A comparative study of the economic and social functioning of Vietnamese-Australians with low English proficiency living with psychotic illness.

Journal: The International journal of social psychiatry

Volume: 61

Issue: 4

Year of Publication: 2016

Affiliated Institutions:  Transcultural Psychology Consultant, Melbourne, VIC, Australia. St Vincent's Mental Health, Fitzroy, VIC, Australia Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia. St Vincent's Mental Health, Fitzroy, VIC, Australia. St Vincent's Mental Health, Fitzroy, VIC, Australia Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia Department of Psychiatry, School of Psychiatry and Neurosciences, University of Western Australia, Crawley, WA, Australia Department of Psychiatry, University of Cape Town, Cape Town, South Africa Cardiovascular Research Center, Faculty of Health Sciences, Australian Catholic University, Fitzroy, VIC, Australia david.castle@svhm.org.au.

Abstract summary 

Because national surveys of people living with psychotic disorders tend to exclude people with low English proficiency (LEP), little is known of their economic and social functioning. Culturally influenced explanatory models may result in delayed presentation and poorer functioning.The study aimed to compare the functioning of LEP Vietnamese-Australian and Australian-born patients with psychosis and to investigate the Vietnamese-Australians' pathways to care.In all, 19 LEP Vietnamese-Australians, previously excluded from the Australian Survey of High Impact Psychosis (SHIP), were matched with 15 Australian-born controls, and interviewed by a Vietnamese bilingual mental health professional using the SHIP Interview Schedule.The Vietnamese-Australian patients were significantly more likely to live with family, rate spirituality as important and participate in community rehabilitation programs. Their work, social and independent functioning, was better than the controls. The groups did not differ in mental health services received and satisfaction with services. Although half of Vietnamese-Australians attributed mental illness to supernatural, among other causes, none had consulted traditional healers.Despite LEP, Vietnamese-Australians with psychosis showed comparable or better functioning than Australian-born patients. Further investigation is recommended into LEP patients' clinical and social recovery and the role of language communities' support networks.

Authors & Co-authors:  Stolk Yvonne Y Sevar Katherine K Tran Nga N Mancuso Serafino G SG Chopra Prem P Castle David D

Study Outcome 

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Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1177/0020764014543710
SSN : 1741-2854
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Psychosis;Vietnamese;functioning;low English proficiency;pathway
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England