Rates and correlates of seeking mental health services among Cambodian refugees.
OBJECTIVE
We assessed the rates and correlates of seeking mental health services among a probability sample of Cambodian refugees who needed such services.


METHODS
Interviewers conducted face-to-face interviews with a representative sample drawn from the largest US community of Cambodian refugees. The analytic sample included 339 persons who met past 12-month criteria for posttraumatic stress disorder, major depression disorder, or alcohol use disorder. Respondents described contact with service providers for psychological problems during the preceding 12 months. We examined bivariate and multivariate predictors of seeking services.


RESULTS
Respondents reported high rates of contact with both medical care providers (70%) and mental health care providers (46%). Seeking services from both types of providers was associated with lack of English-speaking proficiency, unemployment, 3 or fewer years of preimmigration education, and being retired or disabled. Women, individuals with health insurance, and persons receiving government assistance also were more likely to seek services.


CONCLUSIONS
Cambodian refugees with mental health problems had high rates of seeking service for psychological problems during the preceding 12 months. Research is needed to examine the effectiveness of services received by Cambodian refugees.
Marshall
Grant N
GN
RAND Corporation, Santa Monica, Calif 90407, USA. grantm@rand.org
Berthold
S Megan
SM
Schell
Terry L
TL
Elliott
Marc N
MN
Chun
Chi-Ah
CA
Hambarsoomians
Katrin
K
D000328:Adult; D002140:California; D002160:Cambodia / Q000208:ethnology; D003156:Community Mental Health Services; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012036:Refugees; D012959:Socioeconomic Factors