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Am J Psychiatry 1980; 137:1429-1432
Copyright © 1980 by American Psychiatric Association
An Indochinese refugee psychiatric clinic: culturally accepted treatment approaches
JD Kinzie, KA Tran, A Breckenridge and JD Bloom
In 1978 the authors established a weekly psychiatric clinic for Indochinese
refugees. During the first 20 months, 50 patients were evaluated and
treated at the clinic; a Vietnamese psychiatric resident and several native
Indochinese mental health counselors bridged the language and cultural
barriers between patients and clinic personnel. Most of the patients seen
at the beginning of the program were psychotic and severely impaired.
However, patients seen later suffered from a wider variety of problems. A
flexible approach to treatment was adopted that would be compatible with
the cultural expectations of the refugees. This resulted in the use of
different forms of therapy and special emphasis on the medical approach of
the physician, a role familiar to Indochinese patients. Gradually the
clinic gained acceptance by members of the local refugee community.
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