Evaluation of Three Types of Mental Health Treatment Outcome for Asian American Clients.

The present study examined several client demographic, clinical, and service provider variables and their relationship to treatment outcome as defined as premature termination in the first month of treatment, treatment length (total number of completed psychotherapy sessions), and change in pre/post-treatment Global Assessment of Functioning (GAF) scores for 1,030 Asian Americans (193 Cambodian, 349 Chinese, 134 Iu Mien, 113 Korean, and 241 Vietnamese) seeking individual psychotherapy from an ethnic-specific mental health service provider. Results showed that more educated clients, who spoke English as their primary language, were client-therapist Asian language matched, or assigned their intake therapist as their primary therapist were less likely to prematurely terminate from treatment. Korean Americans also reported the highest rates of premature termination in this sample. To account for clients who discontinued treatment in the first month, subsequent analyses on treatment length and pre/post-treatment GAF scores were completed on a smaller sample of 937 Asian Americans (187 Cambodian, 318 Chinese, 127 Iu Mien, 91 Korean, and 214 Vietnamese). Results showed that clients who were women, Cambodian or Iu Mien American, completed more medication consultation appointments, or averaged more therapy sessions per week reported longer treatment lengths. In contrast, clients who were discharged or referred to other facilities by therapists or diagnosed with an adjustment disorder completed shorter treatment lengths. Results also showed that clients who completed more medication consultation appointments, were discharged or referred to other facilities by their therapists, had longer treatment lengths, or were diagnosed with an adjustment disorder reported a larger difference in pre/post-treatment GAF scores. In contrast, Cambodian Americans and clients who averaged more therapy sessions per week reported with smaller differences in pre/post-treatment GAF scores. In general, the results of this dissertation study suggest there may be culturally related factors unique to specific Asian American ethnic groups that may influence differential treatment outcome. Furthermore, the findings suggest the need for greater care and consideration in studying how ethnic-specific services are being delivered to various Asian American groups and underscores the importance of evaluating the treatment needs of Asian American groups separately rather than an aggregate whole.Ph.D.PsychologyUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/75805/1/gtsuru_1.pd

Psychosocial Correlates of Self-Reported Coping Among Japanese Americans Interned During World War II

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72679/1/0002-9432.77.2.221.pd

Pre-Intake Attrition or Non-Attendance of Intake Appointments at an Ethnic-Specific Mental Health Program for Asian American Children and Adolescents

This study examines the relationship of client demographic, clinical, client-therapist match, and service program factors to the rate of pre-intake attrition or the non-attendance of intake appointments for 236 Asian American children and adolescents (18 years and younger) at an Asian-oriented ethnic-specific mental health program. The results showed that urgency status or the need for the earliest intake appointment, ethnic match with the prescreening interviewer, and the assignment of the prescreening interviewer as the intake therapist were significantly related to attendance of intake appointments for Asian American children and adolescents. In contrast, older age was found to reduce the likelihood of intake attendance for Asian American youth clients. Specific implications of these results to program evaluation and service improvements in mental health care delivery to Asian American youth groups will be discussed

Mediating Organizational Cynicism: Exploring the Role of Hope Theory on Job Satisfaction

Abstract The majority of research on groups and organizations has focused on the negative consequences of organizational life, but few studies have focused on how positive traits and qualities, such as hope, may impact groups. In this study we examined the relationship between hope, organizational cynicism and global job performance. All full-time employees (n = 95) of an educational institution were surveyed using existing scales for organizational cynicism (alpha = 0.94), hope (alpha = 0.87), and global job satisfaction (alpha = 0.87). Hierarchical regression confirmed existing research and suggested a negative relationship between organizational cynicism and job satisfaction (p < 0.001), and also provided evidence of a positive relationship between hope and job satisfaction (p < 0.05). Follow-up analysis showed hope partially mediated the negative relationship between organizational cynicism and global job satisfaction (p < 0.01). This study contributes to the existing literature by discovering a positive relationship between hope and job satisfaction, as well as evidence of partial mediation in regards to organizational cynicism. Hope, which has been characterized as both a state of mind and a personal trait, appears to counter the negative effects of organizational cynicism. This suggests hope may allow individuals a means to address negative workplace attitudes and conditions

Pre-Intake Attrition or Non-Attendance of Intake Appointments: at an Ethnic-Specific Mental Health Program for Asian American Children and Adolescents

This study examines the relationship of client demographic, clinical, client-therapist match, and service program factors to the rate of pre-intake attrition or the non-attendance of intake appointments for 236 Asian American children and adolescents (18 years and younger) at an Asian-oriented ethnic-specific mental health program. The results showed that urgency status or the need for the earliest intake appointment, ethnic match with the prescreening interviewer, and the assignment of the prescreening interviewer as the intake therapist were significantly related to attendance of intake appointments for Asian American children and adolescents. In contrast, older age was found to reduce the likelihood of intake attendance for Asian American youth clients. Specific implications of these results to program evaluation and service improvements in mental health care delivery to Asian American youth groups will be discussed