Depressive symptoms and help‐seeking behaviors among Korean Americans

Cheung M, Leung P, Cheung A. Depressive symptoms and help‐seeking behaviors among Korean Americans Int J Soc Welfare 2011: 20: 421–429 © 2010 The Author(s), International Journal of Social Welfare © 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare. Korean Americans represent the fifth largest group of Asian Americans in the USA. This exploratory survey of 205 Korean Americans (92.2 percent foreign born) found that those with depressive symptoms tend to be younger, have lower incomes, and are more concerned about their basic needs, community/social needs, family relationship issues, and healthcare issues than those without depressive symptoms. Income, healthcare concerns, and anxiety were significant predictors of depression. The likelihood of having depressive symptoms among Korean Americans with anxiety was 240 times higher than among those without anxiety, but acculturation was not a significant contributing factor. Most respondents tended to seek advice about their mental health problems from physicians and non‐mental health professionals (friends and religious healers). Implications for social work education, research, practice, and policy are discussed in relation to the need to use evidence‐based practice data to plan culturally relevant services for ethnic minorities.     

The A+ of a practice doctorate

In light of the growing trend of developing practice doctoral degree programmes in social work, the author uses the first Doctor of Social Work (DSW) programme in Hong Kong, which is a unique programme in China, as a case study to examine the pedagogy and constraints of doctoral programmes in social work. The programme serves as an alternative to a typical PhD programme and is designed particularly for seasoned practitioners in the field who strive to achieve a balance between a research and practice orientation and between an academic and a pragmatic focus. This paper emphasises that, to stand out from the crowd, practice doctorates in Hong Kong should take part in practice-based research and publish in refereed journals.     

Factors Associated with Adolescents’ Disclosure of Sexual Abuse Experiences in Hong Kong

This research project is the first study conducted in Hong Kong using adolescent subjects to explore predictors of child sexual abuse disclosure. Eight-hundred male and female adolescents aged 13 to 16 years were recruited from the community while another 30 adolescents joined the study from a clinical setting. One hundred and seventy-seven adolescents acknowledged having a child sexual abuse experience. Results showed that the severity of sexual abuse activities and parent attachment were associated with disclosure in the clinical setting, while abuser’s gender and the adolescents’ disclosure tendency were associated with disclosure among participants in the community setting. Among the 104 participants who had disclosed their childhood sexual abuse, 70% of them had disclosed it within one month and 63% of them had disclosed to 2 to 5 people. The majority of the disclosers (81%) shared their child sexual abuse experience(s) with their friends. Participants from the clinical setting tended to reveal the experience more to adults than those from the community. The study suggested that when choosing a potential confidant, adolescents paid more attention to confidant characteristics than to anticipated confidant responses to their disclosure. Limitations and practical implications for increasing child sexual abuse disclosure rates are discussed.     

Assembling life history narratives from quantitative longitudinal panel data: What’s the story for families using social work?

Abstract

Embedded within quantitative longitudinal panel or cohort studies is narrative potential that is arguably untapped but might enrich our understanding of individual and social lives across time. This paper discusses a methodology to assemble the life history narratives of families using social work by drawing on quantitative data from the British Household Panel Survey. It explores whether this person-centred approach helps us to understand the counter-intuitive results of a parallel multivariate analyses, which suggest that families using social work fare worse than similar others over time. Our findings are tentative, due to the experimental use of this narrative method and the limits of social work information in the data-set. Nonetheless, the life histories presented bring to light complexities, diversity and the non-linear pathways between families’ needs, support and outcomes that the aggregates obscure. We conclude that reconstructing families’ lives in this way, especially in the absence of complementary longitudinal qualitative data, affords the wider opportunity to interrogate and better understand the findings of quantitative longitudinal studies.     

The role of faith in adoption: achieving positive adoption outcomes for African American children

African American children are overrepresented in foster care by more than twice their proportion in the population (U.S. Government Accountability Office [USGAO], 2007). Building upon research relating faith (religiosity) to positive health and mental health, this study utilized cognitive and religious coping theories to examine the influence of faith on choosing to adopt, achieving positive adoption outcomes, and reducing disproportionality. From Louisiana and Texas, 113 families who adopted 226 children, 48% African American, participated in a survey measuring children's behavior and parent distress (PSI-SF Difficult Child and Parent Distress Subscales) and religiosity (Hoge Intrinsic Religiosity Index). Of the respondents, 93% of the respondents belonged to a religious congregation, 86% attended church weekly. Controlling for child's behavior, religiosity predicted lower stress in adoptive parenting; church attendance was related to improvement in parental health since adopting. Faith was rated most frequently as essential in parents' decisions to adopt. The study concludes that faith may be an asset in increasing adoptions and improving adoption outcomes resulting in increased numbers of African American children adopted.     

Relating social welfare to life satisfaction in the postmodern era of Hong Kong

Social welfare is supposedly beneficial not only to the needy receiving it but to citizens in general who expect social welfare to help the needy. Whereas direct benefits to the needy represent the gratification of material needs, the fulfillment of citizens–expectation registers an idealistic path to life satisfaction. These materialistic and idealistic paths may also be useful for explaining citizens–perception about the adequacy of social welfare. The reciprocal relationships between adequacy perception and life satisfaction are subject to an empirical study based on panel survey data obtained from Hong Kong, China. Results lend more support to the idealistic explanation than to the materialistic explanation in that the citizen’s postmodern orientation appeared to moderate the reciprocal relationships in some ways, whereas most of the citizen’s material conditions did not manifest moderating effects. Accordingly, the needy did not benefit from the perceived adequacy of social welfare and their life satisfaction did not have pervasive effects on the perceived adequacy in return. Results support the view that postmodernization would erode citizens–support for social welfare.     

Bridging help-seeking options to Vietnamese Americans with parent–child conflict and depressive symptoms

To help practitioners bridge services to their clients who face family problems, this research aims to identify help-seeking behaviors among Vietnamese Americans who have experienced parent–child conflict and depression. The 2008 Asian Survey found that 46.3% of 572 Vietnamese Americans experienced parent–child conflict and 30.2% reported depressive symptoms. Having parent–child conflicts or depressive symptoms did not predict help-seeking from mental health professionals. Logistic regression results show that having parent–child conflict would increase the likelihood by 81.7% of a thinking that the problem will be naturally resolved; having depressive symptoms would increase the likelihood of seeking help from herbalists by 1.718 times and from medical doctors by 39.7%. Service strategies should include offering educational programs by multidisciplinary professionals with a focus on the natural aspect of building parent–child bonding.     

Status and welfare under monopolistic competition

This article departs from the traditional welfare analysis of social status seeking by incorporating scale economies, product differentiation, and monopolistic competition into a model. I argue that social status seeking could be welfare improving rather than the usual conclusion that social status seeking is welfare-reducing, under some assumptions that are not particularly strong. Market distortions of the quantity–variety and consumption–leisure trade-off may be corrected by social status seeking. Since modern societies are arguably closer to monopolistic competition than perfect competition, we may also need to rethink the long-held belief that the welfare effects caused by social status seeking are usually negative.