships among family members are characterized by respect,
  • bligation, 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.

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________________________________________________________________________

  • 1. Page 55, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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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

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__________________________________

  • 1. Page 55, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Chinese and Vietnamese Communities of Santa Clara County

  • Stigma Associated with Mental Health2
  • Ostracized by community
  • Losing job opportunities
  • Shame - labeled as crazy
  • Dishonoring family by revealing problems to outsiders
  • Bad karma, past misdeeds, and evil spirits

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___________________________________________________________________________

  • 2. Page 28, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Chinese and Vietnamese Communities of Santa Clara County

  • Risk Factors for Mental Health Challenges2
  • Stress associated with the migration and acculturation process
  • Cultural gap between youth, adults, and older adults
  • Cross-cultural misunderstanding between patients and health care

providers

  • Ethnic/ cultural identity conflict (East vs. West)
  • Marital and parenting problems leading to depression

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___________________________________________________________________________

  • 2. Page 28, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Chinese and Vietnamese Communities of Santa Clara County

  • (Risk Factors continued… )
  • Avoidance of seeking help due to fear of being rejected
  • Cultural Isolation and loneliness
  • Lack of support groups
  • Lack of social networks for elders
  • Lack of transitional services

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  • 2. Page 28, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Chinese and Vietnamese Communities of Santa Clara County

  • Barriers and Disparities3
  • Social and cultural stigma of mental illness and treatment
  • Lack of culturally and linguistically appropriately services
  • Limited knowledge about mental illness and resources available
  • Lack of health insurance to obtain services
  • Avoidance of talking about emotional health problems due to fear of distrust
  • f system, e.g.: racism, disparity of resources

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  • 3. Page 30, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Chinese and Vietnamese Communities of Santa Clara County

  • (Barriers and Disparities continued …)
  • Shame and guilt
  • Family secrets and loss of face
  • Family name supersedes personal needs
  • Social Isolation
  • Westernized medical practices vs. traditional herbal remedies

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  • 3. Page 30, Ethnic Communities of Santa Clara County, Santa Clara County Mental Health Department
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Outreach and Education

  • Community Centers and Agencies: Libraries (SJPL & SCC), Schools (SJ Unified, East Side

Unified, Milpitas), Language Schools, Older Adult Residential living Facilities, Faith Communities, News Agencies (i.e. World Journal, News for Chinese)

  • Health Fairs and Events (I.e. Day on the Bay, Day at the Park, Diversity Day, Open Air

Health Fair, Well Elder Fair, Older Adult Fair, Tzu Chi Health Fair, Lunar New Year, Bridges Academy Career Day, Chinese Alzheimer’s Association fair)

Cultural Celebrations

  • Autumn Moon Festival
  • Winter Holiday Celebrations
  • Lunar New Year
  • Asian Pacific-American Heritage Month
  • National Minority Mental Health Month – Wellness Village Day

What are our services?

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Presentations, Workshops, and Trainings

  • Community Specific topics (I.e. Anxiety and Depression in Teens, How to raise healthy children,

Internet Addiction, Mental Health 101, Taste of MHFA)

  • Cultural Competency
  • Mental Health First Aid (MHFA)
  • Wellness Recovery Action Plan (WRAP)
  • Question, Persuade, and Refer (QPR) Suicide Prevention

Collaborations

  • NAMI Santa Clara County
  • San Jose Public Library
  • Office of Consumer Affairs
  • Mekong Community Center
  • River Of Life Christian Church
  • Palo Alto Asian Outreach Network
  • Other ECCAC Teams

What are our services?

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Peer Support Advocacy Translation and Interpretation Referral to Cultural Specific Service Providers

What are our services?

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What has been effective?

  • Linguistically appropriate services
  • Story telling
  • Cultural Celebration Outreaches
  • Workshops about supporting youth to thrive and mental health
  • Outreaching at older adult residential living facilities
  • Trainings and Presentations to Community members and Service Providing Staff (i.e AACI,

AARS, Anthem Blue Cross, CCHC, Mekong Community Center, ROLCC, TPT, Tzu Chi, etc.)

  • Collaborations with NAMI SCC, Libraries, Faith Communities, with ECCAC Teams (Chinese,

Filipino, LGBTQ, Vietnamese)

  • Cultural Food and Promotional Items as outreach incentives

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What has been effective?

  • Mental Health First Aid
  • Wellness Recovery Action Plan
  • Question Persuade Refer

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All of these trainings are listed in the Substance Abuse Health Administration’s (SAMHSA) National Registry of Evidence Based Programs and Practices

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What has been effective?

  • Treat Chinese and Vietnamese community members as they want to be treated
  • Treat each Chinese and Vietnamese community member as a unique individual
  • Take initiative to offer help
  • Ask open ended questions as opposed to “Yes or No”
  • Do not assume just because an Asian person speaks, reads, and writes in English,

that they will be confident to advocate for their needs

  • Organize opportunities for Asian Consumers and Family members to meet peers
  • Take time to build trust and rapport

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Recommendations and Requests

  • Linguistic and cultural representation among staff and volunteers (CLAS Standards)1
  • More Staff
  • To reach the estimated 153,000 Chinese and 127,000 Vietnamese peoples in Santa Clara County
  • Support to fill vacancies: ECCAC Chinese (2) & Vietnamese (1) have part-time staff positions
  • Research and support for Cultural Specific Wellness Practices
  • Outreach to faith communities for MHSA Innovation Project
  • Support for networking and collaborations
  • SB 614 - California Statewide Peer Certification
  • Multi – Cultural Center & Vietnamese Cultural Center
  • Continuous learning

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  • 1. U.S. Department of Health and Human Services Office of Minority health, The National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health

and Human Care1 26

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ECCAC Upcoming Events

  • Arts, Performances, and Inspiring Stories of API and LGBTQ Youth

and Young Adults; 2/27/2016, 12:00 P.M. – 4:00 P.M., Milpitas Library; a collaboration between ECCAC and Family & Children Services of Silicon Valley

  • Asian Pacific-Islander Heritage Fest, 5/21/2016, 2:00 P.M. to 5:00

P.M., Seven Trees Community Center; a collaboration between ECCAC and the San Jose Public Library

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Questions and Comments

多謝 謝謝

Brian Cheung 張明華 Brian.Cheung@hhs.sccgov.org

Cam On!

Thong Le Thong.Le@hhs.sccgov.org

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