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A Psychiatric Residency Curriculum About Asian-American Issues

The authors are members of the Committee of Asian-American Psychiatrists of the American Psychiatric Association. Dr. Du is Associate Clinical Professor and Drs. Lu and Gaw are Clinical Professors of Psychiatry at the University of California, San Francisco. Dr. Lin is Professor of Psychiatry at the University of California, Los Angeles. Address correspondence to Dr. Du, San Francisco General Hospital, Unit 7C, 1001 Potrero Avenue, San Francisco, CA 94110.

Asian Americans constitute the third-largest and the fastest-growing minority group in the United States, with a population of 10.2 to 11.9 million in Census 2000. It is a heterogeneous group that includes at least 43 ethnic subgroups with different languages and dialects, immigration patterns, and religious beliefs; varying socioeconomic status; and different traditional patterns of seeking health care. These social and cultural variables affect Asian Americans' help-seeking behaviors, development of psychiatric disorders, manifestation of psychiatric symptoms, treatment strategies, compliance, and outcomes. This article reviews experiences of Asian Americans relevant to their mental health, including migration patterns to the United States, socioeconomic status, and cultural variables. It proposes educational objectives in the assessment and treatment of Asian-American patients that are essential for the training of psychiatric residents. In particular, it addresses special considerations in implementation of a psychiatric curriculum directed to the care of Asian-American psychiatric patients.

Key Words: Residency Curricula • Asian-American Issues • Culture and Ethnicity

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